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APPLICAT�PO FOR COWSTRUC�ON <br />• CITY OF EVERETT • BUILDING DIVIS�JN <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />[�'DEMOLITION ❑ COMBINATION ❑ BUILDING '� MECHAa�N A <br />PpOJEC7ADDRESS: CA7 SE f-�ftEl'r �� �^'+HI suscE"7 <br />(��)cyt� p�p� (LO�I y'c fiFl�fMfLw.W EUrL� F <br />EN MNLAWi1E55 Un' �� P��E <br />t�- � Sl{OP <br />TENNIT WILADDRE55 GlY IIP Y�1CME <br />� <br />p PLUMBING ❑ SIGI <br />♦IKIn1CC1p10E5�GNEl1 4utI.0011E55 Ciil I�� vNOxE <br />♦ <br />GEHEfLLLC0111MGtG1 YMA0011F55 CIIY bP nIWNE [IAiEl6EN5E� <br />�e.s.d�� ' <br />,4(GMMNBMCCNIqeCtOV1 MNLAOqR55 Orv }iP P�IONF SIA�FI�CENSF� <br />7 �E F�nrcrre� z,c,�a« MaF,c rnco�w 9P4zY zcasacrz�aa �h-t,xr'"FkAac.F <br />PIVYB�MGIdi NaILA00NF55 Gfv I�p ����E SIUEUCENSF• <br />� n�"-"COM�..CC <br />.o[uanvriw o� vwori <br />loT e�OGt <br />CONSIPUCiION <br />�. <br />FOR OFFICE USE ONLY: <br />mavrseto�cK ne�n: <br />SONE <br />�11�UWfAfION IVNIIaOWElL1114 <br />MIMBEP <br />SIOESfiB�CK <br />YALAN�SIIE <br />OVES ❑ NO <br />Oi BIONI l <br />BlSE4Ex1 <br />❑vFS p MO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />coNr�cirEnsouuoor�orn;wo <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI: <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND LORRECT ALI <br />PROVISIONS OF LAWS NJD ORDINANCES GOVERNING THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OF <br />NOT. THE GRANfIN6 OF A PERMIT DOES NOT PPESUME TO GIVF <br />AUTHORITY TO VIOLATE OR CPNCEL THE PROVISION OF ANl <br />OTHEF STATE OR LOCAL IAW REGULATINO CONSTRUCTION OH TH! <br />PERFOPMANCE OF CONSTRUCTION. THAT I AM AUiHORIZEO 8Y THE <br />OWNEH OF THIS PROPERiY TO PERFORM TNE WORK FOR WHICf <br />APPLICATION IS MADE AND I COMPLY WITN THE STAT( <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />��— I �Il a/�,r- <br />SIGNAiVNE OAIE <br />tYiY BUSINESS I�LENSG N0. <br />���� Y r� i <br />FEES <br />ONIIMNfi <br />Pl11MOW0 <br />MFCIIeNiGI <br />A�W IION�L 1'lAN CIIFCM <br />OIIIEf1 <br />SiefE OVhOwO SIIIICNApOE <br />CITYOFEVERETT M�mrwonnx <br />LOCALSALES <br />TA% CODE IS J105 Toini <br />