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APPLIICATI� FOR CONSTRtJC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEFETT, WA 98201 • 259�BB70 <br />4�5 k v�=� <br />i' DEMOUTION I � COMBINATION i 1 BUILDING �li'�iIECHANICAL ' PLUMBING fl SIGN <br />PROJECT ADORESS _ _ ,_ <br />v.vvrn Nun.-monas crv rn� ���an. <br />��n�����ir,� �+cr�c�� 36U I.i1s15i SL✓ Lynn�tne 9Qn3� �/a5 ' 7!/S 3y3�) <br />�v+uu Mnn.�rn�nrss nn nv ruox5 <br />MIInCiS �.^r ^• •."'••. <br />-�. _, ��. , ..i �� . � I _.._,_...".l �,.n 9ano� U7t � 7GS-3 <br />�-_ yu:_eooncss mrv rm ���a.� �._.�.�,......_- <br />�`p nti¢n •' NALAM1f�F55 CIiV )i� PIIOK[ SGIFOCFNSE• <br />y F1uRy�tai137 ou <br />riuvarrc:co•unac�on o�nnuoaess urv rin ��rorve sietEucense• <br />�'o��uuu rnic[ or vmm <br />� y � 7.� �, y HEATING SYSTEM: L1�GAS I" i ELECTRIC I 1 <br />i�.r:qn,qe wonK u,o sovnnv rxr�re[ e�m�vEn caunm rtnsoii avp m�rnic uo <br />. . � . \_ i. [���._ 11� _..._..�1.,.�...., li�C�iGC�iO?A <br />Cr,��' .�Iu `Q....�E -_�liS ! ci�uef . <br />rnarncvovst w no�m�•n. <br />\ <br />iFcuoFscrm� �orvnort <br />ior _niaK <br />[��(�� ' CGC <br />PnnCEIi�MIU NU1J9fP <br />LAVATORV <br />�m�ncss. tcirrv�art Huvnen <br />TFA'{ <br />TOTALFEE <br />FOR OFFICE USE ONIV: <br />rn2�n=rn.�..� nr<ncn <br />i ,..� ---'� ininnrn <br />coriasi <br />I HEREBY CERTIFV THAT I HAVE REA� AND E%AMINED THIS <br />APPLICFT�ON A�1D KNOW THE SAIdE TO BE TRUE AND COPRECT HLL <br />PROVISIONS Of LAWS AN� OR�INANCES GO`/ERNING THIS TVPE OF <br />WORK WILL BE GOMPLIEO WITH WHE�HER SPtCIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GNE <br />AUTHORIT'! TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEF STATE OF Ll)C>L LAW REGULATING CUNSiRUCTION OR TNE <br />PERPORMAN.6 OF CONSTRUCTION. THAT I AM AUiHORIZED B� T/!E <br />O�YNEF OF tH15 PROPERTY TO PERFONM THE WORK FOR WHICM <br />APPLICATION IS MADE AND I COMPLV WITM TME STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WFJ. <br />X �.4�1• E l�, �l ' S `I �S <br />sn�eionr �^�� <br />t qSoo <br />C.IiV fill VN[iG ll�!!�".['10 <br />ru•i <br />TVPE OF FIXTUHE Ofl I7 <br />NC — AMNDLG UNI15 — H.P. <br />FORGED nIR 5'BTEMS — B T U. <br />NEAT PUM^ <br />UNITHEATEFS—�.T.U. M <br />f,LOTHES OflYERS <br />VENTI:ATION FAN <br />iiFNGE HOOD <br />WATER HEATEH <br />WOOOSTOVE <br />METAL FlfiEPLACE (WO00 BUR <br />FIREPLAGE RJSEFT p' OOD OUI <br />GAS FIREPIACE <br />..vtt . ., nunonm <br />��1�:��i• IIMiI.II'�'�•� 'ii) �.�� 1�1'IIII�Y(; �ill' G� PltYll <br />'�'�'�` 1'L114bING <br />i:nr mn�•.ei <br />.i. ,i. I1. t�I�a.�11Vef� �AtikMEryl 1..CC�InM1�C�I <br />ef5 fl NO <br />11"_�' P�DiIlOF41'UN pRCN <br />_� U11Rq <br />�� <br />in nf�suv <br />vnrz owmmc cunaunr.[ <br />— wnssai'i�ovrnnr CITYOfEVE6ETT runucworns <br />LOCALSALES <br />..... 7A% CODE IS �105 TOTnL <br />TOTAL <br />rrr I aFcrmir�o <br />