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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITV OF EVERETT • B! �ILDINCa DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />�I UEMOLITION fl COMBINATION f� BUILDING �CHANICAL fl PLUMBING f�l SIGN <br />PROJECT ADDRESS �� � ,� _..., <br />I�P <br />ARLIryTCCiOP�E51GNf.11 4MIRIfME55 LItY )�p epp�p <br />OENEf1AlLONlML1p1 MAI(.1ppf1f55 LIIY II� PIqNE 5I�I[IICENSE[ <br />I HEATING SVSTEM: �Lti@AS r1 ELECTRIC fl <br />osscnia¢ wwK <br />I HEREBY CERTIFY THAT I HAVE REAC AND E%AMINED THIS <br />vr�proscDusc or nu�wua APPLICATION AN� KNOW TlIE SAME TO BE 1RUE AND CORREGT ALL <br />PROVISIONS OF LqWS AH� ORDINANChS GOVERNING THIS TYPE OF <br />WURK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />iwuoeumrnoHorvnor¢nn�vrowrvxeipwpurrncHryqcpnes� NOL THE GRANTINO OF A PERMIT DOES NOi PRESUME TO GIVE <br />ior eiacK or AUTHORITY TO YIOUTE OR CANCEL TME PROVISION OF ANY <br />CiHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTqUCTION. TMAT I AM AVTNOflIZE� BY THE <br />OWNER OF THIS PROPEATY TO PERFORM TME WORN FOF WHICH <br />APPLICATION ADE COMPLV WITH THE STATE <br />cencel*�ui n CONTRACT LAW VAND296200WAC. <br />��'(h) 2v -UU o ' � � �% G% <br />cb�StnUC Ox�o�xlcN�En.MqiE,'..rEIEWqNE1NMBFp �. / <br />_ SIGNAiUPE D�fG <br />Clry BU9NESS IICENS[ Np <br />FOR OFFICE USE ONLY: <br />IOONISFiP�Ltl REROSFiBI.LN <br />[f[ <br />I1:?S 11110 pNlt11NG <br />11CIGIItlIMIl�iION NO'CF�WfWNO 512E0[Bla�tl <br />ftVYOiNU <br />OCCIIPI,NCY NC O�S�OWfS OLCUCANfLO�� 6ASEMENi <br />f.410uP N[CM�111C.µ <br />II�ES II NO —� <br />App�ION�L 1'LAN L�1[LR <br />OIP[P <br />SUlCONIDMfi5U�O1Mf.E <br />CRYOFEVERETT rumicvronrs <br />LOCALSALES -- <br />TAX CODE IS 3105 7o7AL <br />$ <br />S <br />