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APPLICATIOI�FOR CONSTRUCTI�1 PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8910 <br />If] DEMOLITION O COMBINATION � BUILDINO ❑ MECHANICAL ❑ PLUMBING O SI6N <br />PROJECT ADDRESS I Q X X Y i NP I111C (� AUY_ <br />z. <br />' 0.UYlWOCOMIIIAQIXI 1W�WPE55 GIIV IP AqNE SfMELCEvcE• <br />■ :or O 1 � •v BIOCR <br />SINK <br />WASHER <br />SINK <br />9D% — I HEATINO SVSTEM: If�GAS ❑ ELECT.��RIC ❑� <br />• . Cdll.NtPEP501tNO{11EI�NJ 1 3�10�0�1 <br />FOR OFFICE USE ONLV: <br />1110NISEIBAC� � PENiSEtB14[' <br />� <br />uu:ac �Z wt�b� � <br />HE1GIIi l�Mit�IqN NO Of VIIEll11q WE <br />^1 Q / UMI$ I <br />L.l� <br />IX'CVI4NCY MCi5lpNff CCCV�N1IlOM <br />SOE SE�BIiLK <br />r / <br />a ra <br />OYES KNO <br />1 HEREBV CEHTIFY THAT t HAVE RE�D AN� E%AMINED THIS <br />APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISKKJS OF UWS M!D ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIfIED NEREIN OR <br />NOT. THE GRAMINO OF A PERMIT DOES NOT PRESUME TO aNE <br />AUTNORITV TO VIOLATE OR CANCEL TNE PflOVISiIN JF ANY <br />OTHER ST�TE OR LOCr1L UW REOULATING CONSTRU[ LON OR THE <br />PERFORFMNCE OF CONSTRUCTION. THAT I AM AUTH�qIZED BV TME <br />OWNER OF THIS PROPERTY TU PERFORM THE WORN FOR WMICH <br />APPLICATION IS M�DE AND I COMPIY WITN THE STATE <br />fANTMC1TORS UW 1837 RnCW AND 296200 WAC. <br />LJr ia..� ( A/IIOHr.'1e.w �� 1� I ao�� <br />iaw�ur� ��T—' <br />Ci�v BUSNESSIiCFNSE NO. <br />GAS <br />FAN <br />eunor�o <br />RU11tlN6 <br />�1ECM�I�LK <br />I�M`IIOMKPlNIC1iEfJ . <br />O11�EN <br />ST�fE BUl W�6 NIICMM�6E <br />qRltMfw! <br />TOTAL <br />fEE <br />FEE <br />