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APPLICATIOrI FOR CONSTRUCTION PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(�25) 257-8610 <br />I] DEMOLITION ❑ CO/M�B�INA/T�J�{N BUIL�ING� �❑(�� (M..ECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:_ASGT_Ll/ �.7L3�1 <br />aT <br />�!mfn.i�a�unnarn�.-'._ uui�onnas <br />�nrcnnn�cni cnvm.cion ue�uowiess <br />�iiir.umcowmunon uui��mcss � <br />i:u�en�c�rnr[urwaix �.6s8 �O � <br />orscnor w�nx e�msnuent rrqucc u�Sowm <br />�ni o�ocn _�=% or_nJ.JLi <br />ZR��%.iL�% �9� 1h94. <br />��E �9_ R�c_ c9F S�t{-0� <br />rnncn uvin wiunln <br />_ 4.�9.��2SZL-9oo -�mom A <br />mrisnwcnornminmm�i.�nm¢ss �ourio��srmuaen <br />nv m�ow (gpG)GZy- <br />� /�JE�_#zm $Ga4-ar.��NR� 4S <br />' uC[r�sr. <br />%UC[NSE � <br />F I ILENSF � <br />GAS O ELECTHIC ❑ <br />I HEREOY CEPTIFY THAT I HAVE READ AND EXAMINED THIS <br />qPPLICATION AND KNOW THE SAME TO pE TRUE AND CORRECT ALL <br />PROVISIONS OF � qW5 �ND OROINANGES GOVERNING 71n5 7YPE OF <br />YlORN WII L PE COMPLIED W1711 WHETMEF SPECIFlE� MER[IN OR <br />❑OT. THE GRnNiING OF A PERMIT DDES NOT PflESUME TO GNE <br />AUTHORITY TO VIOLATE OR Cr1NCEL THE PROVISION OF ANV <br />OTHER SiFTE OF7 LOC�L L4W REGULATING GONSTRUCTIOIJ Oq THE <br />PERfORMAIlC[ OP CONSTfil1CTION. THAT I AM AUTHOP2E0 �Y 7HE <br />OYlIJLR OF THIS PqOPE11TY TO PERFORM iHE WOfiH FOP WHICM <br />APPIICATION IS MRDE RND I COM�LV WITH TIIE STATE <br />WNTRACTORS LAW IB 2] RCYJ AN0 296 200 W�C. <br />cnr oumrtss ucursc r�o <br />YYNI��II�LV�tI �1VILtl� P/li—W11fillLl <br />E3ATHTUFI FOPCE� AIR a <br />LAVATORV (WASII OA5111� H@qT Pl1MP <br />SIIOWEN . U�lITIIER7ER5 <br />--- LAUNOlIYiPAV WATGRHEAT[ <br />C�OTHES WASI I[R WO00 STOVE <br />IIRIt1AL ldEiAL FIqEPL <br />pf11NNING �OUHTA W FIREPIACE IN'. <br />Fl OOR DRAIN GAS FIPEPIA( <br />OACNR OW Pf1LV[NTGRS GAS RANGE <br />SINN �SERVICE - flAR, ETCJ GAS PIPING <br />�- � EXHAUSTFAN <br />PEHMIT 5 �� <br />- 70TnLFEE f <br />FOR OFFICE USE ONLY: �2 <br />�nn���ann.rK nr^.7f \sn,wr.x smcse�n�:x ruunnrauvumn <br />Y�__'___— � <br />u�,i:nn -" - -- ioi�� �ntnr��s�'.E __ fEES <br />///� � ❑rE5 ❑rvU B�Mltmn: <br />��,u�.,�ni�un.io•i_-' ''f�nLfwu� stearoinrcni --- <br />� ��� ruurnrvr, <br />"L- Va2e��.-'s — - <br />�s�. or.�nm��uio.n a.>tutmi an....,-.' ' _ <br />'Kse.:.f vl,� a, � o,�s �� — <br />�i���.irdrr,..fou;�nn -- nrn�:<»� �uwuovnin.xortcv <br />11CL --- --� � S Uh �is Gl�trt� o��„� � <br />.��,�„ ��.«� <br />)'1Q �l(� �' }QOG �23 curteimowasnncrunnt <br />iri�iui�:ov�v--""--nnuau�rnovrnnr CITYOFEVERETT n�nucwon.c— / <br />f / TnL LOCAL SALES --- r <br />V-� nut �o_ nS 'itY TAX COOE IS ]105 TOTAL __ <br />OURtLNGI <br />SU[iIOT�L t <br />PERMIT f <br />