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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREE7 • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L�xMECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADORESS: �02 �-v�{p�Stree� <br />Dan Asones 3002 - 16th Street Everett, WA 98201 425-259-4598 <br />ovmrn u.ri.00aEss tm nr vrovc <br />IEN�rv� u41 e(1Mf55 G�v I�v v�qriE <br />/.11LIIIlfClO�flf51G11[II M41�O�f�fS$ <br />fif�l!IIP�CO�i111�L1ry1 M�i�A0��f5$ f,1�Y li� PIN)YE t1�IitICIHSF• <br />Everett 98203 DEPENH- <br />Dependable Heatinq & AC Service 4610 Evernreen Way q7, n�. oy� <br />MFO�rFiUtLov�Nf,loR 4u��p�af55 C�tt iir O��d:f 54�E1¢EMSi� <br />f1U4BINGCO111P�f,IC{1 4�IlAIXHlE55 PtY IIP PMOMF $iAlF11LCN$F• <br />orsrnmfi <br />io� oiaca <br />.j��7 C'7/ COO/ <br />t(HOFI�. NXMiE55, iLLEM1pNE IN4RE11 <br />N:iCHEN SINN 8 <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />rnnmann�ca nvensvte.c[ sotsc�e.cn <br />IISk IO4F <br />NEIGIIIIIVIt�110Y <br />NO <br />lo��nEe veGu�51�E <br />❑vE5 ❑ r4 <br />No o. uwctuw sitE or eiow� <br />IINI�; <br />IX:CII��NILb�D B�SFMEN� <br />❑YES ❑ NO <br />HEATING SYSTEM: LJ GAS � ELECTRIC O <br />cw��c� rtns� �Ho rHovF rro <br />I HEREBY LERTIFY 1HAT I HqVE READ AND E%AMINED THIS <br />APPLICATION ANO NNOW THE SAME TO DE TRUE AND COPRECT ALL <br />PROVISIDNS OF LAWS AND ORDINANGES GOVEFlNING i1115 TYPE Of <br />WORN WIIL BE COMPLIED WITH WHETHER SPECIFIE� H[HEIN OF <br />NOT. TliE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUIHORITV TO VIOLATE OR CANCEL THE PPOVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTAUCTION OR THE <br />PEPFORMANCE OF CONSTRUCTION. TNAT I AM PUTHORIZED BV iHE <br />OWNER OF THIS PROPERTV TO PERFORM 1NE WURN FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRAC70R5 lAW IB27 RCW AND 296200 WAC. <br />��-,�-- //I/3�%Jl <br />1N�E � U��C <br />CitY 0119MSS lKENSC x0 <br />FOqCE� A'H <br />ORVERS <br />GAS RMlGE <br />ri �n <br />ommwc <br />�IIIMfl:NO <br />VFO��wC�l <br />•Dp�l(1N�I. f�AN CI?CM <br />ourtn <br />[111( quRUWf.9111L1un(fF <br />CRY OF EVERETT runnr.wonKs <br />LOCALSALES — <br />7A% CODE IS J105 707AL <br />TOTAL 5 <br />