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APPLICATI�1 FOR CONSTRUCTAN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8870 <br />❑ DEMOLITION ❑ COMBINATION �UILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />io._ oiocK <br />corisrnucrqrv �o�w iEr�ocn. �noncss. <br />SINK 8 <br />FOR OFFICE USE ONLY: <br />US[ZONE <br />IIEp11i4M1iAtq11 <br />-iJ <br />� <br />ZIP <br />HEATING SYSTEM: ❑ GAS n Ei_ec7air. n <br />I HERE�V CERTIFY THAT I HAVE READ AND E%AMINED THI5 <br />APPLICATION AND NflOW THE SAME TO DE TRUE AND COFflECT. AlL <br />PROVISIONS OF LAV! i AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK 4YI�L BE COtAPUED WITH WMETHER SPECIFIE� HEREIN OR <br />NO2 THE GRANTING OF A PERMIT DOES NOT PRESl1h1E TO GIVE <br />AUTHORITY TO VIOLATE OR CANLEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORlAANLE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PPOPERTY TO PEflFORM THE WORK FOR WMICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />0 TRACTOPS lAW 1B.�] R W D 29 200 WAC. <br />O <br />�7 / — / t -�l/j <br />NC —A/HN�LG UNRS <br />FORCED AIR SYSTEMS <br />MEAT PUIdP <br />UNIT HEATEflS <br />CLOTHES DRYERS <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPU+CE IWOOD <br />FIREPLACE INSERT (WOOC <br />GAS FIREPLACE <br />GASRANGE <br />GnS PIPING <br />r - (� — �-� <br />LOtAPEA yAL4NT5RE FEES <br />❑YE. ❑ NO BWLDiNG <br />lIOOFOWELLIIMa SIZEOFBIOG/f{/� <br />unirs � <br />� � PWN811q <br />OGLViUNTLOA OASENENf IAELNANI[AL <br />❑TES � <br />PGSON .�WRION.LLPWICHLCI( <br />OiNEiI <br />PE�SON <br />SiAiE BUIIOIIq SURCI�MCE <br />tt.visewnwsoex—�y— CITYOFEVEqETT aue�cwoans <br />�� LOCALSALES <br />�•*E (o�.7IOJ TAX CODE IS 3105 TOTAL <br />