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APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259�8810 <br />❑ DEMOLRION fi COMBINATION q( BUILDINO ❑ MECHANICAL ❑ PLUMBINti ❑ SNiN <br />MEfNM'ICALCONiMCTOP Y4lADME55 CIiV IIV PIICNE ST�lEl1GEN5EI <br />MJMBWGLONR:eCtOR NMLeWPE55 Crtv Zlv FNONE St�iEOLENSE• <br />iEa. �scmrriwarnon <br />l0T _� 6l[CN <br />lENOEP. AWPESS. TELlPNONE NWRFP <br />FOR OFFICE USE ONLY: <br />Hfl6N1 pMl Gi10N <br />N� <br />$PqINNIFP <br />Nu <br />a cor�sr <br />✓ - '�/ <br />rvo or uwcwra <br />UNI15 � <br />OYES fl NO <br />I, � I ^pvES <br />HEATING SYSTEM: ❑ OAS <br />I HEREBV CERTIFY THAT I MAVE READ AND E%AMINED THIS <br />APPLICATION FND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES 60VERNING THISTYPE OF <br />WORK WILL BE COMPLIED WI7H WHETHER SPECIFIEd HEREiN OR <br />NOT. THE aRANTINa OF A PERMI7 DOES NOT PqESUME T(� OIVE <br />AUTMORITV TO VIOLATE OR CANCEL THE PROVISION OI' ANV <br />OTHER STATE OR I.00f�L UW PEGUUTINO CANSTRUCTION 04 THE <br />PERFORMANCE OF CONSTRUCTIO�. iHAT I AM �UTHORIZED 21' T1E <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK WR WHICH <br />pPPLIC TION IS MAOE AND I COMPLV WITH THE STATE <br />_ CONTR CTOR� iB27 RCW ID� WAC. <br />so �ruaE � y�� o�re <br />LiiY PII9NESS 110EN5E NO. <br />MECHIINICIIL <br />NO. TYOE OF FlXTUHE OR REM FEk <br />—B.T.U. M <br />TOTAL <br />TOTRLFEE S <br />'J0, ��O <br />�EE �r �� <br />%/_ ✓_� <br />eu2omo �2 ..r+.�� <br />PW40MO -� � <br />MELMWICI�I J �%' <br />n� <br />AOq110N.11P1ANfMFCN '{ <br />OIHER 3/�,O � Ri <br />$i�tEB11MMO5UPCN�RGE a� b7 <br />�ny.•sunv CIfVOFEVENEIT vuaucvrouKs <br />/✓ �' LOCAL SALES <br />�-)��4! TA%CODE183105 TOT�L <br />,. `.. � V <br />_ _.�—'"L_ <br />