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APPLICATI�1 FOR CONSTR<JC�N PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 • 259•BB10 <br />❑ DEMOLITION ❑ COMBINATON ❑ BUIIDINO ❑ MECHANICAL �"� ❑ PLUMBING � SIGN <br />PROJECTADDRESS: I5z0 a�E . EV�EI�L-%TM�}LL Vv(Ccl <br />" �••• �^ ��NXt $I.�IEIKCN$f� <br />4ECN�MK/iICON�P�L�OP MNIApq�[55 d1Y }�� P��E Gl�fEIiCENSE• <br />PlW.6NGCONIP.�CfOR uYt/JM111E55 CIfY I�V p�qNE SIe1El�CExSE• <br />LOl p�p�K <br />IONI IEM�ER. <br />$UB <br />FOR OFFICE USE ONLY: <br />rn�rurp�cK nunsFte�tK <br />userov�_r/� tmenEe <br />II�II�LI4�IAf1UN NOC![1W(IIING <br />l." . /li UMIIS <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />�_ ,L�� `f I HEREBY CERTIFY THAT I HAVE RE4D AND E%AMINED THIS <br />APPLICATION AND KNOW THE S4ME TO BE TRUE RND CORRECT ALL <br />PROVISIONS OF UWS AND OPDINANCES GOVERN!NG THIS TYPE OF <br />WORN WILL BE COMPLIED WIIH WHETHER SPECIFIED HEREIN OR <br />�u�rt�cxrv.ocon¢51 NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORI7Y TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCA� LAW pEGl1UTIN6 CONSTRUCTION OH THE <br />PERFORMqNCE OF CONSTflUCTION. THAT I AM AUTMOpIZED BY THE <br />OWNER OF TMIS PROPERTV TO PERFORM TME WORK FOR Wf1iCN <br />APPLICATION IS MpDE AND I COMPLV WITH THE ST�TE <br />CONTRACTORS LAW id27 RCW AND 296200 WAC. <br />oaoz ���///�� �^J/� �/J 7 <br />E�NMlEP X S— J'��^'•��%` J�C�CLI <br />51GNeNRE pe2 <br />GIY &1gNE55 tiCENSC eq <br />SFIBKN IKµ�11( <br />N� SIIE� <br />❑res p+�6 euiowr. <br />❑Y[5 ❑ MO <br />CRy OF EVENET7 <br />LQCALSALES <br />TAX CODE IS 3105 <br />rl��uOiuG <br />4[bPWGI <br />AppI�ION�I rIAN CIIlCK <br />amm <br />sui¢ eunoino suncru�u;c <br />niqur.waiKs <br />T0T11L <br />FEE <br />