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,. <br />APPLICATI� FOR CONSTRUC � �IN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STFEET • EVERETT, WA 98201 � 257-BB10 <br />❑ DEMOLITION O COMBINATION G BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />?ROJECT ADDRFSS <br />�o �"� l l.ri w rsz % i!) G-G F-� � F��{. i 1 - <br />pWNEP MAILAOORESS CIiY Zw PHp1E <br />Fk.fsro„1 BFbw.J,�l�c 2Gr�F It4�` tl.r!£ w-1p.�:v��� w�- 9Bs�-i �}Sf)'ID8� <br />T[u�N! LIAIL�IYXIF55 GIIY ZIp P110NE <br />ANCNRECTOBOESpNEP MAIUppRE55 ��iY ��P PN� _ _ �� _�__ � <br />�� <br />�or �� o�ace <br />r <br />F �t M't�-, � t�..t rr_ <br />FOR OFFICE USE ONLY: <br />rrorrtsE*a�cy, �� nEna; <br />v:.� mrve o r� <br />r c- <br />� <br />� nooroweiui+c <br />uxirs <br />aa/4 <br />�src9- <br />�� <br />✓$T4 <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />V <br />I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KN01V THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF lAV1S AND ORDINANCES GOVEHNING THIS NPE OF <br />WORK WILL DE COMP4'ED WITH WHETHER SPECIFIED NEREIN GR <br />NOT. THE GRAl1TING OF A PEPIAIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOIATE Ofl CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTpUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PRCPERTY TO PERFORM THE WOPK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITM� TME STATE <br />CONTRACT� LAW 10.27 RCW AND 296200 WAC. <br />x <br />,,._��..L s/��� <br />51GNAiUNE � OAiE <br />QIYBu5ME55L Ev5EN0. <br />ores a ero �wmna <br />' e�o�c(�r��i. / — <br />%/�'i� 5.1. KuuBiNG <br />�SCMENT VECNANIL.LL <br />❑YES e�0 <br />ADpliqx�LPWlCNECM <br />OTiEIi <br />STeIE pNL01N6 SUPCMIAGE <br />CITY OF EVEHETT rumcw«+�s <br />LOCALSALES <br />TAX CODE IS 3105 TO7aL <br />