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APPLICATI� FOi1 CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUI�DING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-BB10 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILGINQ ❑ MECHANICAL ❑ PLUMBIN6 ❑ &ON <br />PROJECT ADDRESS 2�3 � � 1. ..., / <br />J Gf.VK<.Ci <br />;-�tia_aa <br />.ucwrcc*a�ocsGrvcR uui�ooness cm zw r� <br />OENEP�LCONIPACiO11 MNLAOq1ES5 CITY 2i p�p� Si/.TELILENS[� <br />NE.C�N.AN��`CKLON!�iII�(lOfl YI.M1�ppNE$$ CITY $IP p�qryE $iATEIILfNSE• <br />VW�Q \ <br />MUMBi1AiCOM1P�CfOi1 M1R��OPE55 LIiY IIP p�p�( SI�tELKENSE• <br />CON1fl�Li VPCEOF WpV1R <br />�or eia. <br />LENDER,AWqE55. <br />FOR OFFICE USE ONLY: <br />NIIGNIt�NliAtpN INOOGDWELLIlq <br />ONI15 <br />�S <br />SIOE SEiOALF <br />V�L�NLS�tE <br />❑YES ❑NO <br />)F BlI1G41 <br />BASEMCNi <br />❑YES ❑ MO <br />CITY OF EVEHI <br />LOCALSALE <br />TA% CODE IS � <br />HEATING SYSTEM: ❑ GAS � ELECTRIC ❑ <br />I MEREBV CEHTIFY THAT I HAVE READ AND EXAMINED TMIS <br />APPLICATION AND KNOW THE SAME TO BE TflUE AND CARRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINMICES GOVEHNIN6 TXIS TYPE OF <br />WORK WILL BE COMPLIED WITF1 WHETHER SPECIFIED HEHEIN OR <br />NOT. THE GRANTING OF A PERMR DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE Oq LOCAL UW RE6UUQING CONSTRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERT/ TO PERFORM TNE WORK FOR NMICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS UW 18.27 RCW AND 2962W WAC. <br />ly <br />y%fi� / J <br />$�G IUFE OATE <br />LIiT BU541E55 LICENSE !q. <br />OAS <br />NUMBEP <br />aw�orta <br />hUMBING <br />MECHIJIILK <br />/�WlipNµPUNLNECK <br />OiNER <br />S1AiE BU�td1q SUPLWAGE <br />P110LCKtlPI(5 <br />TOTAL <br />PERMIT <br />FEE �PECflVfNO <br />