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APPLICATI�N FOR CONSTRllC7'ION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STR[ET • EVERETT, WA 98201 •(A25) 257•8870 <br />❑ DEMOLITION O COMBINATION ❑ BUILDING 2��1ECHANICAL fl PWMHING n ciru <br />/ -y,�ron>e nrv riv n�ronr <br />..hC�_2tie— �CLL <br />•noarrQonnEs�C,��U� uu��pnnF55 •,irv )m r�q4r <br />G�ILI�!!'9-�Fr41IX1 4ul ��I1�E55 OIY Ii� PiN)•i[ 54q IiffN54 • <br />i`lel�%vsfAnu�) 349a��(/�ST,u��'�� ,4,lx.,rv,w�9�eo�as.sd33-�oba G/�leZ7ti0�1?/�� <br />1'IU48�•�GCONIR�f,IW 4utApME55 Cliv I�� 1`eO4f SI�IFIICCM1SF� <br />oEscnmc <br />(L <br />�np�sf o ose or nun�i�.r <br />io� oioc+ <br />�o�nir�mrn �nn-ss rzicn�wE <br />PERMIT <br />FOR OFFICE USE O��LY: <br />�r.n•+rvrin.a ar�nsne+ca <br />i�.t�o�ir iai�np� <br />nur.�a uvnenoa ao v nwruna <br />pq�l[ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC O <br />conr.cr r�nsa+�rm n�onr uo <br />I NEHEDY CENTIFV TNAT I NAVE READ AND E%AMINED THIS <br />APPLICATION ANO NNOW TnE SAME TO OE iRVE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINqNCES GOVERNING THIS CYPE OF <br />YlORK WII l BE COMPLIED WITN WNETHER SPECIFIEO HEREIN OR <br />NOT, TH[ GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLAIE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OP LOCAL LAW FEGULATING CONS1 qUCiION OR TME <br />PEPFORMANCE OF GUNSTRUCTION. THAT I AM AUTHORIZE� BY THE <br />OWNER OP TNIS PiiOPERTY TO PERFORM TME WORN FOR WMICH <br />APPLI ATION IS MAOE AND I COMPLY WITM THE STATE <br />CONi ACT1OPS lAW 27 RCW AND 296.200 WAC. <br />/ �+ <br />x �un� n���/ <br />cirv eusw=ss ucu�s� Ho <br />VlOOD <br />GAS <br />5 <br />5 <br />TYPE Of <br />$IDfSFIB�CF 1`I�NCII[C�NVMPfII <br />(pa �O S <br />v�cuu sn[ FEES <br />Ores ❑ No nixmwa <br />Sit[ O� BIOG�� <br />1'1114P N!i <br />0.15( 4[ N I IIf I'1�11�If �I <br />❑�FS ❑N� — <br />�owunr�.i rv.vcurw <br />murn <br />5��q niuldNG SvnGurC.E <br />CI7Y OF EVEREiT �nnnrwn�uc <br />LOCALSALES <br />� T4X COOE IS �105 TOTAL <br />SUB TOTAI E <br />PEPMIT 5 <br />�V � � <br />�T — <br />C � — <br />