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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEREff, WA 98201 •(425) 2i7-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECNANI'�AL ❑ PLUMBINO ❑ SION <br />PROJ�CT ADDRESS: l O% SF E1/ERE11'/11A(1 /�JAy� <br />S /C � � <br />1FNANl 4MtMME55 Gn I� o�E <br />�PLHRCLi011Cf$�GNE11 M/JIAOMIE55 <br />pirc rir rrqxE <br />V� <br />��^, j�p p�pryE SIAtELICENSE� <br />VIU4BMGCON1PAGlOR MNL�COf1E55 <br />oeumee <br />io� eiax <br />�.. <br />POR OFFICE USE ONLY: <br />rnoursr*n�a n«ns[ie�tK <br />lK[ 00Nf IO�ARF� <br />uCIGul1141��110N N010fOWFWNO <br />OYES ❑ M� <br />❑vF5 O MO <br />crtr oF <br />LOCAI <br />TAX CO[ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEHEBY CERTIFY TMAT I MAVE READ AND EXAMINED TMI's <br />APPLICATION AND NNOW THE SAME TO BE TRUE �ND CORRECT ALL <br />PROVISIONS OF UWS AND ORDINANCES GOVEHNING THIS TYPE OF <br />WORK WILL BE COMPLIED WiTH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GR�NTING OF R PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLpTE OR CANCEL THE PROVIS�ON OF ANV <br />OTHEF STATE OR LOCN. LAW NEQULATIN� CONSTRUCTION OR THE <br />PERFOfiMANCE OF CONSTRUCTION. THAT 1 AM RUTHORIZED BY THE <br />OWNER OF THIS P.iOPERTY 10 PERFORM THE WORK FOR WMICH <br />pPP RTION IS MADE AND 1 COMPLY WITN THE STATE <br />NT ACTORSLAW1B27i�NANO G200WAC. <br />V <br />-v- <br />% D�IE <br />S�GM <br />Grv rvE5 E , iro <br />i <br />BMdNf. <br />OIOMRW6 <br />4FLN WIUI <br />1pp11pNALR�NCIICCM <br />O�NER <br />SI�IC BN101N6511f1C1UMF <br />1'IIBIIf.WOI�KS <br />TOTAL <br />