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APPLlCATI�.r�l FOR CONSTRUCi,.bN PERMIT <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />IM Ev�rpmn <br />CIiV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION � I ' <br />_.._.�.. M�I� <br />HEATING SYSTEM: <br />i BUILDING <br />❑ ELECTRIC ❑ <br />MECHANICAL I i pLUMBIN(3 <br />•iP vNorve <br />Tr �t�l_�� �� <br />� . ' – citr • iip . .�.....� <br />��T M111 �D�11E85 <br />�RCHITECTORDESqNER MI1IL�DDNE55 <br />CIiY 21P PIqNE <br />OENEPAICONTRALTOR <br />MI1IL �WBE39 —_ CtiV 71P PNONE LICENSE I <br />❑ NEW (.1 ADOITION I ! AL1EfiATION <br />IEML DEBI:MIP:I'JI� �F rrvr�n� � �o.........,��... <br />LOT _ BLOCN _ a <br />8 <br />FOR OFFICE USE ONLY: <br />�atv�TNEtO�CN RE�R6EIBACR <br />UBEZONE I ��T <br />6RE <br />ecmu <br />fi10RIES <br />� <br />n <br />71P ' <br />,r ���o� � ,r�r?-1yG� 1r�� <br />no PHONE � LICENSE � <br />everett <br />e <br />f � SIGN <br />REPAIR I I DEMOLITION � I WOOOSTOVE/FRPL INSERT I i BUILDINd RELOCATION <br />wr�*�c�nensou�Nov�ww�ra , . , . , . <br />(� ' j� /� ' ^ I 'I 1 .� 1 <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECL ALL <br />ICOPIE91 PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WOHK WILL BE COMPLETED WITH V�HETHER SPECIFIEO HEREIN OR <br />NOT. THE ORANTINO OF A PF.RMIT OOES NOT PRESUME TO Q.IVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROYISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REf3ULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFlUCTION. T�HAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PEFlFORM THE WOHK FOR WHICH <br />APPLICA710N IS MADE AND I COMPLV WITH THE STATE <br />CONiRACTOR51 AW 1827 RCW AND 286200 WAC. <br />BION�IUREd IR OR �Ui110RRED�OENT D11TE <br />X � ,� Ls�l'�'�TIt 9 18 `k'J <br />APPIIC�Nf CITY USMESSI�CEN5EN0�NDBU91NES9N�ME <br />FAN <br />V�C�NT SRE �cca <br />BUILDINO <br />aam�xr no a ow�uwauwns - <br />°"^" PLUMBINa <br />B�SEMENT MECHANICAL <br />NEIONt LIMII�TION AD�ITIONAL �UN CHECK <br />OTHER <br />STATE BUILDINO SURCHRRQE <br />CITY OF EVERETT PUBLIC WOAKS <br />LOCIIL SALES <br />TAI( CODE IS 3105 tor�� <br />� <br />8 <br />y) <br />M <br />S '� <br />S �'`��;_ <br />e —,!� � <br />.;.�.,_�,,.. ,.;,,..__. <br />