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APPLICAT�N FOR CONSTRUC�ON PERMIT <br />CIN OF EVERETT • BUILDING OIVISION � <br />3200 CEDAR STREET � EVERETT, WA 98201 •(425) 257•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING �SIGN <br />PROJECTADDRESS: ,20� �v�-�2E�CJ-� In�AY <br />'f�FF �—LTili� G`C� Sl'� .4D <br />En uui�oou¢ss crn im vrwxc <br />S.4 �+�t� <br />1FN,1`H� YYIAWIIf55 GlY l�� F1bHE <br />N /� <br />1�Cmi�tO�OES�Grv[nN.� UPIe0�nE55 bh li� - II{' MF <br />�JQCLi1�1 2�?i'J LYLI(%�i%%AL fii%= S. S�ANIG�13/'S4 TJ6rre��F311t�� <br />u+n <br />ior oiocK <br />ru���i uno r�uuorn <br />nrvOIKD <br />IpiOEP.ILpn[55 fRfCNONENWOFB <br />CLOSET <br />SINK <br />FOR OFFICE USE ONLY: <br />innulvrtNcn nr�ns <br />,.l A I r�A <br />t�S[ IOVf <br />�+o a. owcwnc <br />��� ,�,�< ,�n <br />C�P�'.eg (y;N��NIl0�0 <br />� <br />��r 2+622�b�112'L <br />tm <br />HEATING SYSTEM: ❑ GAS ❑ ELECYRIC ❑ <br />I HEREDV CERTIFY THqT I MFVE READ pND EXAIAINED THIS <br />APP�ICATION AND NNOW THE $AME TO DE TRUE AND COtiRECT A�� <br />PPOVISIONS OF LAWS AND OR�INqNCES GOVERNING THIS TYPE OF <br />YlORN WIIL BE COMPIIE� 1VITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRaNTING OF A PERIAIT UOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIO�ATE OR CANCEL THE PROVISION OF ANY <br />OTHER SiAiE OR LOCAI LAW flEGULATING CONSTpUCTION OR THE <br />PEflFORMANCE OF CONSTPUCTION. THAT I AM AUTNOFIZED BY TME <br />OLVNER OF TNIS PROPEHTY TO PERFORM TME WORK FOR WHICN <br />APPLICATION IS R1AOE AND 1 LOMPLY WITH TNE STATE <br />CONTRACTORS LAW IB 2] qCW AND i9ti 200 WAC <br />���= Z.9,�3 <br />Y <br />$: 1�IM �� 0�1[ <br />Ci1rpUYxE55lCEn5[�'0 <br />NEAT PUMP <br />UNIT HEATEfiS <br />S o3oa-c <br />fl �u U�FCe HU'/Pi� <br />❑vF6 le� ONJnNG <br />saEaeimni — <br />O�fs Ow0 <br />�,,,u,.... --- <br />UPI��MC4 <br />apMi ��.,.i ri •r o�r r, <br />��„�� _ S�G�: <br />. uii n,nm:�;: s��nounr.t <br />vr.a•�a rinrc�nrn mm CITVOFEVERETT nmi��: <br />Y wn�,c <br />LOCAL SI1LE5 —� <br />�„„ .1'� TA%COOEI5J705 tOTnL <br />SU�TOTAL S <br />PER�AIT 5 <br />TOTAL FEE S <br />Rffi��NO <br />�21 <br />LUATION FEE <br />L ��1 <br />?�. `.��—'(b <br />_ � �5� <br />__� �� __ • ' <br />