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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION ��` <br />3200 CEDAR STREET • EVER[TT, WA 98207 •(425) 257-BB10 <br />❑ �EMOLITON ❑ COMBIJ{_A�n iEl B�UILDI�G� ❑ MECHANICAL ❑ PLUMBINO 4SSION <br />PROJECT ADDRESS: L� 7 rj � �_ ��, _ <br />6 �2 � vc:2G�L� wp� #� i �u�TrW�- <br />���. ,�P �„�N� <br />�ncwnuonnenc.�eu uui.mness cnv n� —' �•.mai — <br />�9lil}7�L11c. D!S/i(� /IVG.� N•� � /5' 2E I�V/JNJ �`I,l�� 'L ���DI��OP <br />crnu�u ca+m�uan u.n rnnmss au —. - n�mr si+n i�crwm . <br />ufce�p�Ulca�ia�C1Un VUUMKE55 CiiY !�a—'-- w�a:r 5r�q14[MSr- <br />C1114BItiGCIN1iNlf,lm 4�'L�IXJ�i�i$ ��1Y �I� 1'��04[ $��I(11C[MSfi <br />lEG4 �ESCaivlip� 0: ��(N`EnM1 �Srovm BEIOw O� �T�M%w M'0 COA[Si <br />io� eioca or_ <br />HM�nL55 i[l[M�OME <br />FOR OFFICE USE ONLY: <br />fMN�v�pKn Rf:.flSfiB�<K <br />�� n <br />IISEfQy( IO��Nt� <br />��– � <br />no n nw[wNc <br />ovnc <br />VI4[ qUqM Pf O�0 <br />HEA1iNG SYSTEIA: �l GAS ❑ ELECTRIC ❑ <br />cai��Cr ri nsa� �Hn rrwrr uo <br />� ��� n% _J�7� <br />I NEREBY CERTIFY 1H4T I MAVE AE�D AND E%AMINEO TMIS <br />APPUCATION AND NNOV' THE SnME TO BE TRUE AND CORPECT ALL <br />PROVI510'!S OF Lr1W5 A�� OROINANCES GOVERNING TNIS TYPE OF <br />WORK WIIL BE COM�LIEG WITH WMETHER SPEGFIED HEFEIN OR <br />NOT THE GRANTING OF A�•ERMIT DOFS NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL TME PROVISION OF RNY <br />OTMER SiATE OR LOCRL LAN' REGUiATING CONSTRUCTION OR THE <br />PERFORMANCE Of GONSTRULTION TM�T I AM AUTHOPIZEO BY THE <br />OWNER OF iH15 PfiOPERTY TO PEAFORM THF WORK FOR WHICH <br />APPLICATION IS M4DE AND I COMPLY WITH THE STATE <br />CON RACTORS lAY1 IB� [2]/ RGW AND 796 200 WAC <br />Y � /��/ �/^'L' 1 ' Z/N l I y <br />..�� l� L�If <br />CII�BVLNESSl2FUSt .O <br />UNIT <br />IpCSfIB�lF �11N[II[CKN/n%/w� Q— <br />� , <br />�Uv�suc FEES <br />❑.ts A�� xum�� <br />eioc�i <br />ruium+�r. <br />1[F4E�i1 V(I.I��NiC�I �� <br />O�FS Ovn — <br />—� �ppuowun�ao�rtn <br />UI��f11 <br />5��1f fio¢���.G'o�U�n11p( <br />CRY OF EVERE7T rcnur.wnnec <br />LOCALSALES �--- <br />TAX COOE IS J705 TOi�L <br />FEE f <br />/� /�/- 1�lfFi1R ND <br />vv <br />JV <br />