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APPLICAT�PI FOR CONSTRUC�'IOt� PERMIT�,�}� <br />CITY OF EVEREIT • BUILDING DNIS. ��/�.� <br />3200 CEDAR STREET • EVEpETT, WA 88201 • 259-B810 � �� <br />;1. <br />G DEMOL.(TION � ❑ COA9BINATION ❑ BUILDING � MECHANICAL ❑ PLUMBING ❑ SIG <br />•piOJECTAODHESS: S�DO s�. E��FE�T n+ik.� w�y <br />�y�ry�q . YNIMARE55 GiY !iP MOME <br />/1lOjLTG/EGf aNE SJJ s.E E�F��mh+-�- w� �yZ�� <br />TENNR u41�00�E54 GiY i�P P��E <br />NKWRCi0NDE510NFP M�IAWAE55 CI1Y II� PXONE <br />t <br />GENEMICONlMC1GR MMADOPE55 bfY IiP 1'uONE SIRE4CENSE� <br />Ph-r(LioTF�RF ��'����N Z7�7-7om11•K E TQon a qg¢2�1 253-5t6-2Ly� PRTWIh'o99t� <br />MECN�WIGLCONIMCTON MNIMORE55 CIiY IiP PIIOHE STIELCE SE <br />RV4BWOCONiMCIOP W�LADDFF55 CIiY S�P PHONE SiAiELICENSE� <br />�� �OT <br />C <br />ltOCN <br />TEIEPHONE NU40EN <br />FOR OFFlCE USE ONLY:- <br />IOtMEA <br />r�io.�a owcwno <br />FEE <br />SDE SETB�CN <br />VACANi SIIE <br />OxES O HO <br />�r o�oarti <br />BASENENI <br />OrFS ONo <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />LpNt�CTPER50NANDFHOHENO. � <br />Y M L vin.!—.s.� <br />9ac.-a-a90 (.�,�) <br />1 fiEREBY CERTIFY TNAT I HAVE READ ANO E%AMINED THI <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT Al <br />PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE C <br />WORK WILL BE COMPLIED WIiH WHEfHEH SPECIFIED HEREIN O <br />NOT. THE G(iAMING OF A PEPMR DOES NOT PRESUME TO GIV <br />AUTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF AN <br />OTHER STATE OR �OCAL UW pEODUTINO CONSTflUCT10N OR TM <br />PEflFOPMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TH <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIC <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STAT <br />COMRACT/OR� LAW 1827 RCW AND 296200 WAC. <br />�Y� ���y��' <br />SiGNI.iUPE � � /, � n / _ T� <br />LK •t 'f <br />ptt BU9NE55 LKENS[ N0. <br />OF <br />FORCEDAIR <br />HEATPUMP <br />P�ANCIIFCNNUYpEf1 �EF <br />9 67- D/ <br />FEES <br />ONLbiNn <br />vwuuwo <br />MECNunCAL <br />�Od�16N�L MAN OIE'.It <br />OlnEn ` <br />SIAIE BU10�0 SIp1C11A110E <br />1'1I111N: W0114A <br />IS 7105 � TOTAI <br />i' <br />I NFEEIPi NO <br />