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APPLICATION FOR CONSTRUCTION PERMIT�W <br />CITY OF EVERETT AT BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 IN (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING )6 MECHANICAL n PLUMBING ❑ SIGN <br />PROJECT ADDRESS: $1S �q�A i-V EVT a8701 - zez-lei 18 <br />r R <br />1fNAHl <br />4YI Af O'i <br />fJ1Y )Ir <br />M1IONF <br />—• <br />•IIC,tlIFCIMOE'lGI1Fn <br />YAII AOp,lE55 <br />C,IY )Ir <br />1•IlOrlf <br />CnY )Ir <br />I`,YIYr t1All I,CFN±F <br />R NF mICONIMCtpr, <br />«, A <br />uu,AwMFss <br />li I I E. L.n7�Ic.FYJE <br />J IETJ 1�•, EW- Re 7�_ <br />z-s z-3N�i E-GSSo1ioT <br />PI IIMBMG COIIIPAaM MAM1 Aq),IF55 <br />Cln tiv r11pNF 541F IILwA •—__— I <br />CONInACI Ti Of ANY"A <br />OESCPoBF WJ9R ANtI TgPnl IMINGF xro <br />N✓ate. s� <br />rlgl'PAf p IK5 Or Plnlpll(I <br />LOT <br />IAA <br />=pr <br />n <br />FNIIFR ARInFSS ICIEMI <br />'YPE OF FIKTURE 01 <br />sue <br />—I— - _ TOTAL F4F S1 <br />FOR OFFICE USE ONLY: <br />!PANT UT[i nFAn 5r1PACY IiIUr SFIPrCR <br />u�F ipNr lol AnFA rACAul s,lr <br />❑rrs n w <br />I111GIII Z11AIIA NA OI PWllll Ni SIT' or "'A"" <br />IlYllc <br />rc1:IIrAv:Y YIMTnnIT (%.Cllr'ANIIUAII M.YYr NI <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT I HAVE READ AND E04101EP IHIS <br />APPLICATION AND KNOW 7HE SAME 10 BE TRUE ANP 1 QB _ GT 44 <br />PROVISIONS OF LAWS AND ORDINANCES GOVE%4RA II*; UEPE OE <br />WORK Wit BE COMPLIED WITH WIIETHEFI fiP@gFl�P Ok"EI OOR <br />NOT. THE GRANTING OF A PERMIT DOES NUI•.@k5LW, <br />AUTHORITY TO VIOLATE OR CANCEL THE RRQWNGN cw • <br />OTHER STATE OR LOCAL LAW REGULATINQ cpy4 TIDN M IN <br />PERFORMANCE OF CONSTRUCTION. THAT 1 A0 A'Jq RI2ED4fJ4 <br />OWNER OF THIS PROPERTY 70 PERFORM IHE. WOW F �RL <br />APPLICATION IS MADE AND I C11w. kv WIIH T T <br />CONTRACTORS LAW IB 27 RCW AND 213t QQ WIC - <br />L_" <br />zGNA\IIIV. U�11 <br />MECHANICAL —.----- __ _--.FEE- <br />NO. TYPE OF EOUNMIENT'. T I A,:-__„�,�_l:_ <br />AIC—AMNOLGUNITS <br />I FORCED AIR SYSTEMS <br />HEAT PUMP <br />UNIT HEATERS _•„ _ - _ i <br />CLOTHES URYFRS F <br />RANGE 000 _ <br />WH <br />ATER HEATER _ <br />WOOD STOVE f, <br />..�-u rmmnne n.,nnn o owlJrll <br />S <br />•t:t— <br />a <br />NUFwIn^)> IFr.^�RFI?PIINo� . <br />OYaf O^n AnGI, Iry•AI 11A-1:1+ <br />ilAll PIn11N••Ii 51PICIlA1kN • <br />IITY OFEVERETT <br />