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,� � <br />APPLICATION FOR CONSTRUCTION PERMIT �,�}� <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 �__7 <br />fl DEMOLITION fl COMBINATION f�l BUILDINR fx MECHANICAL � PLUMBING fl SIGN <br />• ci*v nr rHor+e <br />ARC �ECTORDES� NER M�IIADORE55 _ <br />' �'�� � PNONE . �n�c u....�.�� <br />[ENEMICONiP�CTOf1 MRIL�ODRE55 CIIY ZIP <br />��TM =ip PHONE StA7F. LIGENSE � <br />MECNANICQCONTRA:TOR M�R�DDRE55 <br />WORK AND <br />0 <br />LOT PLIX:N <br />�J� <br />:E INVOLVE� <br />HEATING SYSTEM: �GAS �l ELECTRIC rl__ <br />CO�CTPERSOIjsN�{ yF J1 � z�j O//� <br />� f �� J � <br />�j' �j —" / �// <br />I HEREDY CERTIFY THAT I HAVE READ AND E%hMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES �iOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />� CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />VARCEL�^.NU BE= J,� OO /"OOO O <br />i� <br />CONSTRUGTION IOAN IENDER, �DDRESS. TELEVNONE NUMBER <br />— BAR, <br />FOR OPFICE USE ONLY: <br />fRONTSFTPACK / PEPP SF.TBALK <br />USE� _ LOi�REA <br />IIEIGIIT UMIT�TION UN iOF OWELUNG <br />OCp/PANGY H� (M SIORiES OCCUPANT L04p <br />GIi0U0 . / A <br />(C.3 U-; •v <br />FIREAURiN EO� RFRSOY <br />� <br />fIPF.SPPINKIERREO'0 PF�SON <br />irreorr,or+sT — ��^NsarrnovFi <br />�f k <br />�/_- /� UAiE � � �3, <br />CITY BUSINE55 LICENSE N0. <br />IICAL <br />TYPE OF ECUIPME <br />A/C — NHNDLG UNITS — H.I <br />FORCED AIR SYSTEMS — B. <br />HEAT PUMP <br />UNIT HEATERS — B.T.U. M <br />CLOTHES �RYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METALFIREPLACE(WOODI <br />FIREPLACEINSERT�WOOD <br />S <br />S <br />$ <br />SIUE SETPPCN <br />1 L / <br />I IYE'$ f� NO OUIl01NC+ <br />S12E O� BIIX;rt I <br />/l t S,` Cn.n�Csi awunRuc <br />J.c Ga�.a � c <br />BPSEMENT �.` M[CNnNICRt <br />'IYES 'y�,0 <br />MDIIIONnI t'lAN CMfCN <br />O1HER <br />S1AlE OUIl01Nii SII�CMnRGE <br />CI7Y OF EVERETT runnr.wonrcs <br />LOCALSALES — <br />- TAX CODE IS 3105 TOTAL <br />� S — <br />PERMIT S <br />TOTAL FEE S <br />D ��O <br />,�%v RecnrrNo <br />f�1L <br />