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��, �APPLICAT� FOR CONSTRUC�ON PERMIT/1� <br />' � CITY OF EVERETT • BUILDING DIVISION `� � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION f 1 COMBINATION I�UILDING (� MECNANICAL (1 PLUMBING fl SION <br />o�+:cn /—� �+ Mui.00ness cin x�n r+�or+c <br />tEr+urt (/ // U L r wn�wncss / CI ZO S iij..VteL1�fi. I1/Glf• ��%i'? �L S�'�i %�� %O /` _ <br />��: C(n«e�) �f�i� 5vor -7r . sE �z�- 3�t- i��7 ' <br />•MIIIlECi000E5� MIJIMqI[55 LitY IiP VIqNE ' <br />��t,u-/1V'1 S:Ca 'c�4-wnii(� 7(15/s�da//u.tau,nr f]�.u«..Q k1���031� � <br />ccv[nuc rn�c*on Mui.�ouncss un �m ' nurvE s*�reuccMsc. <br />,4i/1��9'rSY) 03909 <br />MECIIANIUILONiRI.L10B . MRL�D']PESS [i1V 111' VIIONE �ULFOCENSE• <br />/., � ���-��-�:. - <br />PWMBINGCONtP�C'IIXl R�IL�WBESS CIIY ZIG F1qNE S1AlElICENSE• <br />N win i�i+ S� _ /L�� r <br />5,'6ti l� = 3s� <br />PROfqSE� USE OF BuiLpM <br />tEa�t ocunivnw or mortmr �srovm e[ <br />lOt flLOCN__ <br />vu�cci.�u i u m�untn <br />� ! fr7_ �Yl' f- 2-f/Op'— <br />�� ..�., i <br />�OOIIESS,1ElERIq1E NUVBEB <br />CLOSET <br />ORnIN <br />FOR OFFICE USE ONLY: <br />rno�rtsFra�c� �unsFtn�cK <br />use:oxtp / iornnce <br />�� � <br />11EIG11tpMii�IIQY NOp'DW[WN(1 <br />ur�rts <br />HEATING SYSTEM: CI GAS fl ELECTRIC Cl I <br />I HEREBV CERTIFV THAT I HAVE READ AND E%AMINEO TMIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. RLL <br />PROVISIONS OF LAW$ PND OPDINANCES GOVF.flNIN6 THIS TYPE OF <br />WORK WI�L BE COMPLIED WITH WHETHEN SPECIFIED HEREIN OR <br />nwcomcs� NOT. TME GRANTING OF A PERMIT WES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROViSION OF ANV <br />OTHEfl STATE OR LOCAL LRW REGULATIN� CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORREO BY THE <br />OWNEP OF THIS FROPERTY TO PERFORM THE WORK FOR WHICM <br />APPLICATION IS MADE AND I COMPLY WITM TME STALE <br />CONTRACTORS L 10j7 RCW AND 296200 WAC. <br />k S !'� � iO��G 1r0 <br />sicHuun� O.Z 7 3 f� �` /' o�rc <br />LIIV 0115NESS IICENS[ NO <br />UNIT <br />INSERT <br />M <br />TOTAL $ SUBTOTAL S <br />MIT E PERMIT S <br />4L FEE E TOTAL FEE S <br />��oESEro.�cn runo�ccxNuunr,��, r[e Aec <br />�/��(�✓' y� /� <br />vnr,eHrviE FEES V�LU�TION <br />nrEs n r+o BNi��u� <br />� <br />S�ZC W BLOGT <br />V`W MOiNG <br />•SE4CN1 YECI4NICAL <br />nres n no <br />�oanaw� uu cNEc� <br />orH[n <br />s*nie eNioirvo surcHti <br />CRY OF EVERETT n��cMrn.s <br />IOCAL SI1LE5 <br />TAX CODE IS 3105 TOTAL <br />