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APPLICATI� FOR CONSTRUCT�N PERMIT�w��
<br />CITY OF EVERETT • BUILDING DIVISION
<br />9200 CEDAR STREET • EVERETT, WA 98201 • 257-8810
<br />:'�. DEM1IOLITION DZCOMBINATION �; BUILDING i-1 MECHANICAL i.-] PLUMBING �-� SIGN
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<br />I HE�'.EDY CERTIFY iHAT I HAVF 3EAD ANO E%AIdiNEO iH15
<br />APPUCAiIGN ANO RhOV/ THE SA61E TO �E TRVE AND GORREf,T. hLL
<br />PRO'JI-dONS OF LAWSAND ORDINAkCES GOVERNING TMIS TYPE OF
<br />WOl�K 1'lI1.L �E GOh1P4ED WITN YMEiHER SPECIFIE� NEPEIN OF
<br />NOT THE GNAYiWG OF A PEPIlR WES NOT PRESUldE TO GIVE
<br />AUTMJR�TY TO VIOL/.iE OR CANGEI TNE PROVISION OF ANV
<br />OTHER SrqiE OR L/1CAL LAV! REGULATING CONSTRUCTION OR TME
<br />PEP�OR�dnNCE OF WNSTRI'CTION. TIIAT I AI.1 AUTMORIZEJ DY TNE
<br />OL4NER OF TMIS Pn�. .RT1 TO PERFOFld TME VIORN FOR WNICH
<br />APPIICATICH IS 1.'ADF ANJ I COIdPLY WIT4 THE STATE
<br />COM���FJJJ<C*ORSLAYl�e2' GYVAND29G200WAC.
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<br />11'OOD STOVE
<br />EI[iAL FIR6PLAGE pY00D [
<br />�FIOORORAIN � � Ca'
<br />OACNFLOWPREVENTERS _ �_� �AS
<br />;INK SFPVIGE - OAR. ETC 1 �_I Gn5
<br />� SUO TOTAL 5
<br />-'-'-- - PERldli S _—_
<br />� TOTALFEE 5
<br />FOR OFFICE USEi ONLY: _ � L7_ �!
<br />i . t .. .1'.I�a. I s.t $f '1�C� �l�l CITC• 1`.n4�P �
<br />'�' � �� __.7 �//I/-�%
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<br />' � CITY OF EVERETT � ��� �" �
<br />�• �I . �.�,. :� LOCALSAIES ' —
<br />. �.�L_N .. .,..'/17/�)— I TA%CODEISJ105 TOTAL_ __ ___
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