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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CRV OF EVERETT • BUILDINC DMSION <br />3200 CEDM STREET • EVERETT. WA 98201 • 25P8810 <br />❑ DEMOUTION ❑ COMBMATiWpi ❑ BUHDMO `� MECMAIMCAL �PLUMBNlO ❑ SWN <br />PROJECTADDRESS: � s /C <br />aw<n i ww�oon[ea nn to nnrt <br />�..,...._... , _.. ... .._._ <br />F�d.J <br />uCNrz oRusnrtn uut/mnEss Orv /m ao4 <br />UEMFPNCOMIIUC10n YM�0011F55 G�v lx' M19ME �I�iFIICfMf• <br />11Ed.1MIL/iICONiN�GiOR Mµ�Cd1E$5 b1Y )N' hpl< {I�iFIKfMSE1 <br />PlNlM6Cp11NLiM Y41A0011E54 qrv /N N�dF SI1IFlICfMSE� <br />iot <br />xacR <br />FOR OFFICE USE ONLY: <br />fMn�iEIP�CIt RfMiFI' <br />us¢mrt io��nc� <br />NEIONilIW�11qN I1qIX6NEllIN6 <br />IMII< <br />ff�) <br />FEE f � �jKj <br />STE SEIMCF <br />V4.'AMlyfi <br />❑YES ❑ W <br />SUE 0� MOMI <br />lI.SEYFNI <br />❑vf5 O� <br />HEATING SYSTEM: �OAS ❑ ELECTRIC ❑ <br />1 HEREBY CERTIFY TMAT 1 M�VE RE�D AND EXMIINED TMIS <br />�PPLICATION AND IfNOW TME SAME TO BE TRUE AND CORRECT ILLL <br />PPOVI&ONS OF UWS �ND OROINANCES UOVEIWING TMS TYPE OF <br />WOqK WILL BE COMPLIED WIiM WHETIER SVEGflEC HEREMI OR <br />NOT. THE QMNTINO OF A PERMIT DOES NOT PRESU\IE TO OIVE <br />�UTMORITV TO VIOLA7E OR CANCEL THE %IOVISqN OF ANY <br />QTHER STATE OR LOCAL LAW REOULATINO CONSTM1CTqN OR THE <br />PEflFORMANCE OF CONSTRUCTION. iW1T I M1 �UTIORRED BY TIE <br />ON?!ER OF 7H�5 PROPERT' TO PERFq1M illE WOR�( FOR MIINCH <br />�PPLIC�TION IS MADE 11ND I COUPLY M/ItH TME ST�TE <br />CANiMCTfMS LAW tE.Y7 R W AND 2Y6.200 WAC. <br />%� � ������ <br />Smwnn[ <br />an wisr[ss iccrrs[ w <br />� TOTALFEE f <br />ttAMd�ECxMylfp fFF �� <br />�j U'Y <br />` FEES ��LU�iIOM <br />eunwwi <br />RIIy1Mf{ <br />4f011ML4 <br />•Up1110N�110.�N CINL1t <br />O�IRO <br />S1ME lUlp�+b SunLH4�f1E <br />LRYOFEVERETT nnur.wwx« <br />LOCAL S11LES <br />TAX CODE IS J105 TOTAL <br />