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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINO O SION <br />PROJECTADDHESS 3�oa �ca�,�.o� Av�. �ve�-r wrv qezol <br />�ncnrtcct�oesar�n �u«ooncss urv zn npr,� <br />GENEMItpITR�CTOa MNL.bpaE55 CIiY IV PIpNE BT�iELILENSE• <br />rtrvaveo <br />�a. a�ocK <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO NNOW THE SAME TO BE TqUE AND CORPECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREI4 OR <br />NOT. iHE GMNTING OF A PERMIT WE3 NOT PRESUME TO GIVE <br />AUTHORITV TO VIOUTE OR CANCEL THE PROVISION OF ANV <br />OT IER STATE OR LOCAL UW REOULATINQ CONSTiIUCTiON OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY T11E <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK Ff�R WHICH <br />APPL'CATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRALTORS UW 18.D GCW AND 286.200 WAC. <br />CItY BU54lESS LICENSE 1q <br />FOR OFFICE USE ONLY: � (Vj '] — <br />FPONTSEiBACN REARSETBAC4 $ICESEIB.�Ctl pUNONECN F <br />use za�e <br />nemN*uun�ria� lew orow[wra <br />UN�1$ <br />❑rEs ❑No <br />emiomn <br />mrt i <br />RUMBWG <br />4EHi YECNANICII <br />❑Yi5 ❑ Iq <br />AWIT ^41!/QPUN CNFCI( <br />OtMEP <br />STAiE BUIlfM11� SURLHMGE <br />�tXETT NBICNVnRS <br />ALES <br />IS 9105 707�L <br />