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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98207 • 257•8810 <br />❑ DEMOLITION ❑ COMBINATION �BUILUING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />..----' -'- "--- <br />3��(0 /2,oc.YxFE���.rL. ��e EVE2(:}r-. wA• Z�� <br />OWN�q M41� 55 UIV Iil' RIp1E <br />rna'�mnr, man.x. ��Tt-�-lo,� 70o Noyr �vtYr�m �k�r 4i� -2St- �71-�- <br />icwxr uan�ow[55 nn im 0�� A.�� .�J 1S'�� <br />r o <br />���amccrono[scxtn uu��oouEss cin ta crro�+c <br />I�G�v��.• .ik:3��,� �r.Nt-c c„�,G: sr. EYcnrn q?z�� 4ZS • ii 2• 9 z-o� <br />i"r.,lr 'IJ <br />FLUMBiNGLONIP�CLqI YAII�DME55 CIIY ZiP Rqp[ Si4ELKlNSE� <br />SCu�aE i00uGE <br />A«er� A�� F�-o� <br />L'X/ J rl .-G'- o f"�t C-� <br />i[u�� ocscrwriori or vnorcu*r �s�owrv o[iav oa �n+cn mo <br />io5 %� u w«K � 3� � or Fvl7Pw-7' <br />�7280z4��oG <br />LoeN l[ND[q �DDn[55 1Rcv�qNc NUuoEn <br />FOR OFFICE USE ONLY: <br />fPONI5Et04N ✓GPSOB�LN <br />L �L <br />oscfonc �or�nc. <br />/ .� 'J <br />nfA..�.uule^qN rqofoWf.luNO <br />� uvrts <br />rFt;�ia/.M:r n�lYSPJPES OCcurWtlo�O <br />�A��� � �� � � <br />IIN[ 5�'IaNnl[R 11W O �USON <br />l4G < � <br />fIP[�UPAVROD PUSpN <br />r �G � �G <br />irrEo�consr nws�nvqOno <br />r� <br />�� -� � a..r. C-/ t <br />5 <br />HEATING SYSTEM: 15�GAS ❑ ELECTRIC ❑ <br />¢za ?]9-J�33 <br />I HEREBY CEflTIFY THAT I HAVE READ AND E%4MINED THIS <br />APPLICATION ANU KNOW THE SAME TO BE TRUE ANO CORRECT. ALL <br />FROVISIONS OF IAWS AND ORDINANLES GOVERNING THIS TVPE OF <br />WORK WILL �F C01dPLIED IVITM WHETIIER SPECIFIED HEREIN OR <br />NOT. THE GRANTINC OF A f`ERMIT DOES NOT FRESUME TO GIVE <br />AUTMOFITY TO VIOLAiE OF CANCEI TME PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGUTATING CONSTPUCTION OR TNE <br />PERFORMANCE OF CONSTRUCi ION. THAT I AM AUTHORIZED BY TME <br />OWNER OF TNIS PROPERTV TO PERFORM THE WOPK FOR WHICM <br />AFPLICATIOj MADE AND I WMPLV WITH THE STATE <br />CONTRqCTO W 1827 RCW AN0 296.YfA WAC. <br />�l'�-L '1.oJJ <br />sir une o�ie <br />h'C — <br />HEAT PUMP <br />FIREPLACE <br />S�D[SEte.�cK rUnc��[aMu��e[H n �[E <br />,�� � j` - O d c( (i2�5 J� <br />r.cwrsnE rees vnu <br />:�.v[s ❑v0 emmw'. C <br />S�IE W.f�lO I <br />�r.iS "raT �.�,�o� <br />O�SCA�IM1I 4ECHANIC4 <br />� ES ❑ NO <br />�GpIfqN4RANCI�FCN <br />OfNCR <br />sr�rE eunomc suricr�u�c.c <br />CITVOFEVEREIT rue�cnrn�s <br />LOCA�SALES <br />? TAX CODE IS 9105 TOT�L <br />f��� G�{S.C��/ 5.s�/v3. <br />r <br />h'� v.✓ �v-'. <br />0 <br />