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� <br />� . r�+� <br />APPLICATION FO�i COP15'TRUCTIbN PERMIT �'��'��'" <br />, �„.,� TO BE COMPLETED LV INK—PLEASE PRINT � <br />CllY01 <br />everett HEATING SYSTEM: U GAS U ELECTRIC <br />BUILDING DEPARTMENT — � ----- � <br />259 8810 <br />DEMOLITION i COMBINATION BUILDING _ MECHANICAL __ PLUMBING _ SIGN <br />OWNIq'-��— -- MAl1A0[]IIf55 Gliv !iP— —PnONf <br />�1A�Tt�aav �sl' �.�LBgacl� ���_M���� �s._ 9Et�o _356 - 9Yi s <br />m��r�i uen ennness crtv zo� vriouc <br />�u�r.��ntc�ono[sicr�rn ueu <br />cnv nr ��r�nr�r <br />_ —_._ ___ -- -- <br />GtHl1ULL(NIiI1�C70R M�IlA0DRE5S CIIV Zii' V�If�NE IILCRSl� <br />m�2��At.�sf_.I�--810 8�-��---M'n,�����l�e -4!'L7� _3�"�'4_'E!L_L'►1�!'SST1_Z39,A <br />utaurur.0 eoHtn�c�on u•n �onecss r.irv tir ruor+c uc[r�se. <br />PIIiMORlOCOHtIdLiOR M�IlllppRl55 CIIY 11P 1'��UNI UC[IISL� <br />F��d.,_��6• ��zn ,.,a_�.ex_..R�__�e2�;�;�n-98TZ3—._Y3�8YZ�—.�+�� �Qeo�_ <br />f.I�SSOf WORN �— <br />� NEW '. � ADDITION ! ! ALTERATION , ' REPAIR �. � DEMOLITIOIJ . WOOD510VEiFRPL INSERT . BUILDING RELOCATION <br />i ��rn�ct rHicE oF wonK <br />�4��p0 -- _�a��.,e5��.�������tTL4.�w,� ?��4Yf_�---- <br />i�[ scnioc wonK nr+n s�w�ne rooueE iNvo� eo <br />pRui'Oslcl u5E oI 9Uil oMq <br />—.� � �� <br />Iff.qUE C�IP110NOI'P1�OPERIY�SIIOWNB[IOWOR�ilAC11iIXIRCOPIE51 <br />I �A _�_ fl10CN OF <br />0 <br />nuness <br />o a - 7s fK.��- <br />NC TYPE UF FI%TURE OR <br />. �y_ BATHTUB <br />_'Z IAVATORV (WASH BASIN) <br />SHOWER <br />_ i__ KITCHEN SINK 8 DISP <br />_(_ DISITYJASHER _ <br />LAUNDRYTRAY <br />._ ' CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAtN <br />FLOOR DRAIN <br />BACHFLOW PREVENTERS <br />ROOF DRAINS-PAINLEADERS <br />SINK ISERVICE-BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />II�nNIS110�CN �RGRSEIB�GM <br />,�,,,,x,�O� �oraO� <br />�iPl I111.ON15 �IIUI <br />v__��_ <br />sv� or nuw <br />t 1 S:v_t '�`+ <br />n�.curu�criu�o <br />III AS(HI <br />ntl�rF flV <br />FEE <br />I H[REBV CERTIFV THAT I HAVE READ AND F1(qMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANfJ CORRECT AI L <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1H15 7VPE OF <br />WORK WILL BE COMPLETED WI7H WHtiNER SPECIFIED HEHEIN OR <br />NOT. THE GRAN7ING OF A P[RMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OH CANCEL iHE PROVISIONS OF ANV <br />OTfi[R STATE OH LOCAL LAW HEGULATING CONSTRUCTION OR TI1E <br />PERFORMANCE OP CONSTHUCTION. THAT I AM AUTHORIIED BV THE <br />OWNER OF THIS PRnPERTV TO PERFORM THE WOFK FOR WIiICIi <br />APPLICATION IS MADE AND I COMPLY WITH Tf1E STATE <br />CONTRACTORS LAW 1827 HCW AND 296200 WAC. <br />SiONAlU9EOFCONIfi�GIOPpNAl111�UlUlLU�f.B1� IIAIt <br />erri <br />�M^M _!� a-(�ew _ . _ <br />❑IY f1161f11 551 LLIENSC NO �N01111511l1 :::: N41AF. <br />TYPE <br />FORCED AIF7 S`.'STEMS-B.T U. <br />UNITHEATEFS-B.TU. M <br />CLOTHES DRYERS <br />VENTIIATION FAN <br />� _ WATER IIEATE <br />WOODSTOVE <br />M116TAL FIREPL <br />FIFiEPLACE IN: <br />IIEAT PUMP <br />GAS PIPING <br />EXIIAUST FAN <br />PERMIT S —�-�!— <br />TOTALFEE f y�;V(J <br />SIDESE7B�Ck� PUN <br />S� <br />V�C�NT SIIF <br />IYVfq CUN51 �LNAI <br />v �__ <br />NO OF S10R�E5 <br />I <br />f IPE SPRNNwI FRS REOD <br />�.�. <br />vur+s �rr��avrn ur <br />9� 3�� <br />M E_A._ __ _ _. _ <br />—_— _i__ <br />SUfl TOTAL E <br />PEFiMIT---�S -_ _ . <br />J t�un n�wc 5 9J 51�Z <br />IXCIIIIMV MlUfM111iN41iA�11 ' ' - -- -� ' <br />LR1Mj° � PIlIM01NG <br />�=-� --- — ----- <br />B�SEMENT MECHANIGAL <br />no - -- — -- -.- _ _ <br />I�E�G�rtuMrtena� AUDITIONALPLANCIIECN <br />�� 1 — —_—_ — <br />______ O1H[fi <br />SIAiE 91111 DING SURCMAR(iE <br />CITY OF EVERETT rueuc wonKs <br />LOCAL SALES <br />TAX CODE IS 3105 t�T�� <br />-��S��Q�% <br />