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� <br />�EVero�^ APPLICATION�r'OR CONSTRUCTIG�.J PERMIT �°� <br />I TQ BE COMPLETED IN INK—PLEASE PRINT <br />[f • cm oF <br />� <br />everett HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />� BUILDING DEPARTMENT <br />259�BB10 <br />�'.-'. DEMOLITION �:-: COMBINATION :��; BUILDING ,.�MECNANICAL <br />:.::PLUMBING _ <br />VuoC4L Yo� pK 'iln SEATI�E �q `itj1�� y453 • 17cc� <br />tEryµ{ MAM1ApDPE55 CIiY .'�P VHCNE <br />�D�J�J�S D�Si , q� �'�1�JtSE EJc��T wa �3- �l�ol <br />AqGNIiELIOfl ESGNER M�iMIX1E55 CIiY SIP PMCf1E <br />c4h �nssec ��-�os'{A�k- sF aEY.LEdVE �-`��98004 �{-sri2�z <br />✓ GEXE1ULCp1iMGTOfl M1LLA�0.1[55 CIiY � ZIP PNON' UCkVSE• <br />'/- /J p �p <br />..�hi Je�/o� C9 /�/'i' � .� C.YO /l1C %l/9— ...)�D .'...Z. <br />ME NdAIIG/.LGCNiflACTpP YAII �URE S CItY Z1V` PNONE LICENSE• <br />�.��c.._ �'C' U/ Srrlc C D/7 ' PA1 <br />PLUMBINGfANiRFCiOR MNtApDRE55 GtY ZIP VHONk UCENSE� <br />L't/.SSOf WONN <br />..! NEW JvAD01ilON �.: ALTERATION '.i REPAIR '.7 OEMOLITION :7 WOODSTOVEJFflPLINSERT i.: BUILDINGRELOCATION <br />CONLALT PEPWN Wlp P11IXIE Ib. <br />cox.n�crva�cEoswonK o�O,vuD, /NA2K METG�E CAI�'�I}SSdL <br />4 ocscainewon.�Hosou�nerw*.ce.Maveo S �'$I-1 Zl2 <br />��-1SrA�ll.i'1�U1.) UF �KF P'J.TFi7(( <br />cnorascouseaemiova I HEREBV CEFTIFV iHAT I HAVE READ AND EXAMINED THIS <br />U�O O� L S'ti� E APPLICATION AND KNOW THE SAME TO BE TRUE AIrD CORHECT. ALL <br />lEOAl�ESCNiPiqN�%VPOFEFttI5N0VMBELOWON�IILMfWRfAP�E51 PROVISIONSOFLAWSANDOROINANCESGOVEHNING?HISTVPEOF <br />WORK WILI BE COMPLETEO WITH WHETHER SPECIFIED HEREIN OR <br />m. o�oc� oa NOT, THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GWE <br />AUTHORITY TO VIOLATE OH CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR �OCAL LAY/ HEGULATING CONSTFUCTION OP THE <br />PERFORMANCE OF CONSTRl1CTION. TMAT I AM AUTHORIZED BY THE <br />OWNEH OF THIS PROPERN TO PERFORM THE WORN FOR WHICH <br />APPLICATION IS MAOE AND I COMPLV WITM THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2952001"�C. <br />SIGNANIIEO�GONiflAC10flONANIqRREDAGENf C <br />� J <br />(o '7�'Ft�l� <br />UNIT <br />SINK 8 <br />HER <br />TRAV <br />FAN <br />FOR OFFICE USE UNLY: <br />FPONiSflB�CX PEAPSEid1C1( SIDESEIBALK FIANWE:NINMBER fEE 1!ECEIViNO <br />/�'/ � L g9 /S'Y.9�. Y9L Y <br />usczorve �orenen v�cwrsrte FEES VALUATION FEE <br />BUILOING 3(J Q� ' � <br />rvtt0(CONIS�IIOWABIf ttRM[d151.�1tN4 aC'.p+xr r�oa�OMLlnwwl5 <br />�P� PLUMBING <br />S�ZEOfB�DG 1q.OF5t011iE5 BASEMErvi MECH�NICRL <br />.IDCUVANGYLO�O iIRESVRKKlEF5NE00 NEiGNiLiMli�llql AOOITIONRLPUNGNECR I <br />OTHER <br />flE/dONi0I15FflMMLEflS <br />STATE BW�OING SUPCIUflGE i �D <br />winxEBv M IPv�vEDBV CITYOFEVEBETT PUBUCWOHNS <br />/J�„ LOCALSALES � <br />� Y%1 TA)I COOE IS 3105 TOT�� <br />