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APPLICATI� FOR CONSTRUC�N PER�IIIIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STFiEET • EVERETf, WA 98207 •(425) 257-8810 <br />MECHANICAI CY PLUMBING ❑ SI6N <br />❑ DEMOLITION O COMBINATION ❑ BUILDING � • <br />PHOJECT ADOP.ESS:�.I ) �US �1 �V�+-P N � /S `5�('Y <br />��„s,,.,s ���� c„�,,� �„_ f3� li_- � 1,✓���-�z�l ��'� <br />p Y1,l�OCnES$ IIr I�I��iqN[ <br />♦1R///����x1f`Gl'tM.��/fS'.qV� u�nM(KF55 Cilv Pr o�Mrt <br />G�N(�1,LOMin•f.lq� V41�M1f1[55 CII� l�f I��N)Yf [11�LIiCEN51• <br />/ <br />--i <br />MFCP�NiU^l�C.OW/1UffUn Vul�f%WE55 fAM1 l��' hClh! �����UCFNSE• <br />�-���q�lu��.1M M��l1pN1f55 CIR l�� rvq4! S��IFIK[MSf• <br />r� ��� — <br />�o�m�n ro�: • or wor�K ❑ GAS � ELECTRIC ❑ <br />MSCPiBF <br />mvavm <br />�+' .�T M�i (—Ll= <br />V <br />nix. osf c v�e or nw�dwr. <br />iEm� nesrn��nox a� �rortntt rs�owH euow on.n <br />101 _3�- RICLR � 0( ' � <br />r�u¢R w i n mrwnw <br />�..,�re�r.x., � n�u i r.�n �nwcss �c��r.�a.E �.�u <br />SU9 TOTAL S <br />PERMIi S <br />FOR OFFICE USE ONLY: <br />�n(1WY�P��� Pfm511PK� <br />US4I04' 10� ���P <br />11F�f�111�411AlION 'O{I�DWIIIING <br />n� �li`.4l> <br />riuc�uAun�oo -' n�.�nv <br />o•�t <br />HEATING SYSTEM. <br />rrwun vi nscn.rm nnrr .,o <br />�?6�l) %�5'�1G�j� <br />I HEREBY LEATIFY iMAT I MAVE RERO AND EX�MINEO TMIS <br />APPLICATION AND IINOW TNE $AME TO BE TRUE ANO CORAEC? ALl <br />PFOVISIONS OF LAWS AND OROINANCES GOVERNING THIS iVPE OF <br />WORK WIIL BE COMPLIED W�TH WMETHER SPECIFIED HEREIN OR <br />NOT. TRE GRANTING OF A PERAIIT DOES NOT PaESUME TO GIVE <br />AUTHORITV TO VIOUTE OR C�NCEL THE PROVISION OF ANV <br />OTIIER STqfE OR LOCAL LAW REGUUTING CONSTRVCTION OR THE <br />PEAFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZEO BY THE <br />OWNER OF THIS PfiO�EPTY TO PERFORM TME WORK FUR WHICM <br />APPLILATION I$ MADE AND I GOMPLY WITH TME ST�TE <br />�pqT{7AC ORS lAW 102] RCW AND P96200 WAC <br />�� �%----� 3�as/s� <br /><.3� � � uu� i <br />c�r. euvxccs �cFxsi No <br />SO[SFIP4t n�rvv¢ <br />L <br />v�Ux� v�c <br />❑YFS ❑ M1 fl�����y�. <br />a eiocni <br />❑.es ❑ rn <br />cr. r oF evenerr <br />LOCAL 511LE5 <br />TA% CODE IS 7105 <br />AIR <br />1YOOD <br />1'I�I4Pi4f __ <br />•(. �„K�1 <br />•owurna n�vc�acr <br />ourtn <br />p.tl no�iumc s�nnunr.r <br />ry���ir.v.ttnR< <br />TOTAL <br />T <br />f(F P{ffi��'rrJ <br />V11LW1TION FE��) <br />�� <br />__ __ __ 1_J�� <br />