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APPLICATIOI�FOR CONSTRUCTI�1 PERMIT� <br />CITY OF EVERETT • BUILDING DIVISIOIJ <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-BBSC <br />DEMOLITION T� COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUA7BING ❑ SIGN <br />�OJECT ADORESS / ' <br />l�-loco r�?Ji�A �✓f= F�JFIl� (.C.�. 1820�} �12.s'3iaZ iO�TI <br />rtn uen�ooncss nrv zv . Pwr�,; <br />un zp <br />�uooness m�r zu� nrorv¢ sureuccuse� <br />/( � �� �%'� HEATING SYSTEM: �`GAS ❑ ELECTRIC ❑. <br />;c mvowm ernneer ru�swi uio riaue ero <br />_,. n v.,,,,, .. � ] - �: .. ' 131 . � FT. <br />otaCnT <br />� C�._Nb.G�e� <br />ior.Hiorrom,�oun¢ss. <br />LAVATORV (W�5 <br />SHOWER <br />KIiCHEN SINK 6 <br />— DAR. <br />4 <br />v I HEREBY CERTIFY THAT I HAVE PEAD AND E%�hIINED THIS <br />N1� APPLICATION AND RNOW THE SAME TO �E TfIUE AND GORFlECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIIIS iYPE Of <br />WORK WILL OE COMPLIED WITH WHETHER SPECIFI[0 IIEREIN O(7 <br />cori[s1 IJOT. TIIE GRANTING OF A FERMIT UOES NOT PIlESU`dG TO GNE <br />AUTHOR1IY TO VIOLATE OR CANCEL Tf1E PflOVI510N Of ANY <br />OiHEB STATE OR LOCAL LAW REGULATING CONSTpUCTION OR THE <br />ERFORMANGE OF CONSTRUCTIJN. 1HAT I Ald AUTHORIZED OY TIIE <br />WIJER OF THIS PROPERTY TO PERFORM THE WORK FOR YlHICH <br />����.Z APPUCATION IS MAOE AND I� COMPLY WITH 111E STAiE <br />CONTRACTORS lAW 1B 27 RCW AND 29G.200 WAC. <br />x ��� Nc� �2npv <br />�� .j3Q smuNnE oerz <br />`Cx* �7 nrvevsnrtssicn�seru. <br />FOR OFFICE USE ONLY: <br />f11pNI5E10RC1t O �Gf15[f8/�R� S�ESEtfl� <br />0 <br />U$[ZUNF ' / lOIn11L� ��Lu1f51� <br />❑YES <br />WATER <br />GAS PIPING <br />-C�rJ' I lXI �O <br />J <br />ouimuw <br />11[IOIIiL�MIUIpp / 1100FOWElLIIq SIIEOIBIOf✓11. <br />% J uHns — 5 f nuuoirvo _ <br />oeeurnen;v rroarsrouts oeeu�u+rio�o osstus r ucnonku <br />m ur <br />�.3 J-1 ares w <br />rwesrriu�KicnnEoo ncnsox �w�*�+uttuia�ccK <br />on�cn <br />vmeniumnwo nensori <br />SI�1E BU�LOi�q SUi1CnM0E <br />ivreorca+sr vw�s.nrnovEoar CITYOFEVEREiT rueicwonxs <br />;J' IOCAL5ALE5 <br />V_-AI nuv I I l!/ �h0 TAX CODE IS J105 ioTAl <br />