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APPLICATId.1 FOR CONSTRIICT.JN PERMIT everett <br />Ine Eroryreen <br />Cltt OF <br />everett <br />BUILDING DEPARTMENT <br />259-8610 <br />TO BE CCMPLETED IN INK-PLEASE PRINT � <br />HEATING SVSTEM: D GAS ❑ ELECTRIC ❑ —� <br />". � DEMOLITION .. �. COMBINATION �t BUILDING � � MECNANICAI �. . PLUMBING -. SIGN <br />pprypp MI.0.ADDflE55 Ci1V Z�� VNCNE <br />(jFKT� F6i' 131�-5�~=sr. fVtr�=n' zS9-z<�Zy <br />rEN�H� uuir,00nEss urv nr awr�E <br />u.n eooness <br />nr <br />CNI <br />GENEP�ICONiFPLIOR MAIL10pPE55 LRY LF PNONE PCCNSE� <br />Nq�6av. [oNs-T Q/H'«!r 98wr 1.�L-7YSo N9�<:� z3o�/s <br />CHINIL0.CqI1MLi09 M�ILADDBE55 CILY IIV PWNF IICENSE• <br />VLUMBINGCpI1PACLOR MNLAppPE55 CIiV ZIP PNONE LICENSE� <br />CUSS W NONN <br />�. NEW '. �. ADDITION <br />wORx <br />LOi�r <br />_. BLOCN <br />.�. ALTERATION jCREPAIR - OEMOLITION � WOODSTOVFJFflPLINSERT .. Bl11LUINGRELOCAT10N <br />/ corvrrcr rEnwn �no nrioxE rvo <br />2G6c: - !�. wwiar.t- A.�AL.taG. 1. S 2.7 r_S/� <br />oF <br />PXPIEC� ADC1iE55 <br />13i� -St�e <br />CLOSET <br />SINK & <br />FOR OFFICE USE ONLY: <br />BLD6 I No <br />�/� C-'��rnw.JNN� <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED TMIS <br />APPUCATION AIJD NNOW THE SAME TO BE TflUe AND CORRECT. ALL <br />erucM roue wv�¢si PROVISIONS OF LAWS AND OROINANCES GOVERNING TNIB TVPE OF <br />'NORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />_ NOT. TME GRANTING OF A PERMIT DCES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRl1CTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEfl OF THIS PROP[RTY TO �ERFORM THE WORK FOR WHICH <br />. APPLICATION IS MADE ANO I COMPLV WITH Th!E STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />smxnrur+eorcorvinecronouwun�omzeoneexr o.re /L-.t� _ � L <br />— �,//� �./I A��, �:oi-_7T <br />X�� � i�7833 <br />.. �PFLICANiS C11Y BU51NF55 LICENSE 110 �Np 9USINE55 NAME <br />cna�r <br />WATER HEATER <br />FIREPLACE <br />FAN <br />CNECNM1U�ABEfl <br />BU�LOING <br />PWM0ING <br />MECHNNIGRL <br />AD�ITIONAL PUN CMECK <br />OTHER <br />STpTE BWLDING SIIPCHRFGE <br />PUBLIC WCRkS <br />TOT�L <br />S� <br />