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APPLICATI� FOR CONSTRUC'I�N PERMIT� <br />/ CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />DEMOLITION ❑ COMBINATION ❑ BUILDING C MECHANICAL ❑ PLUMBING f_l SIGN <br />IOJECT ADDRESS <br />�PCNRECIOPOESpM1EP M�II��C�C55 CIiV Zb RqNE <br />G[NEFALCONiRSLiOP M��U�ORE55 CRV Z�� P1qNE SiAiELKENSEi <br />Y[CM�NIGLGONLN�LiOF SUIL�OOP[55 �i{y IIP RpNE SiAiEIIGlNSF• <br />vLUM001GCO4iB�C10A NM�OGPE55 Crtv Im PNp�E S1�iEl�CENSE• <br />OESCPiBE WOPMAND <br />ior o�oc« <br />IENOEA..�D'MESS.IEIECHONENUM9Efl <br />8 DISP <br />CLOTHES <br />SINN <br />OH <br />FOR OFFICE 115E ONLY: <br />iN011i 5[iB�CY. r UP SLiB�CR <br />U.CiO!i[ LOiMU <br />��UGNi llMll<iqN NO OF D�SLLUhO <br />unus <br />DCCOPu�Cv I�:a 0� SrOniEs I OCturarii la/.o <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONi�Ci PC�SON Al10 PHONE NJ <br />1 HEREBY CERTIFY THAT I MAVE READ AND E%AMINED T.0 <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br />VlORN WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PREFVME TO GIVE <br />AUTHOPITY TO VIOLATE OR CANCEL TH'c PROVISiJN OF ANY <br />OT ER STATE OR LOC,1L LAW REGULATING CONSTRUCTION OR THE <br />P RFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />01 NER OF THIS PROPEqTY TO PERFORM THE WORK FOR WMICH <br />(� UCATION IS MADE A'N''D� -1 COMPLV WITH TME STATE <br />�t\ �f�1FJOfl'�_LAW1B27RCvrnND296200WAC. _ <br />x SS�K[NS[NO <br />II AL <br />TYPE OF EO <br />A —ANNDLGUNITS <br />FORCED AIR SYSTEn1S <br />HEAT PUMP <br />UNIT HEATEflS <br />CLOTMES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLALE (WC <br />FIREPLACEINSERT�Wi <br />GAS FIREPLACE <br />GASRANGE <br />GAS PIPING <br />1'.Yfi I"iNO pVII�IN(i <br />GGTI <br />rwueir�c <br />�:u[Nl HECN�N�C�I <br />❑vE5 ❑NO <br />ACpItqINLPIANCN[CX <br />OMEfl <br />SIRE 0L'�WING SVRCHRIGE <br />TY OF EVEflETT ruaucwon�5 <br />LOCALSALES <br />�X CODE IS �105 TOTAL <br />TOTAL <br />HECEiP�Np <br />