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ApPLICATI� FOR CONSTRUC'Y�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STRFET • EVERETT, WA 98201 • 257-tlB10 <br />❑ DEMOLITION ❑ COMBINATION :7 SUILDING �.MFCMANICAL ❑ PLUMBING i�l SIGN <br />— T� )1c�e/� ! <br />� <br />iCH�Ni VM4LI.ODRE55 � GTY ZP %1y1E <br />UICIIIRCi011UE5GMR Y�RApCRE55 CItY 2P plpAe <br />GCNCP.LLCONiReC1tM YnLApORE55 C�1Y Zb hqNE SiItEL6CN5E• <br />.or <br />cousinucrrorviou+ <br />e�otK <br />SINK 8 <br />FOR OFFICE USE ONLY: <br />ffiCNL5EIB�LN PEAHSEiBACK <br />UGCICIIE LOiME� <br />uLip�I1LtYIGlq11 NJOiDWClLIH3 <br />UwtS <br />&D[ SEtB 1CN <br />HEATING SYSTEM: <br />❑ ELECTRIC ❑ <br />I HEREBV CEPTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND Ofl01NRNCES GOVERNING THIS iYPE OF <br />WORN WILL BE COMPLIEU \YITH WMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANLEL THE PROVISION OF ANY <br />OTHER STAiE OR LOCAL UW REGULATING CONSTPUCTION OR TNE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TME <br />OWNER OF THIS PROPERTV TO PERFOPI.1 THE WORK FOR WHICH <br />APP�ICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29fi200 WAC. <br />z l�l7YlM��G..l�O.1<E�Gl�L�tvl �i�2/�dd��l <br />saiuruac o+ie <br />Crtv BUSiMFSIiC[NSG NO <br />ac—nmNo�c <br />METAL FIREPLACE <br />TOTAL <br />_ ^ /� iEE I PCC(IPf NJ <br />L� <br />❑YES ❑ � BURD�NG <br />'BIDGT <br />HU4BiMG <br />�SENENT NECN.IML�LL <br />❑YES ❑ 1q <br />ApDIiICN4�LNICNECN <br />OiNEP <br />SUIE OVM1OaG SURCN�RGE <br />CITY OF EVEREI'f woic waixs <br />LOCALSALES <br />TAX CODE IS 7105 TOT�L <br />