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APPLICAT�N FOR CONSTRUf�ION PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • cVERETT, WA 90201 • 257-BB10 <br />❑ DEMOLITION ❑ COMBINATION �U'IILL`ING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS <br />� l,.i �L � li7n�l L�,.II _ l I �1 . . . . _ <br />,�i1�Ltsxz� SIC (_- �1��•�� i,r e(w,�,� ��� »s., ti.�. q.;-.,�s �11r-75f-o�c+ <br />HµT� Yu�Apq�E55 ' <br />�<.nri..�..� rarc m q� <br />�:tv 1�i1`4-G !'i,!•j�. ,, sL. �/:h un. S�v� y�J'� SZ-51av <br />MLNRCCYOqp[SI:NEq N�IL.�pME55 CiiY � <br />�•�- �-cv_i ��.....(.•... /k/X� /YS���f c- r� ..,e ,...n. S9G7t Z3t-l�5'- E'c�u.....rnA d <br />PLUNBWGCONilULTOq M.VLAOWE55 LttY ZW %JNE ✓ SiAIElCEMSE• �I P <br />'S ��-f7 lv�n ' <br />o eixK__a__ _ <br />- – -?Gt"ILCL'i1,2�1X�j_ _ T — <br />CUC ,C r'tJ /lu 2 -o1z_w <br />�{iCEI lAY 1 O. MNREP <br />�. � � .. . _ _ . •..� .�. <br />8 <br />i <br />FOR OFFICE USE ONLY: <br />rncrrtsc�a�cK nr.w� <br />USC 20NC'' � I �Ol MEA <br />L' .� <br />SUBTOTAL 5 <br />' .iMIT S <br />TOTALFEE S <br />k� s�ascre+c� <br />O � <br />i�Cu�iSilE <br />'.X� 'FFi as ❑ uo <br />w a owcwnc I vzE a <br />UM15 .1 <br />❑YES LYA.I <br />HEATING SYSTEM: p'GAS ❑ ELECTRIC ❑ <br />� HEREBY CERTIFY TIIAT I HAVE READ ANO EXAMINED THIS <br />APPLICATION AND KNOW TME SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIONS OF LAWS AND nR01NANCES GpyEpNING THIS TYPE OF <br />WORK WILL �E COMPLIED WITH WHETI'ER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERAIIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOUTE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE ON LOCAL UW REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTqN. THAT 1 AM AUfHppIZED BV TIE <br />OWNER OF TMIS PROPEPTV TO PERFOpM THE WORK FOR NR11CM <br />APPLICATION IS MADE AN� I COMP�V WI7M THE STATE <br />CONTRACTO LAW 1827 RCW AND 296200 WAC. <br />x_ ����j �~ ur� <br />�"� re <br />�..1 -[-j t ' a7`^ <br />CIIY BUSwE55 tiCExSElq <br />—MINOLG <br />METAL FIREPLACE �YOOD OURNI <br />FIREPIACE INSEfli �WOOD OUP� <br />GAS PIREPLACE <br />GASRANGE <br />GAS PIPING <br />E%HAUSTFAN <br />NAN GGC� mlup(q <br />� <br />FEES <br />&•6D�x0 <br />IlUuB�nG <br />MCCII WGLL <br />AC9i� .Y W �l CIN� CI� ECN <br />_ OME� <br />Si11E &ILDmG S�aC�Uu3E <br />CITV OF EVeREIT wou:wonKs <br />LOCALSALES <br />TAX COUE IS 3105 TOT�L <br />