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AP�LICATI� FOR CONSTRUC�N PERM17 <br />CIN OF EVERETT • BUILDING DIVISION � <br />320b CEDAR STREET • EVEREfT, WA 98201 •(425) 257•881U <br />❑ DEMOLITION r O INAT� �� UIIDIN��Nf��A� ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: � �CS � E= -C�h r"i � _�,,_ +Y,� <br />�� <br />ovmen / _ uu�.owess� /� orv rm v�royi ' "_ --� �., <br />♦f6�xifLlORpEyG'i0� u�hMUnf55 C��v !�� �ury.l <br />GENEA�LCOM111�l.Iryl u�ll�MM�FiS C11� !if IYxlhf [I�III�CENif• <br />� <br />u�� nr �wUvf 9�1i12[NSF • <br />— HEATINGSYSTEM: ❑�BAS�ELECTRIC ❑, <br />ca�uc�nnsoH.Minar+c�l n/`/1/ — <br />�mCn twv co�[s <br />101 _ BICLF <br />IO�N 1 f MMf1. HIOi�[55 1[l[I'�qvE MUURflI <br />WATEF CLOSET <br />WFSHER <br />PI <br />T( <br />FOR OFFICE USE ONLY: <br />rMutScip�CS nrN5Flo+cR <br />U.�r[IO4f 10��1�FA' <br />11EIGN�1�411111CN YOCfpW[IIIMG <br />��is <br />OCCIM�4C� HI M )I�AI] UI:C.I�CINIIU�U <br />fIRE ��ANM Rk4�0 <br />I HEflEBY CERTIFY 1HAT I MnVE READ AND E%AMINEO THIS <br />APPUGTION AN� NNOW TME $AME TO �E TRUE RNO CORRECT A�� <br />PROVISIONS OF �pWS AND ORDINANGES GOVERNING THI$ 7YPE OF <br />WORN WI�� pE COMPLIEII WITM WNETMER SPEGIFIEO MEHEIN OR <br />NOT. THE GRAN71NG OF A PEPNIT DOES NOT PRESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTI/ER STA7E OR LOCAI LAW FEGUt ATING WNSTPVCTION OR THE <br />PERFOHMANCE Of CONSTRUCTION THAT I AM AUTMORIZED BY THE <br />OWNER 9F iH15 PiiOPERTY TO PERFORM TNE WORK FOR WMICH <br />FPPLICATION I$ ANO I COMPLY WITH TME $TATE <br />CONTRRCTO A YqND�29 200WAC <br />/ � c� <br />% _� /./ /� /� <br />�•f.MeIVIR L�11 • ��— <br />LIIYBV$III[SSICINStiln <br />NECHANICRL <br />NO. TYPE OF EOUIPMENT FEE <br />AIR <br />\YOOD <br />GAS <br />� TOTAL FEE S � <br />ru�ti�[ceuvunrn. �rfr nfrnrrwo <br />❑vf5 ❑ � flN���wr. <br />eiwn� — <br />riaux�..: ._._._'_' <br />•$f4[NI Nf1���iiifll <br />❑vf5 �nO <br />�' Ip0�11f1N�11'I�HC���f.4 <br />OII�FR <br />il�ll BII�I��M(i511i'ill��l(:f <br />CRY OF EVERETT ���nuc.m��,c <br />LOCALSALES -- <br />TAX COOE IS J705 TOTAL <br />I <br />_' _ _ —' .' i <br />