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APPLICATI� FOR CONSTRUC�N PERMIT//�� <br />CiN OF EVERETT • BUILDING DIVISION \/ <br />3200 Ct� 4R STAEET • EVERETi, WA 98201 •(425) 257-8010 <br />0 DEMOLITION ❑ COM INATION ❑ B/U�IL�DING ❑ MECHANICAL ❑ PIUMBIN(i ❑ SION <br />PROJECTADDRkSS� �v9 ,ss� K/ S�,c� <br />_ 2�(� •ay3 -�7i8 <br />�rc�«*rrronr�voren uuunnefss orv ��� – vwoav <br />f.ENEn4coNrMLIOn 4LnLW1�l55 Gir Tr rix)v[ 54rLucfNSf• . <br />MFCN�MIL�lCOY1N�f,IO� 4Ut�f.YN1E$$ [IIV .�� CIbFf tlAl{IICENSE• <br />o�uuBrt+GCON�u�CIOp Mut�qXf55 Lirv P� �MONF SIe1f1�CEM5F• <br />{pO1nGE <br />ioi _ ori e�ac. a/– �.. <br />Pu�CEII i0�yIuREn <br />J- 900-0/S-�!'70� <br />CON51 1CIIp110�N 1 fNbfR. AIMESS. lFLfM:INE NUMRfII <br />PLUM9INC <br />NO. TVPE OF FlXTt'qE OR ITEM <br />FOR OFFIC� USE ONLY: <br />IIInNlSfi11�!'.R Rl111! <br />__�v <br />use ra ioi•5 <br />�_a- �� <br />uEIG��11Ni1 p0� AO fY <br />J� �u�is <br />CCLIIv�4::Y Y+ i�l II�P.ff (N'.C.Irt <br />cnou / <br />��-'i <br />na sn+n ieni 9'0 "'_ nv�va <br />�x ` 0 <br />Hnl ALpIlA�PLO' PF�cI: <br />nriorrovc� v nnns <br />V l� � . _. <br />FER�hII S <br />HEATING SYSTEM: ❑ GAS ❑ EtF.CTRIC ❑ <br />Ltt•�Ucr vrn5p� ��n rNpvf rq <br />Llro�� (2l/o�'ti- d��r .��5 - LSC3o�-- <br />I HEPEBY CEFTiFY THpi I HAVE READ �ND EX�MINED THIS <br />APGUC�TION AND KNOW THE SAME TO BE TRUE �ND CARRECT ALL <br />PPOVISIONS OF L�WS AND OR�INANCES GOVERNING THIS TVPE OF <br />WORN WIIL BE COMPLIED WITM WHETHER SPECIFIED HEREIN OR <br />NpT. TME GaANTING OF A PERMIT DOE5 NOT PFESUME TO �IVE <br />AUTHORITY TO VIOIATE OR CANCEL 1HE PROVISION OF I1NY <br />OTHER STATE OR LOCAI. LAW REGUUTINO CANS7RUCTION OH TN! <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHOHIZED BY i•�• <br />OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHIc: � <br />APPLICAT:ON IS N\JE AND 1 COMPLY WITM THE 57AT: <br />CONTF�CTORS LAN 18 27 RGW AND Y96YOO WAC. <br />x /'/9'00 <br />s:cur.ro� ou[ <br />utr eus�ss i�ccNs'. vo <br />WOOD STOVE <br />Nffl l I�FF <br />� O /O� <br />Q vf5 :: nU qu��iNf. <br />ING � [ilE d EIOG�I l / —_ <br />� / L 0� C1114RiMf " <br />Jfl 915F4FN� J 4if.11.�Nif.�1 <br />QVf� ]'�7 <br />-- �-- .opunxu n•xc�rtc. <br />_ .___"_ duifn <br />:1111 RII�IUWl:511(1[11�111:[ <br />°`0°' CRYOFE'/ERETT �iaur.wtw+c <br />IO..AL 511LE5 <br />TAX CODE IS 3105 7 JTAL <br />PERMIT f <br />TOTALFEE f <br />Nf(:fIP�NO <br />