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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEflETT. WA 98201 • 259-8810 <br />f7 DEMOLITION I-1 COMBINIITION fa'bUILDING i�'MECHANICAL fl PLUMBIN6 fl SNiN <br />PROJECT ADDRESS _ _ _ . . _ _ _ <br />OMNEN unReIX�n[s5 cin r�r nqryF. I <br />J u/ i o �..� ']�' �- $•(t+r�-t__ Ss�-r...�.t� <br />lEN/�N! 4�II.MNMf[i qIY )In AqNF <br />�qL111iCCTp1lK.SqNCP M4l�Op�(SS Cltt SO' PIqNF I <br />�G1.IJ�Caw/ �r' � 9C i rii iGl '.J �, i,L /� �i w/ SCa ?�i s�� c p o N°".o ur�B °AM <br />ccncnuconm�Cirn 4�n�wr�s5 a��r :m n+mh Sr�reikcusrr <br />4FCN,1MC0.0041R4CLOA 4Ml�WNE55 Cltt ll1' CIIC+:C S1�iElICENSE• I <br />lOi _ PLOCN <br />_ Uf11NAL <br />FLOOR <br />SINN �SERViCE — <br />FOR OFFICE USE ONLY: <br />rro�r�istie�cK nr�nsrro�crc <br />r�ciart uuit�nou <br />S <br />Srtl[ SEiBACN <br />IOf I.P(A VAC�M 91[ <br />IlYES !t NO <br />ra ar rnvcunuc szE a oioan i <br />VNIIS <br />IX,'NP/iNll0�0 PAYKMI <br />nvEs nxo <br />CITY OF EVERETT <br />LOC�L 511LES <br />TAX CODE IS 3105 <br />HEATING SVSTEM: I l GAS <br />uw*�c� rcnsrn nrm rvqve ra <br />�� I <br />I HEREBV CERTIFY THAT I MAVE READ AND EXAMINED iM15 <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LA\YS AND ORDINANCES GOVERNIYG TNIS TVPE OF <br />WORN WILL BE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE GRANTINO OF A PEPMIT DOES NOT PRESUM'c TO aIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. THqT I AM AUTHORIZED BY THE <br />O\YNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICM <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTpAGTORS LAW 1827�CW ANO 2� AC. <br />��/ / / ) <br />,Yt z����.0 V�/�f` <br />i r�emne ue�E <br />LI1Y BW N[SS lKCkS[ NO <br />TVPE OF <br />STOVE <br />ounomn <br />1'1U40MG <br />N[C�UNKK <br />•IXMIpN�l0.ANCl4CIl <br />01l4R <br />Sf�t[ 9lMDIN35U11CA1�'q[ <br />1'UPIIC MOfIMS <br />TOTAL <br />� <br />SUB <br />r[E I eECFirI <br />