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APPLICATI� FOR CONSTRIiC'I�N PERMIT� <br />/ CITY OF EVERETT • BUILDING DIVISION <br />/O/��D uS� 3200 CEDAR STREET • EVERETT, WA 98�2 � 257� 8�0�0�1� <br />❑ DEMOLITION ❑ COMBINATION �i BUILDING "�' MECHANICAL ❑ PLUMBING G SIGN <br />PROJECTADDRESS . _ ��-� <br />zw <br />FWVJIHGCONINACiON � <br />��vr T#iE wM � <br />�ONi[)>�G' PP�iCrE�OF WOBN <br />��b�WO � Ck� <br />DE :LPIOE WOPR ANp SOORRE fWiRGE IIN0.VE� <br />_��4 �c: � <br />iPJPOSCD IISL O! pVILD'��IC <br />12ES7�uRANT <br />tEGAL oESCRIFlloJ o: rnavEntv SNONr1 oELox <br />ior_ o�ocx o�_ <br />URINAI <br />DRAIN <br />�A-� (�2�' SC/a-C7l,E l ��� 9q}l2z S�1hWoL;K U(iCC' <br />CILY IIP PNONE SiAtELILEIlSE• <br />IELECNONE NUMBEP <br />— BAR. ETC.� <br />FOR OFFICE USE ONLY: <br />iRO�IL5Ei0=CR � NCP/'�AC✓� CJ- SI�ESEiOACR <br />) /\� <br />HEATING SYSTEM: L}.CGAS ❑ ELECTRIC ❑ <br />LONi�LtPFP50NN10PIqNENO i . <br />1 HEREBY CERTIFV THAT I HAVE READ ANO E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCE$ GOVERNING TMIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTMORITV TO VIOLAiE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR �OCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTR TORS LAW 1827 RCW AND 296200 WAC. <br />x �'��„✓ D�l�ZJ�d/ <br />SIGN/. pE Y4iE <br />r�i', /z <br />ci*r ousi�+ess uccr�se rro <br />GAS <br />STOVE <br />PIPING <br />uceZone imanen wcwi5i*[ FEES �A <br />�' 1 � �res o ewmua <br />I�E�ullt(IIAIiAiIjN IIOOFp1YElL111G SIZ[OFOL 1��%h� � <br />pNItS �� nO � PLOMBiNG <br />fCCOVANLV IqCi5i0FF5 OCCU��NiLOM 0�5ERENI MEOI�WUL <br />G�OUV � , �� (7 �� <br />� ❑YES NO <br />�iPESPPiNRtERREOD �E�SON �I �OOIIqN0.PlANCNECN <br />�i��i ��IJ' //�� . 0➢�EP <br />Fli�EAURMREO� REASON <br />Y� �i y� �/��l^ St�tEBWl�it�OSURLMIPGE <br />rrceorcor�s. rur�s�PP�oveoov CITYOFEVERE7T wei�cwcaxs � <br />�' �( % � ' LOCALSALES <br />o�rE � / �( TAR CO�E IS 3705 TOTAL <br />�'"'�' �� �'-`-'- '_ ^ � <br />5 <br />7 (J I PECEIPi NO <br />� <br />