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APPLICATI�I FOR GONSTRUC�N PERMIT�� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8010 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS . . . . . <br />4�EM�ruUtCON�n�pOn u4L��oness <rtv r�r v�qxE srLiEL%ENSc• <br />CCIIIPLQ PPqE O� Y:G��n _ . �i _ <br />ocscn��oe wnnn.�m <br />�Or <br />NO. <br />BATMTUB <br />u�nca <br />�AiN <br />on�n.o� <br />rEirv�or.c <br />SU�TOIAL 5 <br />5 <br />FOR OFFICE USE ONLY: <br />rnorrtsowc. n,u�s��n.�. soesero.cn <br />MIOIIE SI�IE <br />HEATING SYSTEM: f l GAS fl ELECTRIC �.7 <br />corn.ci rcr+scrv.+:onr�onE rq <br />I HEREOY CERTI'Y THAT I MAVE READ AND E%AMI�ED THIS <br />APP�ICATION AND KNOW TNE SAME TO BE TRUE AND LOPRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br />WORY WILL BE COMP�IED WITH WHETHER SPEGFIED HEREIN OR <br />NOT. TME CaRANTIN6 OF A PEBMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAV! REGULATING CONSTFUCTIOV OR THE <br />PERFOR1dANCE OF CONSTRUCTION. THAT � AM AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORIA TME WORK FOF 4'fHICH <br />APPLICAiION IS MADE AND � COMPLY WITM THE STATE <br />CO RACTORS LA'N 10 7 R 1Y FaND 296200 WAC. <br />% <br />s u n� onre <br />ousv+Ess ucur,e rm <br />RANGE <br />Il.'a[ IO�:E I"� ��L♦ I yI.�41t $IlE - YLLS <br />'YE$ ". ti0 O�ItfI�NG <br />�fE1G11iLIlAil.�lln�. `q'(5'hl�li�Ki 54'EOiOt ill �^' <br />J �: o a�„o��� <br />acovu¢v •nc.vccus n'. rio�,c o.su�e�a uecwota <br />cn� P �), \' <br />yj_3 / r, ^v[5 �{HO �ODIipN4PW10�ECM <br />rmEsonum�o�n�oo .� <br />roi. <br />ho <6 � _ o,,E� <br />LIREALMFIpC00 I n[�SCII �y <br />/��/ C S�O b �1 / SIRIEO��IOPM�SlrlC1UPC�E <br />�J V <br />rmeorcc.a� —+-.nr�.�,�vo�irom— CITYOFEVERE7'T �voinww+,s <br />V_ N ^ TL LOCAL SALES <br />I�,,,� a�. S� TAX CODE IS 7105 TO7AL _ <br />r[[ I n¢[rvi �A <br />