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APPLICATI�1 FOR CONSTRUC�N PEC�MIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BWLDING C3�MECHf�NICAL ❑ PLUld81NG ❑ SIGN <br />PROJECT ADDRESS �O <br />�E Ed«�/ �1� << u� <br />O'd'AER �I NAiU0DRE55 CIIY /' ZP �1 PNCNE <br />.(�oRI�� �CE�?4v,�A�lr Go7s� Ei2�ei71✓fA'� �/ j'c.s-�,+- / <br />TENANi MAILADOflE$$ LITY ZN FNIXIE <br />APCNIiEC�OPOCSGNEP M.11L�N'FESS LITY ZIP PNCIIE <br />>/LY�..��iz �o <br />0 <br />PLUMBi11GCONLMCiOfl MAILP�OPE55 CIiY 2N %qNE SiAtELICflRE� <br />ocscnieE <br />�o* <br />CCfl51BOCilOf1 LOAN L[N�[0. AWFE55, iCLE%qNE NV NOEfl <br />BATHTUB <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />rnor�rseroncrc ncnnsErencK <br />I�GL 3011[ � IOLAPE� <br />�•.cic�rcuurt�rqrv rvoorowcuir+c <br />murs <br />p(f,UPpNGY A1Ci5tOfl�ES CCCUPANLLOAO <br />/� <br />❑YES ❑ NO <br />HEATING SYSTEM: ❑ GAS ❑ ELECTflIC ❑ <br />1 HEREBY CERTIFV THAT I HAVE READ AND EXAMINED TNIS <br />APP�I�ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP[ OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR <br />FOL THE GRANTING OF A PERMIT OOES NOT PRESUME 70 GIV[ <br />AUTHOflITV TO VIOLAiE OR CANCEL THE PqOVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTHUCTION. THAT I AM AUTHORIZED BV THE <br />OWNEFi OF THIS PFOPERTY TO PERFORM THE WORN FOR WMICH <br />LICATION IS MADE AND I COA7PLY WITN THE STATE <br />CO TRACTORS LAW 18.2J�CW A 296200 WAC. <br />,v <br />.. /1/�Lw% 5 =! ' 00 <br />amtoirvc <br />R�IIBiNG <br />��SENENi MCCNANILAL <br />❑YES ❑ NO <br />A'J�It10NK V:NI CH[CN <br />OiNEF <br />SLAiL B WLO�NG SUFGIMG[ <br />CITYOFEVERETT PuoiaxonKs <br />LOCALSALES <br />TA% COOE IS 3705 To7AL <br />