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N <br />APPLICATI�1 FOR CONSTRUC�ON PERMIT� <br />CIN OF EVERCTf • DUILDING DIVISION <br />3200 CEDAR STR T• EVERETT, WA 90201 • 259�8810 <br />p DEMOLITION ❑ COMBINATION OUILDING O MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:��O� �JQJ1G�hp4�{'� �/��/ <br />- .,./� /%i. tF �, <br />St�.�4��r�� ��1v��281�300 <br />ecxcrwco�nnr.nrn uui•ooncss urv rm ruove surz�-E�se. <br />ufClbwiGLCON�O¢1011 GMI�WPE55 ❑rv pP p�IONE Sl��[UCExSF� <br />PW4BWGCONIB�CIOB YEilA0OPE55 Gtt Iln RIOME Sil.1EUCENSE• <br />Cp11MG1 PNCE Oi Wq1N <br />J�. �pp HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />oexniaev.onK�vow uiE�oauw[wvoi�[o _n cor���nrrnsoHnnon�ro�+[rro <br />PROIqSEU �SF O! BVIIpNG <br />icc�t ocumm�w or rnorcntt �vwvm ouow rn �rt�.a� <br />ior oian or_/�_ <br />0 Jl /s (i w�i ` C . <br />r'ncc�uxio�Huuocn <br />�.�0 S U JC-CJ ; C7c�/ U L� <br />CONSIRUL11pN lO�w LEN�EiI. �ppOE55. IEIER�ONE NUMBEII <br />KITCHEN SINK d UISP <br />CLOTHES WASHER <br />BACNFLOW PREVENTERS <br />SUN <br />FOR OFFICE USE ONLY: <br />II10Ni5fIp4�N PE�OSFIBALN <br />usexon[ io�•ncn <br />� "L <br />ueicirtuun.noa r.ouowauHe <br />Uin15 <br />OCCu�AHCY M]M5�(W(S OLCUMl1110�0 <br />i: } <br />E D� f.0i�51 <br />V�N <br />�} I <br />1 <br />—� 3�v�28��300 <br />I FIEREDV CERTIFY THAT I HAVE PEAD ANO E%AMINED THI$ <br />APPUG TION AND KNOW TNE SPME TO �E TPUE AND CO(iFECT A�L <br />PROVISII�NS OF LAWS AND OROINANCES GOVEBNING THIS TYPE OF <br />WORK W� L^O C061PLIED WITM WI{ETHER SPECiFIED HEREIN OR <br />NOT. TNE GRANTING OF A PEHMIT DOES NOT PRESUME 70 GIVE <br />AUTHORITV TO VIOIATE OR CANCEL THE Pf70VISION OF ANY <br />OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION Ofi TNE <br />PEFlFOFMANCE OF CONSTRUCTION. TI1AT I AM AUTMORIZEO DY TlIE <br />OWNER OF THIS PliOPERTY TO PERFOPM TNE WOflK FOR WIIICH <br />APPLICATION IS MAOE ANO I COMPLY WITIi TNE STATF <br />CONTRtAC�TOR,S LAW iB 2�q CW AND 296.200 WA�y <br />C.t�W--��tn�t/� lo �K�hCi�.7 IR'L� <br />X b� a. w.c,�-� -��t-�.t 21Z� /� I <br />SIGNIIU ��lE <br />Cilx 0119NESS IICExSC NO <br />FO�CED AIR SYST <br />HEAT PUMP <br />UNIT NEATERS <br />CLOTHESDRYERS <br />flANGEHppO <br />YlnTER IIEATEfI <br />w000 stove <br />h7RAL FIREPIACE I <br />FIREPIACE INSERT <br />GAS fIREPIhCE <br />GASRANGE <br />cu[cK�+uunrn rFF �'7 <br />/D,� -nas a y` <br />v�teH�snE rc�s <br />❑vcs ❑no nunmr+t. <br />saE or aiocn i <br />�� J J 1`1U4111Nfi <br />fiISEUEN� MFbInMGI <br />OvFS �� <br />•�W IIAN�I IY �N �11( [It <br />ourtn <br />surt ouim�Na snnn�enr.[ <br />CITY OF EVERETT runur.wnn+c <br />LOCALSALES <br />TAX CODE IS J705 TOTAL <br />