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APPLICATI� FOR CONSTRUCT�N PERMIT ' <br />CITY OF EVERETT • BUILDING DIVISION �,� <br />3200 CEDAR STREET • EVERETf, WA 9fl201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MfCHANICAI ❑ PLUMBINl3 $� SI6N <br />oa�.iFr.raonwEss: (,Z?A �JC2/QEFr.I r.;AY <br />ucouw����o�nnecmn uu��oouess un am rua+r sreivucer+sc• <br />PI/���ABniGCONIn�f,1IXV M41AW11F55 LIfY IIP P110MG SI�IEIILENSE• <br />+Y ��Il�i%F�i M �� <br />wvolvEo <br />��, r wsr��� <br />w � r �-� 3,.33� <br />NEATING SYSTEM: Q GAS ❑ ELECTRIC ❑ <br />� HEHEBY CERiIFY 1nA1 I HAVE READ AND E%AMINED THIS <br />AFPLILATION AND KNOW IME SAME i0 BE TRUE ANU CORRECT ALL <br />raorosro use o: emim�w ppOVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OP <br />WpRN WILI BE COMPLIED WITH WHETHER SPECIFIED HEHEIN OA <br />icwto[scn�rna�orrnor[nrvisrqvmeFiowouenr.cu*»vconesl NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br />�Or oian or AUTMORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEfl STATE OR IOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PRD?ERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br />veacn ur i0 mmocn CONTRACTORS LAW//} B?7 RGW AND 296.200 WAC. <br />CUNSffItp11fH11O�N1[NOEO.N.`M[SS.IEI[AWIIEN11411FP x� ,.Y /� i�i/�. )�4l %V _ <br />� ��—�i f ouc <br />LrtY0U5xE55lqEN5Cx0 <br />5 <br />FOR OFFICE USE ONLY: <br />rnrnrtsnnece nrensneecK <br />N P' �l/°� <br />,orv �� �n�e v.c.,nsirt 8+� <br />�- S 3,a-s o.�s e�.��� <br />II411�1IU4 NOOrUW[IIING iIIIOlBIDG�II <br />rb�,�'E ��xnv �^ riurm�.rn __ <br />ncr �•nis�on�s a:cuv�mio.o o�srr.rcu� uvnuuir.0 <br />❑Y(5 OH� <br />' .._.__.. �O�IIION�I �'11NCIICf.� <br />au�rn <br />s�ur no�.io��+c simnunr.c <br />CRY OF EVEqETT rveimwn^^s <br />LOCALSALES — <br />TAX CO�E IS �105 TOTA� <br />C <br />