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APPLICATIOR FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAfl STREET • EVERETT, WA 98201 •(425) 257•8810 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL �VLUMBING O SI6N <br />PROJECT ADORESS: I yC.� SE� �c VEC' %T 6/yA'L �Y <br />TRAtirC A55c�' <br />��E� M4L�CDRE55 pry I�P PXONC <br />�',�z 6,�-rs <br />�ENevr uui ��55 un riv ���p;E <br />�nCruIItronUES�c��En MulefipnESs p�rv �ir rvpqE <br />mIK� f�'H{I! CE�XT <br />erNrnei��m�crrn ueiuoo�ess �iiv — r,r mqv[ [41LlI�CNSE. <br />MF.p��wC4CONIMCt011 W�lG0pnE55 CiIY PuON[ SIe�FI�CENSE� <br />/nvni .,.'.._u ..., -.rv.� i�.�nwYH_ ...._�l_.. !__ ein � <br />l01 OIOCN <br />IAX <br />rluun[n <br />FOR OFFICE USE ONLY: <br />�nrnrterrwcK nr.n• <br />roNF <br />�R�ma uunenor uo or nwuuHe srze <br />UAIIC <br />5 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED TMIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIEU HEREIN OR <br />NOT. THE GRANTING OF A pERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER $TATE OR LOCAL LpW REGULATINO CONSTRUCTION Ofl TME <br />PEflFORMANCE OF CONSTRUCTION. TMAT I AM AVTHORIZED BV TME <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOR WMICH <br />APPLICRTION IS MA�E AND I COMPLY WITH TME STATE <br />CONTRACTORS LAW f 8 2] RGW AND 296200 WAC. <br />x r���r�rc�� ,� 3��/�9 <br />SIGN�IIHIE U�IC /�� <br />L�1V BU9NE55 <br />❑res ❑ Na ninioinr. <br />1'1114PI4fi <br />'4EN1 MFbUMiUI <br />O�[5 ❑Np - <br />�DD� 11(14�I.1'1 �N CII(,CM <br />_ OmFO <br />51�11" OIIi1�ivG 51111C�40�F <br />CITYOFEVEPETT rnniir.wn��nc <br />LOCALSALES <br />TAX COOE IS 31U5 TOTRL <br />rFr � nrcF�m xo <br />