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APPLICATI�I FOR CONSTRUC'�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA BB201 • 257-8810 <br />❑ DEMOUTION ❑ COMBINATON O�BUILOINO ❑ MECXANICAL ❑ PLUTABIN6 ❑ SKiN <br />PROJECTADDRESS t � G r ,hS�i J8a0I <br />3ou� -S'e� nc� <br />ONNEP M1M1Mp1E55 CRY ZV VIICIE <br />i� l,'y �+ 6nae �. A/bn� Y'TSen id��t�1f 9&1e / 4ai5 -�59- gi39 <br />iENN(f N�RMW�E55 CrtT 2i PqNE <br />a�� /,�e �;�v �.��9�ir <br />�� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTAIC � <br />O[SCaiBE <br />I MEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />L v rt' � � APP�ICATION ANO NNOW THE SMAE TO BE TRUE AND CORRECL ALL <br />caproseouse a em�o�w�J PROVISIONS OF UWS AND ORDINANCES 60VERNIN . THIS T'PE OF <br />WORK WILL BE COIAPLIED WITH WHETHER SPECIFIED HEREIN OR <br />iwuocscnm�w�+avero[nrvis�wwxoeiowane**ncurnocoeies� rypL TNE GRANTING OF A PERMR DOES NOT PRESUME TO GIVE <br />mr BiotK w AUTHORITY TO VIOUTE OR CANCEL TME PFOVISION OF ANV <br />OTHER STATE OR LOCAL UW RE6UUTING CONSTflUCTON OR THE <br />PERFOFMANCE OF CONSTRUCTION. TMAT I AM �UTMORIZED 6V TNE <br />OWNER OF THIS PROPERTY TO PERFORM TXE WORN FOR MMICH <br />APPLICATION IS MADE AND 1 COMPLV WITH TME STATE <br />reucELr�u o rmve CONTRACTORS LAW 1027 PCW ANO 296200 WAC. <br />�"24oa oaoa. <br />C0115iPU 1qNl0�NLEHJER,AUME551llENqNEMIPBFP z �_�3-oa <br />$161UiUPE h <br />CITY BIIYNlSS I�LEMSE NO <br />BAR, <br />FOR OPFICE USE ONLV: '�� <br />iPO11I5ET046 PEdRSflO�CN SIpE5f10EfiK ��w� <br />XEIGMi <br />lO1ME� V�CulI51iE <br />_ - ❑res Pr� aui�onic <br />n�ia� wr°srowcwnc s¢e� �oc1� <br />PLUIIBING <br />Y N]C[STCAES OCCt11'1MLOAO BASEFI[NL � MFCH/.NiCK <br />❑YES <br />inl[nP[Oo PE�SON ��1��P�CNECrc <br />OiNEP <br />IPE00 PEASON <br />SI�iE BUaOWG SUPLI�MGE <br />�si aiu+s�nvawEoe CITVOFEVEREI'f waicwaas <br />LOCALSALES <br />'� pe1E `�/'� p� TAX CODE IS 7105 TOTILL <br />UNRS <br />SUB <br />