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APPLICATI(� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />❑ DEMOLITION G COMBINATION ❑ BUILCtlNG ❑ MECY.ANICAL ❑ PLUMBING ❑ SIGN <br />nuc�ur¢cror,oes�cnen ueiuoonsss a*r ziv r�orm <br />C.f.NCPALCONIR4CTOA Y11L�DORE55 <�TY I�P FNONL $il.iElICE115E• <br />CGN1flACTPICEOf WOPN <br />�L'LPIBE WOFN <br />r <br />�or e�oCK <br />CJf15iRlICiION LO�N IENDER. �DOR[55, iElCP110NE NUM6ER <br />FOR OFFICE USE ONLY: <br />vaou.scrwcK aEnnse*onCn <br />uscmue iornaa <br />PEiGMiLIR1liAipN NOOFOItiELUIq <br />UNrtS <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />conv.cr vcawrv u+o r�roi�E r+o <br />I NEREBV CGRTIFY THAT I HAVE READ AND [XAMINED TMIS <br />APPLICATIOY AND KNOW THE SAME TO BE TRUE AN� CONRECT ALL <br />PROVISIONS OF LAWS AND OflDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COhiPLIED WITH WHETHER SPECIRED HEFEIN OR <br />�OT. THE GRANTING OF A PEFMIT �OES NOT PFESUlAE TO GIVE <br />AUTHOfiITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAV/ REGULATING CONSTPUCTION OR THE <br />PERFORMANCE OF COYSTRUCTION. THAT I AM AUTMORIZED BV TME <br />CWNER OF TMIS PROFERTV TO PERFORM THE WORK FOR WMICN <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONT�R�AJCTOPS LAW 1B 9] RC ND 296.200 WAC. <br />x I—ty��� � -/��C <br />:OT111UPF OUE <br />CIiV OVSiNCSS LiGCNSE NO <br />WOOD STOVE <br />FIREPLACE <br />/V ( J' <br />H*5rtE FEES <br />❑vE5 ❑ NO BUILDINu <br />❑Y[5 ❑NO <br />PWMBIIX <br />MCCIIWICAL <br />400iilONI.LGUNCNECN <br />ore�n <br />$TAtE �Vll JI:IG $UFCIIMGE <br />ruei�c wanRs <br />TQTAL <br />neceiaivo <br />