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' � APPLICATI� FOR CONSTRUC'�N PERMIT� <br />CITY OF EVERETT• BUIL�ING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8870 <br />fl DEMOLRION COMBINATION fl BUILDING f'I MECHANICAL �I pLUMBIN6 fl SHIN <br />PROJECT ADDRESS I 2 ��� � �n� ` � <br />� �. � •��N�'�' <br />��EA 4uLMdVE55 <br />�'ll-,l �7 �nilYY�4`� . i� an � :m �o�a�c <br />) 1(' . �Y�C'fl7 ��d.�{'�. 1�; 1.\�. t� ✓ I1„ n � I q�tl�'> � i i'i/ � oi i..,� n. .� <br />•11CM�ECIT1OESiGNFH M�ILGOp11E55 �iry j�p ��F <br />���l�d1IM��CN YYI�WIIE55 LIIY jIP pqNE S�AIEIILFNSE� <br />[' . . .. .� _. . R _ <br />..._�.iS:iC ��.\71C�X Iv��C- <br />IOT����B�R,`I151pWNBEI� �'TI/�C iYq.ONE51 <br />1�tQ��aQo �w�e� ��� a� ' � <br />�� 0 1�.1 ` � �9 <br />r�Wce�raio_('��/p�1� • I��i - (%�'iCl'" (71i��-" <br />XMI9TNIICII(MI IONI IFNOER. Mp�E54. iElF1'Iq11E NU4lEP <br />C <br />TO7AL FEE <br />FOR OFFICE USE ONLV: <br />rnwrsete�a aci,nsEre�tK <br />us¢ior�e _ _ ��� ior�nQ%76 <br />IIEqNiUWfAIqN NpCipy/[lllNp <br />rJQ � 111111[ <br />Z <br />HEATING SYSTF.M: <br />coHucr vrasor�uw wu».F <br />� ��UETH.�.�at�n <br />DNE SUf[IILENS[• <br />� ��li�f� �i.)Al_�1'�� n%� <br />GAS fIELECTRIC fl <br />S. X� - t' a - O� lt � aCl <br />I HeREBY C' QTIFV THAT I AVE READ ANO E%AMINED THIS <br />APPIICATION �ND KNOW THE SAME TO BE TRUE AND CORRECT A�� <br />PROVISIONS OF LAWS AN� ORDINANCES 60VERNINO :HIS TYPE Of <br />WORN WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE aRqNTINO OF A PERMIT DOES NOT PRECUME TO GIVE <br />AUTHORITY 70 VIULATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL UW REOUTATINO CONSTRCCTIQN OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY iJ PEAFORM THE WOqK FOP 4VHICH <br />APPIICATION IS MAOE AND I COMPLV WITH THE STATE <br />CANTMCTORS L W 1827 RCW ANO 298200 WpC. <br />1 � �� <br />% / <br />SNW�iVRE ' O�IE ��� <br />r <br />GiiYBUSMlStLCENSENO. <br />MECHANICAL <br />HEAT <br />�5 �� � BUIOWf <br />SRE O� BIONfI <br />/95Z S . ^�"^�� <br />B�SEMEM M!f,1lNllf.q <br />rir¢s jlia <br />�DptIdUL RNI L�ICCIc <br />OINEN <br />SIAtE BmI��M:SUR]u�ticE <br />CITY OF EVERETT MT�If. WJflxS <br />LOCALSALES <br />rnx cooe is atos TOTa <br />PERMIT 3 � � <br />TOTAL FEE �—; <br />HFCEIPI NO <br />30 — <br />LUIITION FEE <br />O DDc7 C�c� <br />� IVv <br />_ _� . <br />