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APPLICATI� �OR CONSTRUC'i�N PERMIT� <br />CITY OF EVERETT • BUILDING �IVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />❑ DEMOLITION p�ir c:c7MBINATION ❑ BUILDING ❑ MECHANICAL O PLUMBING O SIGN <br />PROJECT ADDRESS .. . ., . _ _ � <br />ZiP <br />ec I HEATING SYSTEM: .�AS ❑ ELECTRIC ❑ <br />lOT BLCCM <br />NUTAOEP <br />NO. <br />FOR OFFICE USE ONLY: <br />veorv* sE*oncK ae�n 5[macK <br />I MEREOY CERTIFY THAT I HAVE FEAD AN� EXAMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OP�INANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH VJHET:icR $P'cCIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />AUTHORIrY ?O VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTMER STATE OH LOCAL LAW REGULATING LONSTRUCTION OR THE <br />PERFORhIFNCE OF CONSTPUO �ION. THAT I AM AUTHORIZED f1V THE <br />OWNLP OF THIS PROPERTY TO PERFORM THE WOC.K FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTOFS LAW 1827 RCW AND 296200 WAC. <br />, �°,�/,�;, .�- �-� <br />5 � AE � Deh <br />V BUSiNE55 LILENSE NO. <br />usEmue win��u ....������ .�.... ...__..._ <br />CVES ❑ NO BWt��HG '�"� <br />`}/ LY7�� <br />nEIGNiLIMIlA1qN 1qOFpN[LLIIIG SIZ[OF6LD4TI <br />u�ins aw�mixc <br />OCCOGMICV NOCfS�OF�ES CCCLIANILOAO O�SEMENi MECINNIGL <br />G�OVP <br />❑YES O NO <br />iIPESPPV�xIpPREOD NWSOf1 �O�IiIONI.LPLWCNEGB <br />�� �.� is r . c rs�= � ��� � o�.,Ea <br />FlPEeuP Eo0 fiEFSaN <br />% IZ � srr.rEeunonucsuacwace <br />:vveoi orvsr vwisnvcnweonr�r GTYOFEVERETT weucwonKs <br />LOCALSALES <br />....� ¢� �ni) TA%CO�EIS3105 TOTAL <br />