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APPLICATI�N FOR CONSTRUC�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERET7, WA 98201 • f425) 257-8810 <br />❑ UEMOLITION ❑ COMBINA�^_ [�B�,I.DIy, ���MECHANICAL ❑ p�UMBING O SIGN <br />nr«en�iwvm�nrn uut�oonrxs � cm —r�� r�iou c��qiicr«si. <br />4iCN�N�C�Lf,ry1i11�f�!)R V��t�f%Mf5$ [Iry jif 1`r10M1f [l�1FlI�fN(f• <br />�i�14BMGCOIIIPK�p� 4u1�[NMES LRx l�P ��IONi SI�ILIIC[NSi• <br />I'upMSf � lKF OI pllll WNII <br />�c: <br />eioCe __ or__ _ <br />urt�ncss rzi�rr�p�E Huunrn <br />FOR OFFICE USE ONLY: <br />i nou� cnn.r. nnn cnp�r� <br />��'.1 Jt14f Illl �1�1• .. <br />.�lil:��� I�V�II.riil\ v 1`WIIIiN(a <br />���.1.. <br />.lii � ' � . e (N � �N1. <br />.� 1 1':1 1 !W <br />..la..�.���li:i' - nV�[�V: <br />TOL\L S <br />�fiT S <br />HEATING SYSTEM; U GAS ❑ ELECTRIC ❑ <br />cavucrornsolyengr.orrno � �_ . _ <br />I HEREeY LERTIFY iMAT I NAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE ANO CORRECT ALL <br />PROVISIONS OF �qWS AND ORDINpNCES GOVLRNING THIS TYPE OF <br />WORN Wq� BE COMPLIED WITH WNETHER SPECIFIED HEHE�N OR <br />NOT. TNE GRANTIN6 OF A PERMIT DOES N^T PqESUME TO GNE <br />AUTHORITV TO VIOIATE OR CANCEL THE PROVISiON OF ANY <br />OTHEH STATE OR �OCAL LAW REGVLATING CONSTRUCTIUN OR THE <br />PERFORMANLE OF CONSTRUGTION THAT I AM AUTHOFIZEO UV TME <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOq WHICM <br />ARPLICATION IS MAOE AND I COMPLV WITN TME SiATE <br />GONjRnCTORSIAW 102] RGW AND Y96200 WAC <br />ci*reuvrvEcsi�cEx.� r�n <br />CED All <br />fPUMP <br />RAIJGE <br />ri�vr�rV.'� <br />(JJ <br />pYfS O �x` PII�II�IW: .. <br />Sil! OI BIIX:v <br />1 <br />�!4R'4�� <br />I�SfMI1� .......— Vfil� . . <br />❑�![ ❑h�: � - <br />� �'Ip�(14 ' A "�P('� <br />__..__ OluF1=— — <br />t uq Nu. Whil ci�nC�unC,t <br />pTYOFEVERETT n�n�.�,:wn�i.a ���_ � <br />LOCALSALES -� -- <br />TAX CODE IS 3t05 7oTaL <br />PERMIT S <br />TOTAL FEE S <br />. 4 _. . ...._ . <br />�_ � <br />�/ G'/� <br />. " '— __'Z.}.�'G� <br />