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APPLICATII. �1 FOR CONSTRUC'� .ON <br />�M Ev�qnm TO BE COMPLETED IN INK—PLEASE PRINT <br />CITV OF • <br />everett HEATINO SYSTEM: � OAS 0 ELECTRIC O_ <br />BUILDINO DEPARTMENT <br />259•8810 <br />_ DEMOLITION :_i COMBINATION ::= BUILDINO j�MECHANICAL <br />'�Ep � 1 1 I _ W4IIDOREM �. ^. �� 1 IL �-.1 CIN ,.-. \ r��n n. .� I PHONE <br />cm <br />P�qNE <br />•RCMITECTORDEBqNER M�RADp11E8B W7Y iiP PwpNF <br />PERMIT <br />OENEMLCONTMCTON LUL�DCNEtt CiT' iin P�qNE LiC[N/EI <br />everett <br />e. <br />: SIGN <br />�U6/ OF N'ORK <br />NEW �.� ADDITIpN �.� ALTERATION _: FiEPAIR ., DEMOLIfION .- WOODSTOVE/FRPIINSERT G BUILDINORELOCATION <br />-� <br />� . . . _ _ ,� WNTACTPERBON/u:p►Mp/EN0 <br />lOT ROLM <br />5HOWER <br />NITCIiEN SINK 8 DISP <br />BACKFLOW <br />ROOF ORAI <br />' I HEREBY CERTIfY THAT I HAVE READ AND E%AMINED THIS <br />APPL�CATION �ND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br />BEIOwOF�7TeCMiWNCWiEe1 PROVISIpNS OiT LAWS AND ORDINANCES OOVERNINO THI$ TVPE OF <br />WORK'Nll'. BE 70MPLETEO WITH WHETHFq SPECIFIED HEREIN OR <br />_ a NOT. 1'HE 094".TINd OF A PERMIT OOES NOT PRESUME TO OIVE <br />AUTHCRITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL UN' REOULATINO CONSTRUCTION OR THE <br />PERFORMF!!�E OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF TIIIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLV WITH TME STATE <br />CONTRACTORS LAW 19R7 RCW AND 2%.200 WAC. <br />lqN�TUREOiCONTRACTONOR�UTIqR�R6A0ENT D�TE <br />l� <br />��1. G1w rr0-1�- X��� p_U.�X�,� � �' -� � <br />�Pry NTeCITvluSiNEBeL�CEN4ENO�NO SiNE6lNIJ/E <br />FOR OFFICE USE ONLY: <br />FPONT6ETMCM NEIIRBETBACK <br />LOUNEA <br />iYVF 0� COMEi AC1UM <br />NO.Oi 6lORIEB <br />AEA9pN FOR!►RINMLfNB <br />!Y I �UN! <br />0 <br />acwin I wovanu�w�.�.� <br />awur <br />NE�ONT <br />CITY OF EVERETT <br />LOCAL S11LES <br />TAX CODE IS 3105 <br />UNIT HEATERS—B. <br />CLOTHES DRVEi7S <br />VENTILATION FAN <br />HEAT PUMP <br />G45 PIPING <br />E%HAUSTFAN <br />BVILDINO <br />PIUMBINO <br />MECHANICAL <br />AODITIONIIL PUN CMECN <br />OTHER <br />ST�TE BUIlDINO SURCMAHOE <br />PUBLIC WORKS <br />TOTAL <br />9UB <br />__ TOTALFEE <br />T <br />� <br />