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APPLICATI� FOR CONSTRUC�N PERIV�IT�,�}� <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8870 ��-- <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL fi7 PLUMBING ❑ SIGN <br />ADDRESS <br />OWNCR MMUDDPE55 CITY ZIP PNONE <br />,Peon�.rm, P/I�n Sad .tcsCruc� t4- �r1,flC r.iN �171" �S:J 21/�` <br />TENANL ��IUDOf1E55 Llrv ZiP MIONC <br />G(/cilcTi ,OCitu.-y .Ccr,tv/ �a"7 ,ftr GT�i,c.rc--- H4ia�c �.�tt- — <br />PRCHIi(CiORpESqN[R MALL�DOR[55 CILV JP �NONE <br />6'.4Fr/ycY I'c.-r� �a� �/ /s�"�.wc .f[j �c .�-/�2p�_ �/z f 3JB' 2� �Y <br />�GE/�NERRLOIRRECLOF MAIL�D 1iE55 CIiY ZIP ^�qN[ Si�tEOCENS[• <br />MECXnNiULL011iRACtOR MI.ILAWPESS LIIY ZW PIIONC Si11ELICENSE• <br />/� a, 9-,,., �� s?iP-8tr"ap't� Evun:y 9P�os _.PvF-P`or �,a/' ut xniiH <br />�VWMBiNGCOHiR�GiOR M�ILAO�PE55 LRY 21P PNONE S1Ai[IICENSE• <br />PPOPOSEO VSE Oi 9VILUm � <br />iEcu oexmauor+a rnoveatt �s��av <br />�or eimK _ <br />P4ACELUMIO.NUMOCN <br />consmucnorvionrvienccA.wonsss. <br />FOR OFFICE USE ONLY: <br />iROtIiSE*9ALN �E�u5El0ACN <br />usEzonE �o*u+u <br />��sicNruMrtniror� r+a; s�owcun�c <br />CLCUPANCYI�i0C�5t0�i$ CCCUPANIlOAO <br />SIDE SELBeCN <br />V�L�Ni SIiE <br />n.cs ❑ rvo <br />siz[ or e�oc� i. <br />OASEIIE11i <br />f1YBS ❑NO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />rnur�er nrnmri exo a�aNe eq. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND HNOW THE SAME TO BE TRUE ANO CORRECL ALL <br />PPOVISIONS OF LAWS AND OPDINANCES GOVERNING TMIS 7YPE OF <br />WORK WILL BE CUMPLIED WITH WHETHER SPECIFIE� t1ERE1N Ofl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM�c TO GNE <br />AUTHOPITV TO VIOLATE OR CANCEL THE PROVISIOk OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHOFIZE� B1' THE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />WNTflACTORS LAW 1827 RCW AND 296200 WAC. <br />x �,�.f� ,,�'sx T-/r Bd <br />sicnerune oere <br />urv eus�r�ess ikerse �io. <br />AIR <br />PUNI'HELRNUMOEP <br />PEES <br />emmn�o <br />PWMBING <br />MECMANICAL <br />AOOIilONA1.pWICB[CN <br />OiNEF <br />SLAIE BU'�Lt1Rtl SL'RCNAOLE <br />CI7Y OF EVERE7"f Pueic wonns <br />LOCALSALES <br />TA% CODE IS 3105 7oinL <br />5 <br />