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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br />CITY OF EVERETT • BUILDING UIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 25&8810 <br />❑ DFMOUTION ❑ COMBINATION O BUILDINO ❑ MECHANICA�. ❑ PLUMBING � SION <br />PROJECTADDRESS: � o t..i �vw�cca Mdil_ eiAV �...T�- e <br />cuC'�vRe�L N�I�R sq�o,i/ 2o SW. fy,ER277 NAtt tMy auirE9 V f7 S�Zeo <br />1FNIJIT Y/JI�pMC55 Gb �P P�qNE <br />eqCM�[LtOqpES�Gxfn 4NlIDpaE55 ��ry jp� P�qxE <br />GENfMICONtMOpi YYIGp{;pE55 �Iry IIP M�WE i1�1ElICENSE• <br />SHo�u.c� Si�,J /7o3P Auzv2a AIE,V• SNokaun� 9�R3 ZDbS�FL•d'9�'J SNO,PcSI//O,i�. <br />NECNAN�C4CpN�pAttO{i NNIApIXlE55 tlIY IIP PIIpNE SiNEIICENSQ• <br />PLU4BINGCONIPY'.tOfl YMLApp1E5$ CIIY ZIG PHOHE SiAiELKENSE• <br />OESCPiBE <br />Wr <br />39GY - <br />lENOEq,�pp11E55JEl <br />FOR OFFICE USE ONLY: <br />NFI6NIUYII�IION INOOfOWFWIq <br />UNIlC <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />(ZO(o� S`fL-Q�r3% <br />I HEHEBY CEHTIFV THAT I HAVE READ AND E%AMINEU THIS <br />APPLICATION �ND KNOW THE SAME TU BE TRUE ANO CORPEC7 ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIL� BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GFANT14O OF A PEPMIT WES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br />OTHEA STATE OR LOCqL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM �UTHORIZED BY TME <br />OWNf:R OF THIS PROPERTV TO PERFORM iNE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITM THE STATE <br />CONTRACTOPS lAW iB27 RCW AND 296200 WAC. <br />z_ %%G�%,l� �,,.�-.� �z-�-qc <br />51GH�iUPE � n O �' ^ o��E <br />�G wl/ <br />CIiY BVLNESS IILEMSE NO <br />s I I � I J�"' // TOTAL FEE f I <br />{IDESFiB�Lx PI�NCUECFNOMBf11 fF � pFLEWtNp <br />0� �705 <br />�eCeH� 9rE F ES V11LUI1TION <br />OYES � MO BIIII�Wfi <br />i BIDGRI <br />PlUY01NO <br />ilSEMEHI YFC�I.WK'LL <br />❑YFS ❑MJ -- <br />/.Dd�IONAL MAN 6�lCK <br />Olnf� <br />S�AIE BNIDMf 51111L140GF <br />CRYOFEVERETT rueirwonac <br />LOCALSALES <br />TA% CODE IS J105 TO7pL <br />