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APPLICATI�1 FOR CONSTRUC'�N PERMIT��� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERE I"T, WA 98201 • 257-8810 <br />❑ DEMOLITION '-� COMBINATION ,n BUILDING :,, MECHANICAL i�; PLUMBING -� SIGN <br />PROJECTADDRESS �rn � / iG� �� � �� <br />G G � <br />�� ��� �.,�`�o�-� �z �P w, �r-s„�ro �`�` �-� �%e-k� <br />cv.���xrc�cu�rn�¢roap� <br />� �✓' __ l <br />u[c�nr+�cu corn anc*ou <br />�111 VtlINO LONi11��iOF <br />:ONi11ACi FPiLE OF WOPR <br />oECCf �I� SF/l�[ / V�/ < <br />/�� Sth�� `J� <br />�mus� eort,�,���� � <br />uc,u u[sca�nm�v ov atioern <br />�o� eioc+_ <br />I a�...l � 1�%10 1111MBCR <br />LAI�N�RY TRNY <br />CLOMES lYA$1 <br />URINAL <br />:,� <br />Slo-iClKLNS[� <br />�UO= I HEATING SYSTEM; ❑ GAS G ELECTR�C � <br />1�r nuavm can.a rrn;o•i uio rnori� rq <br />3 /��s�l4'f7crl �<a r..�nlS <br />I HERE�V CERTIFY THAT I HAVE PEAD FND EXAIdINELI THIS <br />APPLICATION ANp KNOY! TNE SAldc'.O DE TPUE AND CORREGi. ALl <br />PROVISIONS OF LAWS AND ORDINANGES GOVERNING TMIS TYPE OF <br />WORN WILL �E COIdPLIE� YJITN YlMGTMEP SPEGIFlE� HEREI� OR <br />NOL TME GRANTING OF A PEfifdlT DOES NOT PFESU�dE TO GIV[ <br />AUTMOr'JTY TO VIOI.ATE OR CN�lCEL THE PROVISION OF AhV <br />OTMER SiATE OR LOCAL LAYJ REGULATING CONSTRUGTiON OR THt <br />PERFORlAANCE OF GO4GTRUCTION. TMAi 1 AIA AUTNORIIED �Y iHE <br />OWNER OF TMIS PROPERTY TO PERFOFIA THE V�ORK FOF WHICH <br />APPLICATION IS h1ADE AND I C01dFLV YfITH THE STATE <br />CONTR TORSLAlY/1B �]�R/CWP D296�200jWAC. <br />X /lyll�l /7� �� ✓ `� i �'r�SS - <br />. . nC DAiC <br />OIrOVGiiL61.�IryLN9 <br />A <br />h1ETAL FIREPLACE IWOOD <br />FlREPLFCEIN59RT�1Y00[ <br />GAS FIREPLACE <br />FOR OFFICE USE OVLY: <br />rr,�nccruaar: eu.�soo�c. so[sere�t. vuN uvo[ <br />- - ?�%/Z-Z'L3y <br />u,..::.e[ �o����u vn[uusnc FEES <br />:res �r�o om�cr�c <br />�.�.,��.avuuw� rncro�.:iu�u: :r.rorcux:n - <br />m:ns vwnm.uc <br />' )C�SI:c[5 'gyV�.u�lla<O B�•nVLHI ME6��NL�I <br />1 v� <br />�cs o rio <br />�,��.,—.�,.,r.wnEao ,sc�i ' woinor�,:vunaec. <br />orern <br />�.�,., �MqEO➢ 11EASpli <br />911L BVitDiNG SU1iCNMGE <br />, i.�a., nu�s>rmwmor GTVOFE'r'EflETT �ue��cr:orti� <br />LOCALSALES <br />i TA%CODE IS 7105 T�T/.� <br />— . . __ _'_ � _ _ _ __ ____ __ �_--__ <br />PF.RId1T S <br />ILL II�CCCIPiIq <br />