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APPLICATI� FOR CONSTRUC'I�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />ry PLUMBING Cl SIGN <br />�❑ DEMO�LITION n muawATION ❑ BUILDING ❑ MECHANICAL - <br />PROJI ECT AD�RESS <br />.�i0� <br />�e,�� µa�Fo,ca__�'�oyOe��lvlhN� �ruu.J/ 9jio3 �.f>•li.tt <br />i'N41i 4�K�CME55 CJY LP Rq11E <br />AIICNIIECtpIfd544ER M.VtI.CM�E65 GIIY Ib %�� <br />C'U <br />u�c�.uc..coetn¢�on u�iumnc,s on tm Mrorrt Suic�cn�sc• <br />1'LU40nKC011tP4fCR YMUDC��E55 LIIY lW AICbE Si�IElKENSE• <br />�ESCPIBf WOI�M �INI $W ARE fOO�AGE IHlQVE� <br />� / � <br />lCG0. MSCPiPI.'T S PROVEPtY ISMMN <br />�or _ o�ocn __ <br />cor�smvniwi �wu �uw[n. �wncss. tu[nrorrt m��e[n <br />FOR OFFICE USE ONLV: <br />rnor�i suo•c+ nenn sno¢. <br />osr ao�n. <br />1�[i�irllliMilnlqll <br />orcurn�;r rna <br />cuovv <br />I llll SPIL�.�IIP P[ <br />1 UVE �1�11Y 4LO � <br />i <br />NEATING SYSTEM: �i GAS ❑ ELECTPIC f'. <br />conr�cr rrnsox uro rror�c xo <br />I HEREBY CERTIFY THAT I NAVE READ AN� EXAMINED THIS <br />qPPLICRT10N AND KNOW TME SRME TO DE TRUE M1D CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOYERNING THIS TYPE OF <br />WJRK WILL BE COMPLIcO WI1H WHETHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUME TO GIVE <br />�UTMORITV TO VIOLATE OP CANCEL THE PPOVISION OF ANY <br />OTMER STATE OR LOCAL UW REGUUTING CO!isTRUCTION CP THE <br />PERFORMANCE OF CONSTRUCTION. iMAT I AM AUTHOP2ED BY THE <br />OWNEP OF THIS PROPEHTY TO PERFORM THE WORK FOF WHICH <br />APPLICATION IS MAOE AND I COMPLV K'ITH iHE STATE <br />CONTRACTORS UW 1B 2] RCW AND 296200 WAC. <br />, � �ii�%ll��' 5-11-1�• ' <br />snN��unc o•r¢ <br />COY OU541LSS IiCCNSE I�J <br />RI.N CN[C� NU4BEP <br />�a�.nc. �� <br />�1rE5 IINO ��io� <br />IqWIJN[llnq Sil[IXbLaTI <br />VN1�5 M�JYBIN] <br />CLNP�NtW�D 6�SCMENI �����yti�y <br />mcs n xo -- <br />nE�soN �OO�1q1NLPluItNEtI. <br />Otll[N <br />f1U5p1 <br />Si�l[ BVttM11� SUUCNY+GE <br />wurs•rvuovmer CITYOFEVEflETT weicwanes <br />LOCALSALES - <br />,,,,� TR% CODE IS 7105 7oTAL <br />nECE�rr w <br />