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APPLICAT� FOR CONSTR1yC�N �Ei�M1Y� <br />CIN OF EVERETf • BUILDING DIVISION <br />3200 CEDAR STAEET • EVEREIT. WA 9BY01 •(425) 257•BB10 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILOIN4i R1 MECH�NICAL ❑ VLUMOMO ❑ lION <br />PROJECTADDRESS: 1021 North Park Drive, Everett, WA 98203 425-252-1376 <br />Amelia :FBteraon 1021 North Park Drive. Everett. WA 98201 125-252-1376 <br />OM1Fa �uI�OMF55 nrv tm oHVR <br />ifN�Nl MMMMf55 dtY !A R4'NF <br />•IICNf(GfO1�bEL[Nf11 :N �OIMFSS <br />-4918 DEPENH- <br />__ _____ __ _ __ DN1�- I <br />Muulnf.cON�a�r,tOn w�n�0fY1E55 cnr bo nWO4f S�AIfICRSF• <br />Gas conversion-furnace, hot <br />�rorocro u« w niinu.K: <br />SFR <br />lfc�l pEUMe��pN a riql4nh ISr9M111(10w Ou ��1�Cr <br />im eioca or <br />nwtn ��. � o rAnnx n <br />cantmGrrtw�o�Minnrn �ntw[ss rz«na.i[mwnr� <br />PLUYMNO <br />NO. TYPE OF Fl1RU11E 0111TEM <br />FOR OFFICE USE ONLY: <br />1�[IC.N� I�MII�I104 I 4Q ry{�W(IIIMG <br />uNnS <br />XEATING SYSTEM: $1 GAS ❑ ELECTRIC ❑ <br />coyl�Lt n nww �r�n rrKfyr .q <br />%5 7- Y7//' <br />1 NEREBY CERTIfY TH�T I MAVE READ AND E%AMINEO TNIS <br />AVPLICATION AND KNOW THE SAME TO BE TRUE �ND CONRECT ALL <br />PROVISIONS OF �AWS AND OPDINANCES GOVERNING THI$ TYPE OF <br />WORK Nnl L BE COMPUED WITN WMETMER SPECIfIED MENEiN OR <br />NOT. THE GRANTING OF � PE�MIT DOES NOT PRESUME TO GIVE <br />�UTHOHITY TO VIOUTE OR CANCEL THE PROVISION OF 11NY <br />OTNER STATE OR LOCRI LAW REGUI�TIN(i CONSTRVCTION OR THE <br />7ERFORMANCE OF GONSTRUCTION THAT I �M �UTVqRIZED BY THE <br />OWNER OF TNIS PFOPERTY f0 PERFORM THE WORK FOR WHICH <br />APPUCATION IS MADE RND I LOMPLY WITH THE ST�7E <br />CONTH�CTORS lAW IB27 RLW �ND 29620J WAC <br />x � _ u4 -/.t - y 9 <br />ne u.n <br />n�n��n <br />CitYM)VN[SSICIMSf MO <br />�UT�L f <br />dIT f <br />�IPEE S <br />SIOESf�luq M1�Htlp <br />V�C�MI 511[ <br />❑YFS ❑ M] R�RMYf. <br />SQE M MCG9� - <br />MVUPnf. <br />���1 4f1:1��1N'II <br />O•[x ❑w� — <br />-- �oo-�k.v�iri�nortc+ <br />m�tn <br />sun mmo+n:s����onm <br />TY OF EVERETT rnnuc wrx�.c —. <br />LOC�LS�LES -- <br />�X CODE IS 7105 ioT�l <br />nr mrnr�r.o <br />V�LUIITION __ <br />