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APPLICATIC� FOR CONSTRU�T�N PERMIT <br />CITY OF EVEPETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•BB10 <br />❑ DEMOLITION �! COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS 2y28 �jj/ M(/Yi�fQ.O � � E�elr <br />w4_ <br />�`;m U,�:�P1+��2�=z9 wiVl�,kr�onBi. �zs �/869i3 <br />� ,fi��ak, c-,�.o�.�.,5�.n �z5� �L�S 33SS� 7 / <br />�A[pUNK4CON1P�C1pP YI.ilA0q1E55 LIfY ZIG P1CN[ Si�1CIX[14E• <br />fM1UTABRqLONiP�Cf(M MAILAODPE55 C�IY 2iP RqIR SiL1ElICUISE� <br />CONIRACf PRCE OF KY1RY. <br />i HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />E roor•cc wvavco <br />�9r of�F <br />ior o�ocK <br />iELEPNONEMIYBER <br />SIhN <br />FOR OFFICE USE ONLY: <br />ff.ONiSEiBA�n P[�N5Li0ACN <br />USCZONE LOiEPfA <br />ME�G�IiliMil�iqll NOOipNLLLltkl <br />ONI15 <br />CCCUn.�HLY I NO Cf SR1AC5 CCC1114NI tOb <br />I HERE�Y CEPTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TIiIS iYPE Of <br />WORK WILL OE COhIPLIED WITM WHETHER SPECIFIEO NEREIY OR <br />NOL TIIE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL TME PROVISION OF ANV <br />OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR "YE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BV THE <br />O�VNEF OF THIS PROPERTY TO PERFORM THE WOPK FOR WHICH <br />ANPLICATION IS A1AD� AN� I COMPLV WITH THE STATE <br />CCATRA�ORS LAW S9 PGKIAND 296.200 WAC. <br />Grv BOSu¢55 <br />HEATER <br />FIREPLACE'� <br />GAS FIREPI <br />GASRANGE <br />siocscte�.cn ru Mccnelu�e(n <br />3 d(ob <br />v.ur+rsrte FEES <br />❑YES ❑ NJ ommino <br />S�ZE OF OLCO'i l <br />nu!•_e� <br />pA5(�ACNL �,I[CN�NL'K <br />❑vE5 ❑HJ <br />/.ODIIIONAI VLNI INECM <br />OtNER <br />SiAIE BU�IDRq S�nq��WE <br />CITV OF EVERETT woic xronxs <br />LOCALSALES <br />TAX CODE IS 7105 TOTAI <br />OF <br />iCE IRECCIPi1q <br />