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ppPLICATIO: FOR CONSTRUCTI� N PERMIT I eV� <br />TO BE COMPLETED IN INK—PLEASE PRINT i <br />Me E✓s�7reen <br />CITV �F <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />l I DEMOLITION I 1 COMBINATION <br />MAII <br />MAII <br />PLUMBMaCONiR�CTOR M�IIA�DPE55 <br />cuss oF woAK — <br />❑ NEW (7 ADDITION I I ALTEHATION <br />LOT BLOCN OF <br />& <br />FOR OFFICE USE ONLY: <br />ZONE <br />LOAD <br />NO. <br />HEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />i I BUILDING <br />cirv <br />CITV <br />CITY <br />I I MECHANICAL <br />ziP - v` <br />zi ��� PI <br />zi� Pi <br />� <br />21P <br />� <br />ZIP <br />GITV "• <br />I i PLUMBING I 1 SIGN <br />LICENSE I <br />/ <br />pEpplR I I DEMOLITION 1 I WOODSTOVEIFRPL INSERT i] BUILDING REIOCATION <br />GONTAGT PEfl50N ANU P��ONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />AppLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AtID ORDINANCES GOVERNING THIS TYPE OF <br />NOT THE GRANT�NG OF A ERMITJDO SENOT PRIESUME TO GIOVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />PERFORMANCE OF�CONS RUCTION. THATG AM AUTHO I ED BY fHE <br />OWNER OF THIS PROPERTY TO PERFOfiM THE WORK FOR WHICH <br />CONTRACTORS L W 1^B.27ERCW AND 29G200 WAC. ITH THE STATE <br />SIGN�TUREOFCOHTp����ORAUTNORI2E0AGENT DATE <br />Xl . - , � s J ) //l._� <br />CUILDING <br />occur�ecr xoaow�uiucuxrts <br />cnaP PLUMBING <br />BnSEMENT MECHFNICAL <br />HEIGHT IIMITATION ADDITIONAL PLAN CHECK <br />O7HER <br />STATE BUILDING SUriGHARGE <br />CITY OF EVERETT PUHLIC WORHS <br />LOCAL SALES TO7AL <br />TAX CODEIS3105 <br />M <br />M <br />$ <br />$ <br />3!SU <br />