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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR Sl'REET • EVEHETT, WA 98201 • 259•8810 <br />fl DEMOLITION fl COMBiNATION ^I BUILDING f�l MECHANICAL tl PLUMBING SION <br />PROJECTADDRESS IZS S•�'V• ���l�lf ji�/�'I.L (q/� <br />(Sf%K�/�Y D�lTL�7 ;?S s.w, Ei/��t m�t� ,,iqy <br />u�crarr:cront�sicrvcn wn�froncss r.m rm nrror�F <br />�,K s16� [d!� IZSSUEffI$�,k'�,• �! fE�11fiE 981E� uE ZSz-a1t0 i✓�osto7l�J3 <br />1 ec�ro�ueovmee*rn Mui�amcss an �m r�wNe surzuaHsc. <br />MetHer�iu�eoNm�e�on u�ii�ooeess cm rir ruoxc s�ercuccrv5e. <br />K1 <br />IEGAl0E5C1iIP11pN OF F1p% <br />tor a�ocK <br />LICkNSF � <br />HEATING SVSTEM: I-I GAS �I ELECTRIC f 1 <br />I HlREBV CERTIFV THAT I HnVE READ AND EXAMINE� TMI$ <br />APPLI^ATION AND KNOW THE SAME TO BE TRIIE AND CORRECT ALL <br />PflOVI510N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT WES NOT FAESUME TO GIVE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STAIE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE F CONSTRUCTION. THA71 AM AUTHORIZED BY THE <br />OWNER F i,h PROPERTY TO PERFORM THE WORN FOR WHICH <br />APPLIC IOIf IS MADE AND I COMPLV WITH THE STATE <br />CONT CTj� �AW 18.27 RCW AND 2B6200 WAC. <br />, -z� 9q <br />SIGNA E 0�1[ <br />GiV8U51NE5 LICG115[NO <br />PLUMBING <br />NO. TYPE OF Fl%TUflE Ofl ITEM FEE <br />8 <br />FOR OFPICE USE ONLY: <br />lRONiSF�[fALN BU�SEIDeCN <br />us¢¢oxe n ./ to�enEe <br />�� <br />nc�c�rt uurtenoH Na ar ownurva <br />UNII[ <br />a <br />5 <br />B. <br />INSERT <br />5 <br />nr[s n xo ommmc <br />PtDGrt� <br />1'W40:N(i <br />ASEMENI �E����ry��R� <br />ftv[5 11 NO <br />•Op110Y/.l R�N C�IfCN <br />omen <br />s�eic omiown sunc�unr.c <br />CITY OF EVERETT rva�¢wones <br />LOCALSALES <br />TAX CODE IS J105 TOTAL <br />20 <br />