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APPLICATI� FOR CONSTRUC�N PERMiT <br />CITY OP EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETi, WA 88201 •(425) 257-8810 <br />❑ DEMOLRION �' COMBINATION ❑ BUILDINfi ❑ MECMANICAL ❑ PLUMBINO ❑ SqN <br />PROJECTADORESS: 'L 2 �-3 F�Rv+rn P�� <br />tZ <br />iFN.Wt M41Yfprt55 tln )�v p�ryF <br />� <br />I�IILMRL�OR�(SIGNFR 4MIpppES$ �IIY )ip ���yF <br />N��-SAu,corsn zriL.Nrc.+c�a� 9bt.�r tf�-9ysaN,�c.dsq�cs�pa9 <br />pFMf04LONt0�GILA Mul�qMf55 [�Iv lil' I.iq4[ [111L1KfN5f• <br />YECNYaC4CONIn�CRM - 4nLllpef55 _ LiM1 !n� p�qyf SirtplKfMSE• <br />roouu Nvavto <br />lor etOLR _ _ pr_ <br />^.wtEt riu i o r�rMe[n <br />SooL o�o po 7 oa <br />:a.�srmicr� �aw i En+xn. �otwcss. rEici+ror.E M. <br />FOR OFFICE USE ONLY: <br />rnaNrvrx�a or.o� <br />usf rmr <br />��FIfN1�IVll��py <br />occue�eo v,r <br />IOI�RE• <br />MO V OW[llIN6 <br />LOF SFIB¢a <br />V�C/�N�yIE <br />OvFS O w <br />NllWrtl <br />8�5F4EO� <br />❑��5 ONO <br />HEATING SVSTEM: (jd'GAS ❑ ELECTRIC ❑ <br />1 HEREBY CERTIFv TH�T 1 MAVE READ AND E%AMINED TMIS <br />�Pv�ICATION M70 NNOW TNE S�ME TO BE TRUE ANO CORRECT µL <br />PROVISIONS OF ��WS �ND ORDINRNCES GOVERNINfi THIS TYPE OF <br />WORN WII L BE COhML1E0 WITM WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR�NTMf. OF A PERMIT ppES NOT PRESVME TO GIVE <br />AUTHpR1TY i0 VIOLATE OH CANCEL THE PROVISION OF �NY <br />OTMER STATE OR LOCly UW REGUUTINO CONSiRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. TN�T I AM AUTlqRqED BY TIIE <br />OWNER OF THIS PROGERTY TO PEflFORM THE WORK FOR WNICM <br />�PPLICATION IS MADE AND I COMPIY WITH THE ST�TE <br />CONTHRCTORS LAW 1827 RCW �ND 296700 WRC. <br />% T � �'Q � <br />=�cx.�wE o��[ <br />CIIYlUlM55lKfN5CN0 GO� � <br />HF.AT <br />P��tMN�. <br />rurunwc <br />un:w�nru _—�"" <br />•qY�iOM�i P��NORL <br />OU�[R <br />aur PunU�bf.S���[wncF <br />CRY OF EVERETT nur. wnn.� <br />LOCALSALES r,� <br />TIUf CODE IS ]105 TOTAL <br />TO7�L FEE f � <br />rEF nfcrm�w <br />VALU11110N I <br />