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APPLICATIO� FOR CONSTRUCfi�N PERMIT <br />everett <br />�E��� e <br />everett <br />BUILDING DEPARTMENT TO BE COMPIETED IN INK—PLEASE PRINT <br />259•8810 <br />❑ DEMOLITION I_I COMBINATION I I BUILDING i I MECHANICAL I I PLUMBINO Ll SIGSN <br />��R 1- M�IL �DORE65 �J C�IT`V TIP PIIONE <br />�/1 .. �..I� N�iM1i ��1� li � nl. UYuLc�I.IGn 1G1��_ ��� —�/'Z <br />CIiV 21P r�+c <br />�qCNRECTd10EBI0NER M�R�DORE55 CIfY IIP P�E <br />OENEML Gp/TR�CT011 MMl �DORESS CITV 21P PHONE LICF.NSE � <br />MECNANICALCOHTMGTOR M�IL�ODPE89 C17V ZIP P110NE IIGENSE� <br />• - , � , ,� �... ,i . ,� . r_ ,T cv�a, 2fs�c3�� il.bY-f��� i37�'T_ <br />M�IL <br />f� uFW f 1 ADDITION I I ALTEHATION <br />CITV 21P <br />I I REPAIR I I DEMOLIiION I I WOODSTOVE/FRPL INSERT I I BUILDIN� RELOCATION <br />7E/UNT MPpOVEMENT OR MTERIOR REMODEL dllY � I CONUCT FEe50N ANO P1qNE No <br />/ ._00 <br />�p7 BLOCN �F <br />/�UDPE88 <br />SUB <br />F110NiBETB/�CN I REAR6EiB�CR I 61UESETBIICN <br />UBE20NE <br />rmF a coNsc uiowuiE <br />!QE OF BL00. <br />OCCUPANCYLOAO <br />RE�BW�fOA6P01NMLERB <br />�P%ICQION �CC. BV <br />LOT�REA <br />rvx a coxs� �civa <br />NO O:6TO�IES <br />FIRE 6PPNMlER4 �EUO <br />I I VES I I NO <br />PLANS�PPROVEOBY <br />V�CMIT SItE <br />f I YES f I NO <br />ar�ur.rc. naaowtu��ai <br />9�SEMENt <br />I I VES I I NO <br />NEqNi LIAIIUTpN <br />CITY OF EVERETT <br />LOCALSALES <br />1AX CODE IS 3105 <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TNE SAME TO HE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINQ THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WNETHER SPECIFIED HEF.EIN OR <br />NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE Of; LOCAL LAW R[GULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PHOPEHtV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />BqN�NFEO:CONiR�C1UnoRPInHCniZFO�GFN� U�1E <br />�. /`�-WM/L � )1 / <br />�PPLIGANTS CITY BUSME59l iCFNSF NO R�� �USiNC55 NnME <br />-B. <br />fPUMP <br />PIPINO <br />PL�N CHEGIt NUMBER <br />euaoiNo <br />PWMBINO <br />MECHRNICAL <br />OTIIER <br />STATE BUILDINO SURCIIARQE <br />S1ATE ENE9OV SUf1CHARaE <br />PUBLIC WORNG <br />tou� <br />8 <br />FEE <br />fEE � NECEIPTNO. <br />0 <br />