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APPLICAYIO�� FOR i:O1�STRUCTIJN PER1111T <br />Ihe Eror�reen TO BE COMPLETED IN II�K—PLEASE PRINT <br />CILI OF <br />everett <br />BUIIDING DEPAR7MENT <br />259-8810 <br />HEATINC, SYSTEM: O(3/1S ❑ ELECTRIC U <br />L I DEMO� !�ION Cl COMBINATION I J BUILDINO <br />Q�A„ � M1IRADDRES� C�IY <br />cv�rt <br />N �0. �D011ESS <br />i I MIECHANICAL <br />ZI� PIqNE <br />�iiiZC�l'1 d.j � <br />2IP <br />lJ PLUi.1BIN0 <br />31t�fi <br />�RCNrtEGTpiD�,SqNEN WILACORE59 H Clrv =IP p�qNE <br />�cmmcrcia� �rwftiny /2AU $' fl�'e W tbe,•�rt y21C� 7�/2 572L <br />OCNE�RQ ppNTMCTOR IMIL ADDRE58 Cl/Y 21P 1'IqNE tICENSE � <br />MECN1WICµ <br />GfY 21P <br />' ICENSE 1 <br />VLIIM7MQCpI7MCTOR MIIILADDf1E59 CI'Y =IP %qllE IICEN9E/ <br />I 1 NEW I� ADDITION ❑ ALTERATION I. I REPAIR <br />/� //J <br />LONIPAC�PRICEOFWORN U��� (T�- �:Sj (J�J�! <br />OE9CR9EW011KANDSWAPEFOOTA�EINVOLVED _ <br />�oi <br />e <br />p-t�'.::.i <br />s !19 , <br />everett <br />�, <br />Ll SI(�N <br />I I DEMOUTION I-I WOODST(1VElFRPLINSERT O BUILDINORELOCATION <br />A/crv� � vr��or�eno <br />!� o ct r .3 3 7 3l c�'L <br />LOW OR �TTI�CN fOUR COPIEBI <br />OF SIIViI' ACI'CS� VC�. I'� <br />rftcrdi oF Snohc�,�iSh <br />counzy, Wasf��n�fan _ <br />� �� <br />FI10.IEri I10ORE89 <br />i// — //.'3 ��i.� SC� <br />T�'PE OF FlXTURE OR 1'�?'A <br />CLUSET (TOILET) � <br />LAVAIOFY (WASH 2I.; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DI3HWA3NER <br />UI;NORY TRAV <br />CLO�HES WASHER <br />UHI1+4L <br />DFiINKINd FOUNTAIN <br />FOR GfFICE USE ONLY: <br />' � <br />NO. Oi BTOPIE9 <br />a <br />iIRE BPRIMlER9 REO'D <br />�.n U <br />m. <br />wuKe er <br />� <br />■J <br />� _...___.5�.. <br />WCANi BITE <br />�'1 Q � <br />u�curuc. waorrtu�nume <br />�ae <br />- `5 <br />BASEMENT <br />y �� <br />HEqNT LIGIiA1qN <br />Z�� <br />CITY UF EVERETf <br />LOCAL SALES <br />TAIf CODE IS 3105 <br />I HEREBV CERTIFV TF!AT I HAVE fiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS hND ORDINANCES WVERNINO THI3 TVPE OF <br />WORK WILL BE COMPLETED WITH WHEiHER SPECIFIED HEREIN OR <br />NOT. THE 6PANTINO OF A PEHMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REOULATINQ CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSIFUCTION. THAT I AM AUTHOfiIZED BY THE <br />OWNER OF TH�S PROPERTV TO PERFORM THE WOHK FOR N"iICH <br />APPLICATION IS MADE AND I COMPLY Y,ITH T B�ATE <br />CONTRACTORS LAW 10.27 RCW AND 298.200 WAC. / <br />6qNATUREOFCd/1MC-'�:pU1�UTIq1112E0bENT DATE �%/J/ y� <br />X' �atIUF�Gi' dbU Q�nit24C'am Estc�S <br />11PPL1CANT5 CITY BUSMES3 LICENSE NO 11N0 &19MlE88 NNAE <br />NO. <br />HEAT PUMP <br />C#nS PIPINO <br />EXHAUSTFAN <br />F���i���� <br />BUILOINO <br />PLUMBIN�3 <br />M[CNANiCAL <br />AODITIIXJALPUNCk1ECK L� <br />� <br />OTHER <br />STATE BUILDINa SURCNqROE <br />PUflLIC WOfiKS <br />�O1AL <br />J7 <br />/ <br />