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APPLICATI�1 FOR CONSTRUC�N��I�IT <br />CITY OF EVEflETT • BUILDING DIVISION ( <br />3:.10 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />�l DEMOUTION fl COMBINATION fl BUIWING jYME HA�CAL fl P�U�IZl�97 fl ION <br />PROJECTAODRESS . :��;� .._.. <br />c�n <br />o-9�ci <br />LM� o-q,4¢,.�d 16Zz �7rrysr5c,,. L�ik[ 9no3� �-7'i3-l�s� <br />cExcneica.rmc�on uui�rnm[ss cnr �ir rvror�c SuiEucExss. <br />lOi � BICLR <br />FWUGE mvIXVEp <br />.Ei�rr�wie HuuoEn <br />FOR OFFICE USE ONLY: <br />IBovtsFiP�c[ p[ensEio�tM <br />VS[ION[ 1ON11EA <br />n[icrrt uuir�nor� rro ov uwEwuc <br />ur�ns <br />� nres n rvo <br />sii[ or oiocrri <br />nres n r�o <br />HEATING SYSTEM: ❑ GAS fl ELECTRIC ❑ <br />CO�Ii�CIP[BSONANOMIONENO , � <br />I HEREOY CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br />APPLICATION AND KNOW THE SAM: TO BE TRUE AND GORRECT. ALL <br />PROVISIONS OF LqWS AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIE� HEREIN OR <br />NOT. THE GRANTING OF A PERlAIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OfHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOPRE� BY iHE <br />GJJNER OF TMIS PROPEflTY TO PERFORM iNE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH TME STATE <br />CONTR��A�B.�W AND 296200 WAC. <br />TI-�q-9� <br />siC +tunc o��E <br />01� l0 Z <br />CIiY p1151NES5lFCNSL NO <br />1`lPx1A�tCRNUMOER iCE <br />FEES <br />eu�iowc <br />rwuomc <br />MK111NICR <br />�opnovnivu,ucr¢ce <br />OiNEP <br />Si�iE BWl01NG SUOWAIIGE <br />'�jZ�"'""`" qTYOFEVEHETT runucwonns <br />LOCALSALES <br />oeic [! �f-( �r! % TAX COOE IS 3f05 70TnL <br />W <br />