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APPLICATI�1 FOR CONSTRUC'I�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />320n CE�AR STREET • cVERETT, WA 98201 • 257-8810 <br />i7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING , SIGN <br />PROJECT ADDRESS <br />i7oS L-�r„M� l-�, <br />ClJ�1r-;nes '�7cS-L���,KvG�� [,m,�,� !F� F/eaa3 <br />T[�UIIT AIAILApOPES$ CIIY $IP PIIOfIf <br />,l�rc.�✓y �e.irr 13�:t� I�v�`il-Cr S�.�th ��/%��,� !yd 9dn"y �raS/So3-G�'K <br />nn�jr�`r[Graiao[Sn:r:m uu�nCon[„ tnr ziv m�a�[ <br />`lFffil'� : ro /�C. j� <br />GEpFfVLCDNtRRL10A Ft�iLA�OBE55 /, CI1V ZIP PIIONC SIAIELICE115[• <br />�� irA� : C /��. /iE„2 ylFiii•i l.J� �� -Cea��r[ya %6�3v Jo� E;J3 3i«% Nc�dii c�/vP c,� <br />M[C11.1NiC.lCOtRMGP'� FI/.IL�DOflCiS C11V ZIP V11012 9AlElICOFL• <br />PWAIpiqGCOlI1P�C10i IA4ilAD�PEiS COY ZIP FI10Y[ S111CULlI15E• <br />LONIP�Li PPtE OF nORrt <br />�/s Sccv ��' HEATING SYSTEM: ❑ GAS I� ELECTRIC ❑ <br />o�scn:oe wone er:o sou�n¢ romncc nnoivc� co�rt�cr ru�sar� um rnarvc rro. <br />:�<�4�/ �6,7s�s.s.�� �a�nA'��7,IP <br />lOi _ OLCCN <br />io <br />OF <br />SINK 8 D13P <br />FOUNTAIN <br />I HEREBV GERTIFY TMAT I HAVE READ AND E%A1.71NED THIS <br />APPLICAiION AND KNOW THE SAME TO �E TRUE AND CORRECT. ALL <br />q f,y / PROVISIONS OF LAVlS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Y�ILL F7E C01.7PLIED WITH K'HETHER SPECIFIED NEREIN OR <br />niono�vonan�cemocow[51 NOT. THE GRANTING OF A PER1.11T DOES NOT PRESU6IE TO GNE <br />_a� AUTNORITV TO VIOLATE OR CqNCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAY! REGULATING CONSTRUCTION OR THE <br />PERFORh4ANCE OF CONSTRUCTION. THAT I AM AUTHOR2ED �V THE <br />OVlNER OF TMIS PROPERTV TO PERFORfA THE WORK FOR VlHICH <br />APPLICATION IS IdA�E AND I COIAPLV WITH THE STATE <br />CONTRACTORS LA\Y I827 RCW AND 296200 WAC. <br />}l / ,/ <br />iEt[rr�or�E�iuem[n �.�!a Ii I 1.�. ���ra{I']NSG;� S�'�y/�� <br />S�G�uIU�E Oei- <br />CIIY pUiR:L55liCO15E b0 <br />NC —A'HN�LG UNITS <br />RANGEHOOD <br />ldETAL FIREPLAC[ <br />�ACKFLOVlPREVENTERS GASRANGE <br />SINK �SERVICE —�AR. ETC.1 GAS PIPING <br />EXHAUSTFAN <br />5 <br />FOR OFFICE USE ONLY: <br />'""O7 I `' <br />� <br />SUB <br />FEE 5 <br />usczoue toruicn iveurvrs�[ reeo <br />nrss ���o ommirvc <br />� <br />�,ncm uun<uor� r:o oc o�nu�n�c six or oiocn <br />UIlIIS PlUA101110 <br />OCfpMipV IITWS:GF�iS OLCUP<�ll10/.0 0<SCMLIII OCCIIAtUGI <br />a +dur <br />❑res ❑rio <br />remsvnir�eicaneoo ne�sc�+ nooino�u�vunc��ecK <br />on�[e � <br />Lal<Uq�.1f.E0D REASON <br />S1At[OVM1�i11GSU�G11qqGE � I �IJ <br />r.r¢cFcnar vi<rvsnn o;Eoov CITYOFEVEHETT roeucwcnns 'l I <br />o..� �I��IU' TA% CODE BL7 OS TO7AL —� <br />