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APPLICATId_J FOR CONSTRUC7.JN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT MiEATING SVSTEM. GAS ❑ ELECTRIC ❑ <br />259•8810 <br />I_l DEMOLITION ❑ COMBINATION IJ BUILDING I IMECHANICAL fIPLUMBING fl SIGN <br />OWNEP WILMpiE65 Glrv ZP P�qry� <br />Housina Authoritv of the_city of Everett 1901 Poplar Everett 98201 258-9222 <br />rewwr �au�ooness cm ar — <br />rHarrt <br />u�cxrceciono¢s�n waan:�ness cin z�r niw+e <br />The Dvkeman 1602 Hewitt Ave Everett 98201 259-3161 � <br />6ENEMlGWTPA41di W,t�pppESg CItY ZIP qpHE ST�TEUCENSE• � <br />Yun's Co, inc, 1600 So. Graham St. Seattle 98108 764-0170 YUNSCI*097CD <br />MEGW11CA1C011iMCTOP WIL�0011E59 CiTv IiV RIONE St�TELICFNSE• <br />SnH�u n �. nL�r.�y <br />PLW0N6LOHiMLTpi WItAWPE55 tltt ZIP PIpNE biATEUCENYI <br />•„� f. � ..�'n � <br />Ll/SSOF VIMN <br />❑ NEW Il AUDITION I I ALTERATION I I REPAIR I I DEMOLITION I I WOpDSTOVF1fRPL INSERT I.I BUILDIN� RELOCATION <br />GONT/�GiPEH50NANppIqNElp — <br />�WiAGE <br />"�""""""""°""'"" 1 HEflEBV CERTIFY THAT I HAVE REAO AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL <br />LE6LLOESCPIPfpHOFPPOPEP1Y�51qNT1g[LOWOqATV�CHiWRtOPIES) PROVISIONSOFUWSANDOflDINANCESGOVERNINGTHISTYPEOF <br />iai �� � WORK WILL BE COMPLE7ED WITH WHE7HER SPECIFIE� HEflEIN Ofl <br />NOT. TNE GRqNTING OF A PERMIT OOES NOT PRESi1ME TO GIVE <br />AUTHORITV TO VIOLATE OR CFNCEL THE PROVISIONS OF ANY <br />OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. 7HAT I AM AUTHOflIZEC BV THE <br />OWNER OF THIS PROPER7V TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MhDE AND I COM?LY WITH THE STATE <br />CONTRACTORS lAW 1827 RCW AND 296200 WAC. <br />X �� 1� �� � a�E«�w <br />k„.�,.� <br />FOR�bFFICE USE ONLY: <br />f110Ni5ETBALN pEM: <br />OUILDING <br />IYMOfCON15.41PV.10lF IYRIXCOMS�.I.CIWt qun.w,� Yp.npniincunis <br />� PlUM01NG <br />SQEaFOlUO. I Iq.OF510flF5 BASEYENi MEGHANICAL <br />WTNtEBv <br />4urte➢ON ADOITIONr1LPUNCHECK <br />CPPINNIFH <br />ST�TE OUILOING SUflCHARGE <br />PUBLIC WCRKS <br />3105 I Tou� <br />�� <br />