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APPLICATI�N FOR CONS�RUC�ON PERMIT/ }. <br />CITY OF EVERETT • BUILDING DIVISION {i �� <br />3207 CEDAR STREET • EVEREI'T, WA 98207 • 259-8870 �'` _��—•- <br />I I DEMOLITION f 1 COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ S�GN <br />PROJECT AODRESS 1402 Everett Mall Way , H4 Everet[, WA <br />Everett Mall 235 Mnore Street Hackensack NJ 07601 I <br />1ENANt MM1M011E55 G1ry IIP PIqNE <br />Radio Shack 1402 Everett Mall Wav N4 Everett. WA <br />emJnrtrclplpESicxEn uuL�pOnEss c�rv Iin qpvE <br />GENEf1KCONiMCrtY1 MNLMOf1E55 Clrv IIP PIpNE SMTEOCENSE• <br />�ECNPNIC�ICONIa�CtOf! M.4�ApqiE55 Llry 11� pIpNE SiAieLICENSEI <br />Croxm Fire Pro[ec[ion, Inc. P.O. Box 1:;113 Mill Creek 98062 (206) 481-7669 CROWNFP044LL <br />�IUMBnKiCON1MCIM uqLMOM1E55 C�rv IiP MqNE SdIE110E�AE� <br />wonn �Ho sou�n[ ruouce mva�Eo <br />IEG�L DESCP�PLIW OF PflOf'EPtY �LpNR� BELOW p1 ARRCN 1VR <br />io� oiocn or <br />ruxEi t�v in uuMo[n - <br />WATER <br />�EtEMroNE mmoEn <br />FOR OfFICE USE ONLY: <br />raorrtsEm�cx nFenr <br />VSE SONE <br />IIEIG�IIIIM11�110N <br />W i AIIEA <br />Nn p' CWEI IN6 <br />uvns <br />HEATING SYSTEM: ❑ GAS fl ELECTflIC ❑ <br />cor�incr rrnsrx�um r�roHE rw <br />I HEREBY �EHTIFY THAT I hIAVE FEAD AND E%AMINED THIS <br />APPLICATION NiD KNOW THE SAME TO BE TRUE AND COflRECi. ALL <br />PROVISIONS UF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEFEIN OR <br />NOT THE 6RAMINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCCL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW 9FGULATINO CONSTRUCTION OR THE <br />PEPFORMANCE OF CONSTFlUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK Fpq WE{�CH <br />APPLI ATION IS MADE AN� I COMPLV WITH THE STATE <br />COM CTORS LAW iB27-F'CW AND 2B6?OO WAC. <br />z �� �' .1lClx`�c��11�71!'1 �/��C�bO <br />SI�^ 1E31397 DRE <br />GiY UA11E55 LICENSE NO <br />A/C — <br />HEATEqS — <br />�E�_ � � <br />510[SELDACN fMNG1ECNNUM0E11 <br />000 -D <br />v�tnurs�E F ES <br />f)xE5 fl MO Ou1101N0 <br />SIZEOfOLOO/fl -- <br />niiuo:ua <br />orseu[Ht uEciu�ncu <br />nrEs n rro <br />�oo�noxu rw� c�ecx <br />on�sn <br />su�E ounnn,o sur�cru�e <br />�CRY OF EVERETT nmuc wonKs <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />Op ITEM <br />tOTALFEE S <br />