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���cQ yL -� G3� � � � �' o � -- . <br />APPLI�ATION FOII� GONSTRUCTION PE�iM17 <br />CITY O� EV�REIT • BUILDING DIVISION <br />320U CEDAR STREET • EVERETT, WA 98201 • 259-0010 <br />❑ DEMOLITION <br />PROJECT ADDRESS <br />COMBINATION [R BUILbINQ <br />� � / ` (,�J GSfi /liiu (I <br />kJ MFCHANICAL <br />D�, <br />kl PLUMBINQ ❑ SION <br />owNtn Mnanooness arv zm mior+e <br />Ralarl- urnwc_ Tn.._ 12Q��,Bti Ave. 14 BA-201 Evetett. t1A 9a?�4 20f�5��-Q���� •— <br />1EN11NT MNLNWfiES9 CI1Y , LIP f910NE <br />Q1CItlIEClOROE910NE11 M�IIADUtlF55 G��Y Llf' PIIONE <br />OENEMLCONIp�CTOR MAi1�0011E55 CIIY ZIP PIIONE StAtEUCENSE� <br />ZIP <br />PLUMBAlOCONfPACfqI MNI�WRE55 CIIV ZIP PIIONE STAIEUCENSEI <br />INVOLVED <br />HEATINQ SYSTEM: Cq C3AS ❑ ELECTRIC O <br />CONt�Ct 1'Etl50N TNU PIIONE NO. <br />LOT �� BI.OGK OF <br />_ _ Arhnr C:1 an <br />PMCELTIIX I.D. NUMBER <br />CON9lPUC710NL0lWLENOER.AOORE89.lElEP ONENUMBER <br />L✓.,u.�a�,od tit..rl�ae.Ae '�-�s <br />� �S 2�8 S� S.W. ``�`I. �tu�.�ia�[ fiv� <br />6 <br />DRINKIN6 FOl <br />FLOOR DHAIN <br />�`� <br />FOR OFFICE USE ONLY: <br />pppN(SE78hC�� I7EM6Et�,1CK� <br />!% <br />�i <br />HEIOIIT LIMITIITION <br />LOT <br />NO.OF DWElLINO <br />UNIt9 <br />y� � <br />610E SETB�CK�. <br />V <br />V�CANf SIIE <br />[IYE9 O NO <br />DF BLOOIT.1. <br />i� f GpaA�; <br />BASEMENt � � <br />❑YE9 LTNO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />I HEREBY CERTIFY THAT I HAVE PEAD AND E%AMINED THIS <br />APPUCAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. AlL <br />PROVISIONS OF LAWS AND OR�INANCES OC?VEHNINO THIS TYPE OF <br />WOFK WILI BE COMPLIED WITH WHETHER 9PECIFIED HEREIN OR <br />NOT. THE dRANtINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL tHE PROVISION OF ANY <br />OiHER STAiE OR LOCAL LAW REOULA71N0 CON9TRUCTIDN OR THE <br />PERFORMANCE OF CONSTRUCiION. ?HAT I AM AUTHORIZEO BY THE <br />OWNER OF THI9 PROPERTY TO PERFORM THE WORK FOFl WHICH <br />APPLICATION 19 MADE AND I COMPLY W17f3 THE BTATF <br />COseq eC��FlS LA siB. ItRCW AND 2U8.200 WAC, <br />1 n,�,�f�_� <br />� v,� vlJ lRN �E/�/�� <br />SION/'i�U11E OI11E T— <br />Cltt BUSINE53 LICENSE N0. <br />?YPE OF FlxiUqE OA ITEM � FEE <br />— MiN�LO UNITS — H.P. <br />ICED AIR SYSTEM9 — B.T.U. M E.A. <br />OAS <br />FAN <br />— B.T.U. M <br />BUllblllQ <br />�� <br />vwMei�+o <br />—�� <br />MECH�NIC�I <br />—�� <br />�ObIIIONAI �IAN CIIECR <br />_�—�—� <br />OIIIEiI <br />��_ <br />S7A1E BUIlbINO SUIICIIMiOE <br />�— <br />PUBLIC WORK9 <br />�----- <br />IOIAL <br />a <br />PEE � (IECEIPTNO. <br />� <br />r <br />