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APPLICATI� FOR CON8TRUC�N PERMIT <br />CIN OF EVERETT • BUILDING OIVISION � <br />3200 CEOAR STREET • EVEREI"f, WA 98201 • 259-8810 <br />f� DEMOLITION f 1 COMBINATION f l BUILDIIN3 f 1 MECM�NICAL � 1 PWMBINfi f l 81(iN <br />PHOJECT ADDRESS I <br />�//// i�/,��,:,�.-5-,.,��� ,Sdr'i��Ty�i-� �'liu3-33c,� <br />�; <br />vec�eMu�cown�cirn uu��mmss nn v�r rnarc s�e.n¢test. <br />AU491YOlbI1R�f,iOfl 4�111IXXK59 f.ItY IM ���P�F 511tfIKlMY• <br />•�m �uum �om.wc rvvavro <br />101 �_ RIOCNO/bn00 <br />FT <br />�o - osS - ooa� <br />¢�mrn enm[ss.mrn«»rtmrvwn <br />Y�/t T <br />S� �i <br />HEATING SYSTEM: I 16AS FjriELECTRIC i I <br />1 HEREBY CERTIFY TN�T I H�VE RE�� �ND E%�MINED THIS <br />APPLIGTION AND KNGW TNE SA/AE TO BE iRUE ANO CORRECT ALL <br />P90VISIONS OF UWS AND OPOIN�NCES GOVERNIMi THIS TYPE OF <br />WORN WILL BE COMPLIED WITH WHETNER SPECIFlE� HEREIN OR <br />NOT THE [RANTING OF A VEFMIT DOES NOT VRESUME TO �IVE <br />AUTNORIiV TO VIOIRTE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCRL LRW RE�VlAT1N0 CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT I �M AUTNORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THF. WORK FOR WNICM <br />RPPLIG�TION IS M�DE �NO I COMPLY WITH THE STATE <br />CONTRRCTORS UW 1B 27 RCW �ND 496 200 W�C. <br />i � ° � „�„pL//,�-tr,.. �,_ ..._ � -�o -97 <br />6�M�� (i" D�IC <br />GIfY BUGMfS$ lIL[NSL Iq <br />FOP OFFlCE USE ONLY: <br />IIId11[f"a�V'N � PF��1iFiP�CN� [IpF5f1'1�lX �'1/.NC1IFC�MI4P111 <br />20 20 7 S�%5 �a- <br />�icreorrt %[J� ia�r�,G�s v¢ev�srr _ FEES <br />—J� I 'v[5 a�"�'� RU�fINfi <br />��C161�I1IN1I.L04 NOITImLLLINO 9lCpfllUf.91 <br />�p INi�c _ M114flIM" <br />M <br />v.��� <br />� + 63o S F. <br />11CIMNl yfO1�MK4 <br />�fc �p <br />�M�H1N�LiM1�NL�MC1l <br />onrtn <br />vnr mn¢nvc cunnum��r <br />LRY OF EVERETT rnnnc w:m.c <br />�OCI1L S�LES — <br />TA% CODE IS J105 To711L <br />