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/�!Cti�= � � <br />,����« �it <br />� APPLICAil01r FOR CONSTRIaC'�'1� [� �Et�MIT � <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />xt�"h] <br />Ci] C�7 <br />�C,�H <br />9Hx[n <br />y ZH <br />� �� <br />� C/� H <br />yx C' <br />ti1 O � <br />HG <br />pH <br />� �g <br />�1] V �q] <br />z> H t+f <br />r i-+ H <br />��OOyy N <br />�C7� <br />Gr <br />Z H c�i� <br />H O [n <br />me p��r,nrt,,:,� <br />GTv Of` ---- --_ - -_ 1 <br />evePett -- -- I <br />HEATING SYSTEM: `J GAS �J ELECTRIC �I _---- — — -- ___ <br />BUILDING DEPARTh"ENT <br />259-8810 <br />pEhAOLITION I�COMBINATION <br />c:,�:�_-1J_a„��� �'��r/5� `���s _ <br />� <br />iENA��� fAAR ADORE55 <br />_._..�...,..,..«�crn..i �dAILA0DPE55 <br />BUILDING <br />Ciiv <br />� <br />� ITY <br />GITY <br />MECHANICAL �B�NG SIGN <br />PHONE <br />�7?�%1�,�3 <br />�ip PlIONE <br />21P <br />G�Tv 2i�' PHONE L�CENSEe—��� � <br />VLOlAPJIlGCO'l1RACiGF M1NIL��DRE55 <br />9 � i, A <br />� i C. 4- l //. . ri i]. r! /: -- . <br />Cl �55 OF VIO�K� � <br />NEW L./AU��TION ALTERATION REPAIR DE�dOLIT10N WOODSTOVEFRPL INSERT . BUILDING RELOCATI <br />'�]I (IC CGNiACT PEFSON AN� PHOHE t!D � <br />%/�/ % �! �'��..T Y /� 2 �/ �i`.!-r� r�1 1'if/— 09s"�/ <br />co�+ranCT raice oF wonK i + � <br />[;'cSCRiBEWORKA�ID50UAAEFpGiAG IIiV .VED _ <br />�� — -- <br />vaov=w�ouseoFeuaowc I HEREBV CERTiFY THAT I �aAVE READ AND EXAIdINED THIS <br />' APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />�.,,, � �- a��,F � f�� <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVFE OF <br />�e�F�oeSeaiP�ic�+eFaaorEattisNor+r+e[�ewoan*�nc��FooaGo es y.�OFK WILL BE COMPLETED VJITH WHETHER SPEGFIED HEREIN OR <br />A��K �F NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />=�' AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />p �/ L N� /�� �J/��7��_ OTHEF� STFTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />_�—' �� % 7.��� � PERPORMANCE GF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />_ % r �l ��L-1���� _ OWMER OF THIS PROPERTV TO PERFOR�d THE WORK FOR WHICH <br />APPLICATION IS 11.4DE AND I C01+1PLY WITH THE STATE <br />CONTRAC fORS IAW 1827 RCW AND 296200 WAC. <br />.,.avAt11RE.OF60��1��A��O�ORF�m���'�LEOnGENt �AtF <br />-- --- <br />X ; �=.��_.�._.,�.,.= _ �,' - � -2 r, <br />___— <br />...-. <br />--_ __ _— , <br />pprrrlaC�Rrs; r� / ��,.nrJTb lrousrt�essueeNseuoa��oeus�nEssNnrde <br />7 �l1Q_ �%��� \i .. <br />ITEM <br />�TOILETI <br />KITCriEN SINK 8 DIS� <br />DI3HWASHER _ <br />LAUNDHYTRAY _ <br />FLOOR <br />ETC.I <br />-- _'_ _ —i— <br />SUBTOT�L 5 _� _� <br />PERMIT 5 <br />� TOTALFEE S .�L � <br />FOR OFFICE USE ONLY: _ <br />�OOqlSfilU/CC I RFAl15f10ACN <br />� r — I S�1L-- <br />U1;1 1011f: I.OI ARIf4 <br />R z 3 k 3� <br />I�:I f: f.Jq15 ALlOV/FPIf (YPF 01 COIlSI ACiVAL <br />��,{ ' 1 <br />�;:�zr or e�oc rvo. oFsroaies <br />'- b'f3 s f _—L--. <br />qG¢li',tl�C,I�OfA Fl(lESPRlMI[R5RE0'O <br />NI� � N�' <br />niA'On FOF SP9iNKLERS <br />u:inkcor a�nusnnrr.rnq�.onv.__- <br />1�M�" �'7�y�� �%�. <br />NO. TYPE OF EOUIYn�erv i <br />A�C-A HPIDLG UNITS-H.P. <br />FORCED AIR SYSTEM_ S-6.T_�__R4 <br />UNIT HE�TERS-B T.U. M <br />CLOTHESDRYERS __ <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />IdETAL FIPEPLACE 8 CHIMNEV <br />FIREPLACE INSER_ T �_ <br />HEAT PUMi' <br />GAS PIPING <br />EXHAUSTFAN <br />TOTAL <br />_-- Ptnu4recv.uu�.Nc�� r[C <br />sioeseit�n� � �� � L�� iS <br />C) l� d <br />V�CnN� 8'1[ <br />" FEES VALUATI <br />A O Buii olnG _ �' 111_�O� <br />a<u.���. .�i ra u.�t_.�•.,i �. „�. <br />�".'�'�? — J— _ PLUId[iING <br />L .S <br />ons�n�er,r �,iECHnnicn� <br />i+E�crrttNrnnon -'- ADDITIONALPLANCHGCK _' <br />Z�� O�HEFi ____. <br />STATE UUf�01NG SURCHA�a�� <br />CITY OF EVERETT ruaucwoaks <br />LOCAL SALES <br />TAX CODE IS 3105 T�TA� <br />ner.emino <br />0 <br />L <br />C�% <br />