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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILAING DNISION � <br />3200 CEDAR STREET • EVERETI; WA 56201 •(425) 757-8810 <br />❑ DEMOLITION ❑ COMBINATION �, BUILDINf: ❑ MECHANICAL ❑ PLUMBINfi ❑ SION <br />VROJECTADDRESS: �,l/ �errtrwnu iJLJ F.i�i%I' I,tl� �% <br />Lo37-a7loo <br />� <br />...........���..�,.,...n � ..��.,.,�.cae cnr �m r�wve su�[iKrwse. <br />4FCN�HIGIf.OViR1CiOA MNlADIX1E55 ry.ry !�f P1Ei^N[ $iRFUCENSE• <br />PIUupMGf.ON1HLCi0R M�Il�W11E54 C11Y }li pNplE Si�tE1�LEN5F• <br />io* <br />eiax <br />SINK 8 <br />HEATING SVSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />1 HEREBV CERTIFY TH�T I HAVE READ AND E%AMINED THIS <br />�PPLICATION AND NNOW TME SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF UWS AND ORDINqNCES GOVERNING TNIS TYPE OF <br />WORK WILL BE CAMPLIED WITH WNETHEH SPECIFIEO HEHEIN ON <br />NOT. THE GRAMING OF A PERMIT DOES NOi PRESUME TO aIVE <br />AUTHORITY TO VIOIATE OR CANCEL THE PpOVI510N OF ANY <br />OTHER STATE OR LOGU. ��W qEGUUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTMORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WMICH <br />APPLICATION IS M�DE AND I COMPLY WITH THE STATE <br />CONTRRCTORS LAW 1B 27 RCW RNO 296.200 WAC. <br />IElEP1qME NU40fN <br />FOR OFFICE USE ONLY: <br />fPON1Nip�LM fIFApS(IP�LN <br />use>arvr �o��ue+ <br />I�FIf.u�li4'IAIiON NJMUw[UING <br />VrvpS <br />CCIOUC�\f.Y M f�SI�F'�.!> CY.C111`nN�IU�O <br />nnescniuxio�nea�o-- nn;rn+ <br />nncnuminm'� nf•mv <br />IY�I f`f fO�IGI 1'l�N[A�f'110Y(Il <br />1 _ ue�t <br />CItY N:9ME55 LiLENSC Np <br />SiOE SEIB�CK <br />nri/�o <br />veceq�snE FEES <br />❑vF5 ❑ W Pu�qxf. --- <br />1f BIOf✓11 <br />riuupivr. <br />B�SF4FM1 MFf.N�Mf.M -- <br />❑YEs ONo -- <br />- eopunvei.n�wortc� <br />ou�Fn <br />541t qllilUM65111K1upEF <br />crtroFeveaerr ���w�����.� <br />LOCALSALES <br />TAX CODE IS 7f05 TOT�I <br />� <br />NO <br />�� <br />