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� �y � <br />A xl x <br />>H(H/� <br />y <br />K�C� <br />H� <br />oxo <br />'�tl H 'il <br />yyH <br />�x <br />HC7 <br />H�g <br />G]. C❑] <br />9 H Cj1 <br />y <br />t HH <br />g `� <br />(] ti �A <br />��� <br />�-30fyA <br />� <br />i <br />�_, <br />I�� <br />1� <br />APPLICATIO.� FOR CONSTRUCT►JN PERMIT <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />nm Eraan�rn <br />C17V OF <br />everett <br />BUILDING DEPARTMENT <br />..____._ _"_'_.. �-,...� - � c� orToir I � <br />ev'e(efI <br />e <br />259-8810 SIGN <br />DEMOLITION COMBINATION BUILDING Z'MECHANICAL %PLUMBING <br />�'�y��E� MAiIADORESS `C�' , Zi� P��ONE <br />/ <br />%�U � 5 �?CL• �.«'r ��� <br />' ,c�0✓lI 17 � f � ���- �.��_- <br />iENAHi MRIIADDRESS LIiY 21V PHONE <br />ARCNIIECTORUESIGNER MRILPDORESS CITY IiP PHONE <br />�WMBiNGCONT(ULTOR MN�ND�PE55 CI1Y Z�P PNOrvE UCENSE• <br />NEW . ADDITION ALTERATION REPAIR <br />IiRCiPRCEOfWORK �1'C ���%L� Cr <br />GRiBE WOPK PND SOUAP[ FOOtAGE iNVOIV[D <br />)POSED US[ OF BURDiNG <br />�.. ..�«oionnu nc onnPFRtt SNOYIN �ELOW OR ATiRCN FOUR COPiE51 <br />�p} BLOLK <br />nD�RE55 <br />NO. <br />) WATER <br />KITCNEN <br />FLOOR <br />�ACKF <br />FOOFI <br />FOR OFFICE USE ONLY: <br />cnnurc[ine[[ REAR! <br />pv <br />IOPD <br />oF <br />STORiES <br />��� <br />or <br />5 <br />5 <br />DEMOLITION WOODSTOV6FRPL INSERT � BWLDING RELOCATION <br />I CONinGi PEFSON ANO P��ONE KO <br />� <br />� <br />� <br />� <br />I HEREBV CERTIfV THAT I HAVE FEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINPNCES GOVERNING THIS TYPE OF <br />WORK VJILI BE COMPLETED 6YITH WHETNER SPECIFIED HEREIN OR <br />NOT. THE GR�NTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOfi�TY TO VIOLATE OR CANCEL TI1E PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFO�iMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TNIS PROPERTY 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND � COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIGNATUHEO:CONTFACIORORAUiHORRE�AGENT OAiE <br />4� <br />X / " /�, C� <br />_ � ,, , <br />AVPLICANi511tV pU5ME55lICEN E N AN OU9NESSNR�AE <br />FORCED AIR SYSTEM1IS—B.T.U. <br />U41T HEA7ERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTII.ATION fAN <br />RANGEHOOD <br />METAL FIREPLACE 8 <br />FIREPL�CE INSERT <br />HEAT PUMP <br />GAS PIPING <br />S�DESETBRCN PtPNLNEcnrvumeu� <br />VAGPNTSIIE FEES <br />BUILDING <br />OCCY`�htv M1OO�GNllliM14VYi15 <br />••.�u° pLUMBING <br />OnSEMENT IAECNANICAL <br />N[IGNTUMIiATION A071TIONALPIANLHECN <br />OTMER <br />STATE OWLOING SURCHAliGE <br />CITY OF EVERETT PUBLIC WOflKS <br />LOCALSALES <br />TAX COUE IS 3105 TOl'PL <br />a�a <br />, OU� ��} � -- <br />