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APPLICATIL�i FOR CONSTRUC'i �ON PERMIT eV1P1 <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />me E.rryr»n <br />pTV OF <br />e���rett <br />BUILDING DEPARTMENT <br />HEATING SYSTEM: <br />OAS O ELECTRIC ❑ <br />259•8010 <br />DEMOLITION i COMBINATION i BUILDINO �MECHANICAL /�yPLUMBINCi .7 SIGN <br />wti�oon[se urv � zm� PNONE <br />OWNER , L �����' �� � 5 � lAi � ��"V 1�. - 6 <br />Y nl �er_ 11l o'I � <br />—��" Wll RE84 �9Y SiP PNONE <br />iENANT <br />•RCHnEC10RDE810NEA u�q�00AE88 <br />C�IY T�P PIpNf <br />OEHER�L CONTMCTON <br />wIlA00PEB9 C�iv iie PNW�F l�CE1NEI <br />�nv 21 , PHp+E l N�F / <br />f�1��v�"`��tz�'�ul�"ri�����311b I-lil I 11v� �V�}�11 ���I ���'i���3� I�r>>�+ ��.��►05�.�. <br />n �,,, <br />'�un e[wTPAGTOR M�0. AODRE59 Grv 7iP PHONE ���E � <br />�oT <br />WOAK <br />' .: ADDITION _I ALTERATION <br />r on�r:e oF wd�M 1 lP VO � O� <br />1 V` <br />eioc■ or <br />n�n -ObD - In�l - <br />SHOWER <br />INAV <br />FLOOR ORAIN <br />BACKFLOW 1'I <br />E <br />FOR OFFICE USE ONLY: <br />ippITSE�E�CM REAPEET <br />URF20NE 101APEA <br />nri a cox�� r�,iow�eu r.o� o� co <br />S�SE 0: 1100 Iq Of bl <br />OCCUPANCYlOAO lIRES>R <br />PS <br />IN�ANE !V <br />REQD <br />e. <br />REPAIR <br />DEMOLITION WOODSTOVEiFRPI INSERT G BUILDINO RELOCATION <br />tor�t�tT ntnsoN �wo owa+¢ r+o � <br />I HEREBV CER�IFY iHAT I MAVE HEAD AND EXAMINED THIS <br />APPLICATI�N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br />WORK WILL BE COMPIETED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE aRANTIN� OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE F��OVI910N8 OF ANV <br />OTNER STATE OR LOCAI. UW REODUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTHUCTION. THAT I AM AUTHORIZED BV THE <br />OWNEii OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPIV WITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 298.�V0 WAC. <br />lqNsfUREO:CONTNACiOPOAW�MONQE0A0FNi D�1E <br />II <br />x `)r�,2�i � � ��1�, � � If� -� --C1 I <br />�FI�IpAMlGn'!V&NElSlKEN9LN0 �NC MF!lN�M� <br />TYVE OF EOUIPMENT <br />NNNDLG UNITS—HP. <br />�EDAIRSYSTEMS—B.T.U. M E.A. <br />HEATERS—B T.0 M <br />HES CRYERS _ <br />R HEATEii I '. <br />Eb <br />HEAT <br />GASi <br />S <br />S <br />' , _' ._ W.. -- <br />nvc[�n�cK PIIJICNFCMNVMBFA <br />BUiLDINO <br />xtu•.x. +000v.n�•z�M1��+ <br />�"01' PIUMBING <br />B�4ENENT MECH/.NICAL <br />HEWNTUMiT�iqN ADDITION��.PUNCHfGN <br />OTNER <br />ST�TE BU�IDINO SU�CHARGE <br />CITY OF EVERETT PUBLIC WORNS <br />IOCAL SALES <br />TRX CODE IS �105 TOT�� <br />RMIT S 1� <br />TALFEE sli-,'r�5 <br />T <br />S � ,�� <br />