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APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CIN OF EVERETf • BUILDIIJG DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-BBiD <br />❑ DEMOLITION ❑ COMBINATION S] BU�LDIlIG �MECHANICAL �PLUMBING ❑ SIGN <br />.,.. .�_.-._ .7 �, r_✓�, un-�n i iuc- <br />,�.,.��� ...��.�s: �,�, r��� .���.,. <br />♦n6aIIctdnMs�cucn ul.n�oOaRs nn )m n�p.,r <br />_t�whef <br />c�� zuco��m�nan uu��oon[ss cnr t�� rv�r�•�[ surtuaxcE. <br />1/q Rf.ONIMCIOP 44lAfIMRS ❑fY I�� �'��ONf 9�IFliCENSE• <br />1`11148 VIPY:tC11 4�ilILVPE55 G!r IIP VHbIF 51I.1llK[NSF• <br />� <br />�•.n-�aurz <br />oiocx <br />LONSIR{IL�I(Nll[1�NIfHflF�1 N1fM�C$S.l[lCAlrylf HVM11Ff1 <br />FOR OFFICE USE ONLY: <br />VS! 1041 101 u�F� <br />I�FiG11�1�Vi1111VN NOOfUWfIIING <br />uvns <br />r� nqs r.rrawrn m <br />nf _ _ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />mnucr rrncc� �•�n n.ovr r�o <br />I HEREOV GERTIFY iMAT I HAYE FEA� AND E%AMINEU THIS <br />APPIICATION AND NNOW TNE SAME TO OE TROE AND CORREGT ALL <br />PROVISIONS OF LAWS RND ORDINANCES GOVERNING iNIS TVPE OF <br />WORN YALL BE GOMPLIED WIiN WHETNEH SPEQFlW HERE�N OR <br />NOT. TME G��ANTING OF A PERMIT DOES NOT PPE3UME TO GNE <br />Al1THORI7Y TO VIOLATE OR CANCEL iHE PROVi510N OF ANY <br />OTNER STAiE OR LOCAL LAW PEGULAI ING CONSTRUCTION Ofi THE <br />PERFOFMFNCE OF GONSTRUCTION TMni I AM AUIHORREO OY 7HE <br />OY/NER OF TMIS PfiOPERTY TO PERFORM TME WORN FOq WMICN <br />APPUC�TI01! IS MFOE ANO 1 COMPLY WITM TME STATE <br />CONTqAGT'JR�S L,AW /IB 2] RGW A6D Y96200 WAC <br />�.��„�C.' �1,ct� a���i� <br />OlY BULNf SS UC(�ISC NO <br />A/C—AMNDLG U1 <br />FOFCF.D FIF S I5T <br />HEAT PUMP <br />UNIT HEA1 ERS <br />CIOTNES DRYENS <br />GAS <br />S <br />GastlR�cK ri�Hui¢KcuMxrn <br />v.ur�� snc FEES <br />❑v[5 O µl R�A@Nf. <br />sar or e�oc�� <br />rinonn+n <br />a.srvrui u��:���.�,�.� <br />❑r[z ❑xo — <br />•owun�+u. n •v nrzc. <br />UL�[n <br />51��( fl11:1IlIxf.5�111C11�11Cf <br />CITYOFEVEHETT �'�•wi��'�wn'.z <br />LOCALSALES --- <br />TA%COOEIS]105 TOTAL _ _ <br />FEE <br />_ i7.ALFE[ f � ��); <br />r[r ntcrmrryo <br />VALIIATION FEE <br />_ —T— <br />