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APPLICATIO�FOR COIdSTRUCTI� PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8010 <br />❑ DEMOLITION ❑ CUMBINA110N ❑ BUILDING �MECHANICAL ❑ PLUMBING O SIGN <br />PROJECTAODRESS: R/I SFrELciar�-�— Mn�� �..�o.v <br />// Cc' <br />�RCIU:CCf0110E51GNE11 MYlLpq1E55 pl�l' )�I� VNONE <br />R�•t,'� cc,..sr. <br />ccNcn.icor+m�c�m uuiwoness arv -- ��i� r�wuc sreieuc[+sc• <br />(�N��zQ� � 4�i�t � 2zo43 6Y�n� S L��,.T W-0 98�3z (Z53iH7z SZ��' EivlEyldp aSSSL <br />4ECN�vi���CONfNtCiOP MIJl�00PE55 (ytt � <br />Ii� V�Ip:E SiAIE IiCENSE � <br />>IUNBINGCONIR�Ciqi HeRApOPE55 plry jIP PNONE $lA1ElF'.ENSE• <br />mt eiocx <br />URINAL <br />FOR OFFICE USE ONLV: <br />rnoH*sc.e�c. ac•nscte.c. <br />USFZONE LOl�f1f� <br />I�flG111UM1}RION NOOfOWEIUHG <br />UMII$ <br />CCCUP��iCY WO�SIOWES CLCUPAHfl0�0 <br />r,vuecn <br />SipE SF�B�Cx <br />VAC.Wi SI�F <br />❑YLS ❑ NO <br />S�lE M BIDGrt' <br />9�SE4ENf <br />❑YFi ONp <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />couuc� nrnsor� �xo r�roxe uo <br />I MEREBY CERTIFV THAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW TNE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIEO WITH WHETHER SPECIFIE� HEREIN Ofl <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE OR CANCEL TME PROVISION OF ANV <br />OTHER STATE OR LOCaL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTflUCTION. THAT I AM qUTHORIZED BY THE <br />OWNEfl OF THIS PROPERTY TO PERfORM THE WORK FOR WHICH <br />APPLICATION IS MADF. AND I COMPLY WITN THE STATE <br />CONTR/A�CTORS LAW iB27 RCW AND 296200 WAC. <br />X M'02-e-C/L �.—� ��5�/r 7 <br />5&NetUNE � J Oe�E <br />CI�Y BUSiNE55lK[NS[ NO <br />BWlLW6 <br />MVIAOINO <br />MECII�NIGI <br />•ppIIOMq R.W CtlfCe <br />OIliE11 <br />SI��E OOilOirvG SIIOCI�e1N:E <br />CITY OF EVERETT I runur.wonxs <br />LOCALSALES <br />TA% COOE IS 3705 , 7o7nL <br />S <br />�ECF�PI NO <br />