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APPLICATI� FOR CONSTRUC'I�N PERM�IT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9�201 • 257-8810 � n <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MELHANICAL ❑ PLUMBING : i SIGN <br />PROJECTADDRESS � 5 a � ���\_ �, <br />� _ _ `LJc� <br />�"��T -- �I..., A�a�pE�� �,,.Mo L= ✓e✓cii' ��'Za3 v�,� v�S-2�o-6880 <br />PlUR011qCONIBACiOfl MA�LAODPE55 CIIY ZIP FUONE 51�¢LILElISE• <br />couuotirrxvemwo„'/ �8C <br />GESCPiBEWOPN�110 gOVeAE��TAGE <br />_�e b•,•• lcI�l Crc <br />�jk..�� Ktteo v� <br />�vnaeos[oo coremm�no <br />aww� <br />llGAl0E5CPiCiqNO PROPERtY15MC <br />LOL 9LOCN _ <br />r�ncc �u� q_I � [' D I �1 _ <br />.� <br />C0�6iRVLiION LO�N LENpCA. ADCl1f5'. <br />FOR OFFICE USE ONLY: <br />«�ONiSEiBACM FGPSEI�ACN <br />LC <br />i5f20��E . _ IOiMEA <br />IIEIGIILl�41LAiqN � <br />I� <br />[i] <br />/ <br />I nres � <br />SiLE O� O�W'1 � <br />� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CCNi�Ci P RSON RNO PNONE NJ <br />-�,- �� c� _ �-l-P � � �-I � . - 3 <br />I HEFEBV CERTIFY TMAT I MAVE AEAD AND E%AMINFD THIS <br />pPPLICATION AND KNOW TME SPMC TO DE TRUE ANO CORFECi ALL <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br />WOFK WILL �E COIdPLIED WITH WHETHER SPEC:FlED HEREIN OR <br />NOT. TME GRAN7ING OF A PERIAIT DOES NOT PRESUI.IE TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING f.ONSTRUCTION OR THE <br />PEFFORMANCF OF CONSTRUCTION. THAT I PIAAUTHORIZED BV THE <br />OWNER OF TMIS PROPERTY TO PEPPORM'fHE WORK POR WHICH <br />APFLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT TORS LAW 1827 W AND 294200 WAC. <br />� U a <br />SiGNAIU �fE <br />cnvo .,��ass�wuac�io <br />eunenw <br />FlU41BOK. <br />MFCH�YiCK <br />AODI1qW.L RAN CIRCN <br />OMLP <br />SiI.IE B W L�MG SUif.uNIGE <br />jT WBULWOIIKS <br />OS TOTAL <br />�� ��PELEIiTNp <br />�� <br />