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APPLICATIO. � FO� CONSTRUCTI.IN PERMIT <br />CITY OF EVEHETT • BUILDING DIVISION � <br />3200 CEOAR STREET • EVERF_77, yyA 98201 • 259•8810 <br />❑ DEMQLITION ❑ COMBINATION O BUILDING O MECHANICAL ❑ pLUIMBING ❑ SIGN <br />PROJECTAL.RESS: �iiQI2 (,(JL�I�iO(�E <br />�REp NIURp. Hy (�Iz �ur_Tn.�oec- <br />n <br />TENiIW-fT� MqIM(/M�F55 CIIY pp-- �2��� <br />1 n/Q�} S�i �% n% v12� 44 ri�or�c —`� <br />N. 130 �8 5F=,47TLE qB�33 362- S7�2S <br />�RCMTCCTqipE51GHER MMINHME55 CIfY ---' � <br />���' P�IONE <br />_./ll.PINE f,(,(STOM HLD S �2� N. 130 #8 SC�qTT{',t qsi33� /a�p��VC13151 M� <br />GENER�ICONiMC100 N��IAIXNiE55 --GIY µ-----'-p�l,-. <br />�� PnONf SGTE UCFN$ • <br />MECM�NiC/dCONiR�C7pN 1��IL�IXMiE55 Qlv tm <br />� PIIONE STA1E LICFNS[ � <br />a�MlKM3CONTR�TOq MqL�Dd1E55 p1Y 111� --- <br />P��ONE S7ATF. LICENSE � <br />CONTMCT�OFWpM —�---_ . . <br />oFsclNse wrnK M10 Sou�nE <br />_ /'.�l�sr • O F <br />%�N Olb ON <br />vnor�oseu use ov eu��aac <br />�aK oEsc�nvnai or riqv� <br />LOT �_ BIOCN <br />_Y ��cR�y r <br />�J�J�6 ' (��� <br />P�RLEL TNf I.D. M1MBEq <br />S. — 57�� <br />�WTM.E M+vOlvEo <br />Po�� 8�� <br />E ?j 2U <br />�� <br />I IONI LENOEq. �Op1iE55, iF1.EM10NE NUAgEq <br />8 DISP <br />UUNDRY TRAV <br />CIOTHES WASF <br />BFRVICE — <br />FOR OFFICE USE ONLY: <br />�RONTSETp�M PEMSFTR�CN <br />%Q� L�� <br />USE 20N <br />�_� <br />NEI6HTLIMITAT�ON_ / <br />ri / <br />lJ! <br />OCCRO PAlICY NO (N SIMRS <br />FIRE S�PRIN)'K�LEP REO'D <br />��V <br />FlFC \URM PEO'D <br />NO <br />trrE or r,or+sr , <br />�/��� <br />IOT�nEA <br />HO OR DWElLIN6 <br />UNIfS <br />FEE <br />)TAL f <br />T s <br />FEE S <br />$IDE <br />� ObES ❑ No <br />�� <br />SIIE OF BIOGR I <br />B�SE �N' <br />❑YE$ Nn <br />r <br />11EATING SYSTEM: ❑ GAS ❑ ELECTRIC �7/VON -k <br />C(MIU6I Pff15(MI�NO1`IIONF. NO <br />-- E iF�2U�A 2ov�3h2-���� <br />— � ,—�-c,rra � .�� 7 - 75��/if <br />I IIEREUY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPIICATION ANC KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES CaOVERNIkC� THIS TYPE OF <br />WORK WILL BE CAMPLIED WITH Nry{ETHER SPECIFI[D HENEIN OR <br />NOT. THE ORANTIN(3 OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTIIORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIiER SfA1E OR LOCAL LAW REODUTIN6 CANSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIIED BV THE <br />OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION' IS MADE AND I COMPIY WITH THE STATE <br />CONTRAC �A��,y7 CW ND 298200 WAC. <br />X� l � ..��. t I <br />/ <br />SIGNAIUNE �tE <br />CItY OUSINESS L1C[NS[ NO <br />FORCED AIH <br />HEAT PUMP <br />UNIT HEATEF <br />S70V[ <br />GAS <br />GlS <br />�I �N CI If.CI( NIIMOf It <br />53 9.�.� <br />Illlll flINO <br />PI IIMpMG <br />MI f.I1�Nlf.q — -- <br />�f101IlONq PI�NCIIfCN <br />__ U�IICO <br />�.�nie nunninc sunouncc <br />mennr CITY OF EVERETT runnr. won.s <br />�` LOCAL SALES ---- <br />— 2_7 _'j7 TAX CODE IS 3705 7otA� <br />FEE <br />rcr 7 nEr.Eirr No <br />��•� <br />7Si <br />FEE <br />0 <br />