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APPLICATI� FOR CONSTRUCT*N PERMIT� <br />CITY OF EVERETT • BIIILDING DIVISION <br />320U CEDAR STREET • EVERcTT, V.'A 98201 • 257-0810 ��7 <br />❑ DEMOLITION ❑ COMBINATION BUILDING C MECHANICAL (�PLUMBING ❑ SIGN <br />PROJECT ADDRESS � J 3 � /�OYT <br />Gnv ZW P�qNE <br />�1A2l�Y� �'fn£sA 3.3�/ /YJ"T EUru'7i 98' (�i�s)?59-2�s� <br />1ENANT Y4LACpPE55 CIIY $p pqry[ <br />MCIIItCCtO11pE5qNEP 4NlACpqE55 GiY ZP 1+NpNE <br />�'H/p T�3 <br />GENEMtCO11iP�CfOI1 MqLACppE55 qliY 3P RIOLE Sf�lElqE16E� <br />�nichncz F. MA��Y /yi�� J��o qu,:. N,u. n,suc. 7P2�/ l�c �;i-s�al /hA[aYC- 677oA <br />MECMM'rK{OMii1K�Bq 4ARAOIXIE$$ /w C1�Y $i pllple SiAIELICEN$E� <br />MA�br c�a.��rau<�oa� <br />ROR&tlGCONiMLiOf1 HAM1Lpp1E55 CIIY IW P�qNE SiAiELKENS[• <br />� oEscniecwonK.r�ow <br />� LO�_ BILCN <br />SINK <br />56Y,� "� <br />roouaenrvavco <br />( A5< <br />''H� .(AUunRY <br />5./-`. /�i�S�U <br />Arv �s�owr� eciaw on �r <br />OI� <br />9a n�� �� <br />�ooncss.iciccnoertr�w <br />�FOR OFFICE USE ONLY: <br />fPONISEI�ACM RE�PS[16�CN <br />■ US[ ZONE <br />� IIEIGIIILIMI1�1qN <br />SIDE <br />W�nnen vM'Ni6ifE <br />❑�ES <br />NJ Cf C:2LLIIq p.Ci Oi BLDGT <br />UNI}S <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AIAINED THIS <br />APPLICATION ANO KNOW THE SAME TO 9E TRUE AND CORFECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN:NG THIS TYPE OF <br />WORN WILL BE COMPLIEO WITH WHETHER SPEQfIED NEREIN OR <br />NOT Tf1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTH091TY TO VIOLATE Ofl CANCEL TIiE PROVISION OF ANV <br />OTHER STFTE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS FROPERTY TO PERFORtA THE WORK FOR WHICM <br />APPLICATION IS MH�E AND I COMPLY WITH THE STATE <br />CONTRAGTORS LAW iB2] RCW AND 2962U0 WAC. <br />x JL.�.Y. I(�,� IAtACEY CbyS?) I2'I�f•O(1 <br />SIGtU1ME / OnIE <br />tl1Y BVSiM55lICF115[ �q. <br />ac <br />f1EAT PUMP <br />FlREPIACE <br />GAS PIPING <br />S <br />P NCNECKMIMBEO ILEE IPECFPiNJ <br />IJ' O/% <br />FEES VALUATION <br />D �!0 � �� <br />❑YES ❑ Ip <br />CITY OF EVEqETT <br />LOCALSALES <br />TA% CODE IS 9105 <br />fYUUB�nU <br />M[C111NIL.LL <br />MOIiqN�tPINILXECN <br />on�eq <br />s•�E euaoirva su��nce <br />rve��twonxs <br />TOTA� <br />