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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-88f0 <br />❑ DEMOUTION yC COMBINATION ❑ BUILDING ❑ MECHANICAL G PLUMBING G SIGN <br />PROJECTADDRESS ��„„ � _ <br />OWNEP Nn w m> �... __ ... ... <br />�v4 HomeS S'FIL 14ot�+ P�. c� �_ 9tao8 CYAs)337-9�'7R- <br />iENWI ���UWPESS CILY 14 RAM�E <br />ciCNIiCCIMOESGNCP Y�0.AqWE55 CIiY IM {�p11E <br />MU401NGCONIMLLCR YI.It�DDAE55 Cliv SM' %qNE SNICLICENSE• <br />iois a�?�1 oioc+� <br />��1%ISI�A� ��_I— <br />t¢�rr�a� <br />— DAR. <br />FOR OFFICE USE ONLY: <br />fR�NT5El0�LN �URSEIB�CK $ICCSCtB�CK <br />7S� Zo s <br />S� <br />VSCZO�.G f lOf �U V�C41�S�iE <br />� Q Sr ,:.)CS !1 NO <br />�rtr.r��iiun..a� a sro�.cwNo s¢cawoc:�� <br />Z� � 135 �x 5 <br />(%CUC�I{Y ML�SiGISS CCLUPWfl0�0 O SEN[NI <br />GAW <br />3 J.� mcs r�o <br />lIa�SMUN[LEBPCOO RFASON <br />fIPE�4NF1PF0U �E�SINI <br />tYCIIXCONSi PlN15A1MIWVEDBY /��T� <br />HEATING SYSTEM: 'QGAS ❑ ELECTRIC C! _ <br />I MEREOV CERTIFY TMAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW TME SAME TO 8E TPUE AND CORRECT. A�L <br />PROVISIONS OF LAWS AN� ORDINANCF^ 30VERNING THIS TVPE OF <br />WORN WILL BE COMPLIED WITM WHE .�2R SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIGLATE OR CANCEL THE FROVISION OF ANY <br />OTMER SiA1E OF LOCA� � AW PEGULATMG LONSTRUCTION OR TME <br />PERfOHh1ANCE OF CONSTRUCTION. THAT I AM AUTMORIZED BV'IHE <br />OWNEfl OF THIS PROPERTY TO PERFORh1 THE':/OPN FCR WHICH <br />PLICATION IS MApE AKJ I COMPLY WITM THE STATE <br />C RACTCRS I�W f 27 RC ND 29fi200 W4L. <br />�� <br />X Z�?�r� <br />5�� � �IE — <br />C�iY n,-'v65 LGc.HS[ Np <br />GAS <br />� �' ��� <br />:uE[eMHuq[R` � IEE <br />(6 l7� <br />BIIM1Di1# <br />RUM9iu0 <br />4CCN�Nqµ <br />•pl�iiqN4PUNCNCCK <br />Oi11ER <br />SiAiE BJ0.dNG SURCMEBGE <br />ruo�cwaas <br />TOT�L <br />NO <br />