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APPLICAT�N FOR C'ONSTRUC�ON PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />5200 CEDAR STAEET • EVERETT, WA 98201 •(425) 257-8810 <br />� DEMOLITION ❑ COMBINATION 0 BUILDINfi r i[.�ECHANICAL $'p[UMBIN6 ❑ SION <br />MRlke ��..<{rucl.b't Tnc. /uyvP L-. RI�if3isit��Li'LI_q��1_KZf_Sby •Yole4 .�tatk�LTe66'tiJ <br />rdxlm�cOV�nY.irn u�n�pnlss cih !�r ivMnf c1�q�KMv� <br />/�'�d��e imsi�-uc�lew�'.i� /ov��rE'. IQVrrs'd� A^ +� � �IL._.�Sf-9a4�WbY M.ut� r0 'rAl <br />YiC4WUl<.OI`1111�f�U� 4U11fq11f55 ^1 /� 11 OM1 !�1• 1'�NKf i1�qlKFNS[• <br />L�5 OluMif�N(I 3]I/ �(�. ZS� 1(d. MI. I(I� qOnv! e�1.9iq_�9.n� /�(�lu L1..C/ /f <br />w win. <br />M <br />VRM�L <br />HEATING SVSTEM: C9 GAS O EIECTRIC ❑ <br /><MOU n n50M �NO rvxvn MI <br />1 HEREB� LERTIFY 1NAT I N�VE FEA� AN� EIIAMINED THIS <br />� �PPIICATION AND MNOW TNF S�ME TO 8E Tqt/E ANO CORRECT All <br />1°N0 PPOVISIONS Oi lAWS ANOORDIN�NCES GOVERNING TNIS fYPE O: <br />VIORK W�I L BE LOMPLIED W�TN WMETHER Si'EpFIEO HERE�N OR <br />�vqrEnrv�vawnetiowou�tw'� irmrmtsi1' NpT, T11E GRANTiNG OF A PERMI7 DpES NOT PqESVYE TO GIVE <br />e�aNc+�dG���i«✓ fhfn�i �UTNORITY TO VIOUiE OH CANCEL TME PROVISIpN OF ANY <br />M� OT �vb�AAMf � C u PERFORMANGEOO/ O S�RUCTION`TH TG �M AU N R ZO BY THE <br />OWNER OF THIS PfiOPERTY TO PERFORM THE WORR FOR WM�CH <br />100C� •�duN APPLICATION IS MADE �ND I COMP�Y WITM THE STATE <br />� - CONiR�C RS UW IP Y] �R.W /A�ND '` 200 WAp <br />��,,.��,5,����.�.�M..,�., , �<�A�,��-- /fiS-�99 <br />'YH� . � � b�ll <br />f.ibMNMS51cIN4 M1 <br />PREVENTERS <br />FOR OFFICE USE ONLY: <br />1Y1C.�1� I INI�IqY <br />� <br />!�u[ SM1+nn�[� P(9'0 <br />1111j y/H4P100 <br />FEE <br />PERMIT S <br />GASRANGE <br />IVYI[fipY.M 51p[$(IS�C4 (y�M[IIIfRN11M�f11 j <br />Cv/3 7c <br />�m�m• v�c�ris�n FEES <br />Ort5 OM) ���i� <br />"OO�I�Nl11iMG SVIONWnI <br />ue�l} <br />M1�NI��� ..�.. <br />Ul.fl�l'1NI1U�11 II�V41M1 VIII��NY'4 <br />O�IS ❑MI <br />1�/ �\(Y1 �UU��fMl4 Il �N CIR f� <br />+ OI�NO <br />m .—�nv — <br />�11 11ix11W1:[Ih11"���M�.! <br />_ _. _I�,.�� <br />707�L FEE S � , <br />t(r nrrnri.q <br />V�LU�TION FEE <br />— '�_ <br />CRY OF EVERETT nai.:+n�-a "'�' -- <br />LOCALS�LES ---�--- ---- <br />TA% COOE IS �105 �oul <br />