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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT ^ BUILDING DIVISION <br />3200 CEDAR STREET • EVcRETT, WA BB201 • 259-BB10 <br />❑ DEMOLITION ❑ COMBIN�TON ❑ BUILDINQ ,.CJ MECM�A/NIC�L ❑ PLUMBNI(i ❑ SWN <br />PROJECT ADOAESS:_ � Z(� Z ��_� � A � �U'f.YP� ��z�.3 ,� � _ <br />a � � _Y—� v� 7a tv � <br />t� N� YYIyN1f55 b�� )M' 1'��Lw[ <br />•�C���fC1GRM5KrMR M��4%XK55 GM1 l��' P��J14 <br />M�0. <br />1 <br />4�R <br />�rumeE �-w, <br />vrarouovscanniwa — <br />itcu a scmv�wn a macnrv is�arm a <br />io� eioce <br />nuc[uuioreue[a� _" � . . <br />FOR OFFICE USE ONLY: <br />fn(W�N�P�fv PUIISIIpqM Si0E5[1p6R <br />[(IOvI IO��nI• v/.CLN�YIF <br />❑Y(5 ❑ Mu <br />r�l�,n��tiwltl�Ov NOC��w[llIN6 54[MRILG�II <br />VNII[ <br />❑r�s o.w <br />$I��f <br />HEATING SYStEM: f� GAS ❑ ELECTRIC O <br />CMr�C1ITA4W�MP19�4M0 i.. � <br />7XZ��n� <br />I NEREBY LERTIFY THAT 1 NAVE REI1D �NO E%11MINE0 THIS <br />APPLIC�TION ANO NNOW THE SAME TO bE TRUE ANO COiiRECT QL <br />PROVISIONS OF LAWS �ND ORDINANCES UOVERNIN6 iN15 TYPE OF <br />WORK WILL BE COMPLIED WITN WHETHER SPECIflED HEREM OR <br />NO7. TNE ORAMINO OF 11 PERMIT DOES NOT PRESUAE TO OIVE <br />AUTHORIiV TO VIOLqTE OR C�NCEL THE PROVISION Of /1NY <br />OIHEP STAiE OR LOGLL L�W REOIAATN6 CONSTRUCTqN d17NE <br />PEBFORMIWCE OF CONSTHUCTION. TH�T i M111UT1%MIZED BY TNE <br />O�VNER OF THIS PROPE IY TO PERFORM 7HE W011K FOR WMICII <br />AI'PLIC�IION IS E I COMPLY WITN THE STATE <br />G)NTR�CTON �W C � 10 Y96.YOO/W�AG. <br />1f � / � � �% �� � <br />srH�i ouc <br />QiY SU$TESS I ICGNS[ MO <br />STOVE <br />PUtf1�4f <br />1y11M11iNG <br />Yff�II.ML�I <br />.ntnunan n nw o�rcs <br />anrtn <br />{II.If fl1111Uuf 51111f.11�Mf <br />M1iP�if. VrtN�Rt <br />iOTAL <br />