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• r3ia /��...,� r� [3ocr�G�-v3, <br />APPLICATIQ'i� FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-B810 <br />Ci DEMOLITION ❑ COI.IBINATION ❑ BUILDING G MECHANICAL � PLUMBING ❑ SIGN <br />PROJECTAODRESS �/.�� ���n ��rPn [(�j�C� <br />Cl/ <br />axrrtn uuieooncss cnr m . w�w�� <br />�3,N/�� s �,-�r( r r�s.� <br />iEN�/li / IAqLAppRE55 CIfY LV PIqNE <br />�n�rnf[GtOf1�E5r1:p1 NAit��UnE55 CI1V � ZR' vnONE� <br />41eilAD0:iL55 <br />ior oiocK <br />Cou:InucrwN taul lEllocn. AUon[ss.lcLLrHOM1[ Nu40ER <br />NO. <br />LAVAiORV <br />WASHER <br />FOR OFFICE USE ONLY: <br />�no�rtscrr.cn aunsc�wc. <br />lL`CtJI�C lOt�11E� <br />nuc�rtin.uurnr� ra«m•.uuir <br />wrts <br />OCNCANCY f.]C�9G.E5 �UCLOPANIIOW <br />P�qI:E <br />HEATING SYSTEM: ❑ GAS ❑ <br />:or.ucr v�nsoH u,o r�arm rq. <br />Si�IE lIC[16E • <br />❑ <br />I MEREOY CERTIFY THAT I HAVE READ AND E%AlAINEO THIS <br />APPLICATION AND NNOW THE SAIAE TO �E TRUE AND COfiFLCT. ALL <br />PPOVISIONS OF LAWS AND OROINANCES GOVEPNING THIS TVPE OF <br />WORH WILL BE COIAPLIF� WITH WHETMER SPECIFIEO HEREIN OR <br />iWOCOPiE51 NOL THE GRANTING OF A PERMIT DOES NOT PRESUAI[ TO GN[ <br />AU7MURITV TO VIOLATE OR CANLEL TNE PROVISION OF ANV <br />O7HER STATE OR LOCAL LAY! REGULATING CONSTRUCTION OR thE <br />PERFORM1fANCE OF CONSTRUCTION. THAT I p1A AUTHORIZED �Y THE <br />OWNER OF TMIS PROPEflTY TO PEFiFORM THE 4YOHK FOR WMICH <br />APPLICATION IS h1A�E AND I COIAPLY WITH THE STATE <br />CONTRFCTORS LAW 18,27 PCW AND 29fi200 WAC. <br />x /� n,�o �� p���/n� <br />Si UNE � �lE <br />fC�.:USiN65IIC04E BO <br />TYPE OF <br />NC—A'HNDLG UNI <br />FORCED AIR SVSTE <br />HEAT PUIdP <br />UNI'HEATE �S <br />CLOTHESDRVERS <br />FANGEHOOD <br />N'ATER NEATER <br />WOOD STOVE <br />IAETAL FIREPLACE ( <br />FIOEPLACE INSERT <br />❑res c r�o omiou.a <br />� eioc�i <br />viu�.�ewc <br />45EUExi u[CIUNiCAI <br />❑YES ❑ NO <br />ADOii�ONeLPWICu[CM1 <br />onrtn <br />suie omm,rvc sum:ruacc <br />CITY OF EVERET7' ruoiK woens <br />LOCALSALES <br />TAIC COOE IS 3105 TO7AL <br />TOTALFEE 5 <br />![E InW[iviNo <br />