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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETi, WA 9820 i•(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUM8ING ❑ SIGN <br />PROJECTADDRESS: 6<'J S.i. Cvv«�}�r M..II ✓:., - Lo..rt- rl.,..� 5�..�'L, <br />J' <br />Cliv <br />G(NL�4(� Cb�l11�C1O/I 1 N�1� �OIN�FS$ CIIY li� �.INJ`IC C�I.11 I�ClNSF • <br />G:.j'�}AI.� I.JnJ�1. .��i�'.11�M <br />YFb1/.H�C0.0 v�MC1p11 1/�ith0(.�' E55 C.iIY I�N M�ON[ 9��ilICENSE• <br />-LJrr:�r,.`l�t 6/v.. P.a- ue.f �SJ➢ LV� q�oL 1fL311H _C✓C/((�:—SOA20'r <br />niuuEi�ccoqin•npn yn�emn[ss a*r r�v rNoa[ su�r�Kcnsv <br />H.J. A c <br />LO1 BIOCK <br />u�m[ss. �c�cMwr�s H�uxEn <br />S <br />FOR OFFICE USE ONLY: <br />Fnourvm�cK nr�n� <br />11FIf11�11411�11pN <br />occvrewcr w r�.mo <br />cnom• <br />iiFC SPBiNnL[N PE?0 <br />rwc eur++� aio 0 <br />ioi�n[� <br />HEATING SYSTEM: Lf9,GAS ❑ ELECTRIC ❑ <br />I HEPEDY CERTIFY TNAT I HFVE REAO AND EXRMINEO THIS <br />qPPIICATION AND NNOW THE SAME TO BE TRUE RNO CORRECT ALi <br />PPOVISIONS OF LAWS FND OROINANCES GOVEflNING TI/IS TYPE OF <br />WORK WIIL BE COMP�IED WITH WHETHER SPECIFIED HERE�N OF <br />rorvt5i NOT TNE GR/.NTING OF A PEPMIT �OES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL 7HE PPOVISION OF ANY <br />OTMER STAi E OR LOCAL LAW REGULhTING CONSTPUCTION OR THE <br />PEFFORMANCE OF GONSTRUCTION. THAT I AM AUTMORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM �HE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TME STATE <br />CONTRACTORS lAW IB 27 RCW AN0296100 WAC <br />x�� �-z6•R9 <br />:cN�mn unc <br />CIfvBUL�2551�C[NS! r�0 <br />❑v[s ❑ ru <br />MO O� I1wElliNG SRE O� BLW91 <br />IINIIi <br />❑Y[i ❑ Nn <br />HEAT PUMP <br />vlOOD STOVE <br />nw nivr. <br />1�IIIMfl�Nf <br />uvc�nmru __.. '__ <br />�Op1inW � r� �u <�rtcv <br />nrorn <br />41/.t! fl11ilU�Nl:ci��C1��11f.! <br />CITY OF EVERE7T rnvur. wnn.c <br />LOCALSALES - <br />TAX CODE IS �105 TOT�L <br />PEP.MIi S <br />FEE <br />