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:� `(� 7 ��-� �C.,��� <br />,� I I APPLICATIO� FOR CONSTRUCT�N PERMIT everett <br />.I Ilin Evnrynren TO BE COMPLETED IN INK—PLEASE PRINT � <br />I CITV OF <br />� everett f HEATING SYSTEM: GAS U ELECTRIC C.I <br />' BUILDING DEPARTMENT <br />� 259-6810 <br />' I I DEMOUTION I i COMBINATION i� BUILDING ECHANICAL (! PLUMBING I I SIGN <br />�� wr+en n nn ness crt rr e <br />' .�I�r�h - - ! �I ��.►'�-��rl � r�s;de ��- �✓ �5 ��`3-6I <br />TEN�I,rf�,`\/ /�� MML�DORE55 cirv zm vnor+e <br />ARGNIIELIOROE�f1 M�il�O��[55 CI1Y 21P PIIONE <br />.' R� IR�G10R M�II��OR[SS CIIY 21P PIIONE LICENSE� <br />YALLEY NAc,T,�URAL CAS, INC - ' <br />MEGN/JIICiU. COMiR� IlAiva2�PQ� �)�j' •2� IlY IIP V N . ENSE / <br />Y606 McDougoll �fll..I�11P��3_L'-- ��a3 <br />wweMacon*nscion n � 9Bee1 cnv �m a.+e �LICENSE� <br />u�ss oF wonK ` l <br />�l NEW I I ADDIiION �LIERATION i� REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT f 1 OUILDING RELOCATION <br />.' �`.�, CONUCTPEOSON�NDPHONENO <br />LEML DFSI'RIPTION OF PROPI <br />LOT BlOG1c <br />PIIQIEGT ADDRE C ^ � <br />J1 <br />8 DISP <br />FLOOR <br />�� V <br />INV EO <br />� _ _ <br />I HEREBY CERTIFY THAT I IiPVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAM'= TO BE TRUE AND CORRECT. ALL <br />NNBELOW OR 11TTACNfOU11COPIES� PROVISIONS OF L.4WS A' �'I ORDIhA1�CES GOVERNIN6 THIS TVPE OF <br />WORK WILL BE COMPLE-.cD WITH WHETHER SPECIFIEO HEREIN OR <br />� NOT. THE GRANTING OF A PERMIT GOES NOT PRESUME TO QIVE <br />AUTHORITY TO VIOLATE OR CAN(:EL THE PROVISIONS OF ANV <br />OTHER STATE OR IOCAI LAW REGUI.ATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTIO��. ��HAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WOHK FOR WHICN <br />_-� APPLICATIOiv IS MADE ANp 1 COMPLV WITH THE STATE <br />CONTRAC'fORS LAW 18.27 RCW AND 296200 WAC. <br />SIONATUREOFCONTR�CTORORAUTIqRI:jOl1GENT O�TE �,.� / <br />/ )w/ <br />. //V" <br />X }U, � � <br />T �1� � i ' <br />,♦ _ ,. ..........�..� <br />FOR OFFICE USE 9NLY: <br />FRONTSETB�CK —� RE�RSEI9ALN <br />USE20NE IOT�RE� <br />TYPEOfGONiS.ALIOWABIf tmtortuNs�ac <br />S�ZEOFBL00. NOAFSI0RIE5 <br />OCCUP�NC � LO�D FIRE SPIiNNIER! <br />INTME BY <br />;; � ., n <br />vuws nranovio <br />FOt;CED AIH S`!STEi <br />UNIT HEATERS—B.T <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WA?ER HEATER <br />SI�ESETBnCK I PLRNGNECKNUAICER <br />BUILDING <br />p({LreNC� MOpALtUING1141�5 <br />cnrur PLUMBING <br />BnSEMF.Ni MECHnNICAL <br />11EIGIITLIMITAiIJN ADDIiIONALPLANCNECN <br />OiHER <br />STATE BUILDING SURCIi�RGE <br />CITY OF EYEflETT YUBLIC WORKS <br />LOCAL SALES <br />TAl( CODE IS 3105 TOTAL <br />SUB TO' <br />PERMIT <br />� — <br />A. _ <br />