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APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BI�ILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8870 <br />I 1 DEMOLITION f 1 COMBINATION I 1 BUILDING J( MECHANICAL (l PLUMBING fl SIQN <br />PROJECTADDRESS� y� C� <br />ow�+rn `' M�n�ow�rss �/ cn. zm -''/ ✓ rrro�v/s �/ <br />ii��11�\ �� 1 /A� nLY� ��4 ��Sr ��lU� CV ��E�� � ` �S <br />1CN�Ni `� MA I.f1011!$S C.I1Y ZIP 1'NOME <br />MICIIR6ip1 S�GHCR M�ILMUf255 CIT" ZIP MIOYE <br />f�,.�l,'Z�(������� <br />GC[ICMLC0Yl11�(:tIX1^' M�IL�IX�C^5' ^ .` CI1V lt= /� AIpNE SI�IEOC[NS[• <br />� � ,i� —,.o� —ni. i..d�. Ic.,QO'IA4 ��,v�),o�-J�nn � <br />lOi RLIX R <br />r�ncE�rnMio rvuuncn � <br />cnvsmucnorvioen�ruoc� <br />SHOWER <br />� <br />r[ttn�o�:t rv�unrn <br />ITEM <br />FOR OFFICE USE ONLY: <br />tPO4iSE1P�LY Pl�RSF1MCN <br />asezone mr�nu <br />„ocmuurtuioN rroaorrtuirva <br />uvns <br />o.ir <br />HEATING SYSTEM: �� <br />cnuuc. rrnme exo reoNc No <br />fl ELECTR�C fl <br />� (��Lc� �_ _ <br />I HEREBY CERTIFV THAT 1 HAVE RBAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SANE ?O PE iRUE AND CORRECT. ALl <br />PPOVISIONS OF �AWS AND ORDINANCES GOVERNINCa THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WMETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTMORITV TO VIOLAiE OR CANCEL THE PROVISION OF ANV <br />OTMER STATE OF LOCAL LAW REGULATING COWSTRUCTION OR ?HE <br />PERfORMANCE OF CONSTRUCTION. TMAT I AM AUiHORRED BV TNE <br />OWNER OF THIS PROPERTY TO PERFURM THE WORK FOR WMICH <br />APPLICATION IS MA 1 I COMPLV WITN 7HE STATE <br />CONTRnCTO CW ND2P6200WAC. <br />sr.v.iunE ouc / � <br />PfY M�MESS IN:CNSC Iq <br />TYPE <br />STOVE <br />S <br />SICESEtO�CR MANCII[LYNUMOfn <br />vecnnra�e FEES <br />nres n Ho ommivo <br />u eiocni <br />rmMnwa <br />BASE�AFNI V[CII�YIC.LL <br />nrEs n rro <br />/.pqlqN�IRANG11CCtl <br />on�tn <br />S1AIEOIIIlp�N651IDLllI.�C <br />CITY OF EVERETT n�m�c�wnKs <br />LOCALSALES <br />TAX CODE IS �105 70TAL <br />— B.T.1; <br />rcc <br />FEE <br />