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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br />CIN OF EVERETT• BUIL�ING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 258•8810 <br />❑ DEMOUTION p�COMBINATION ❑ BUIL ING ❑ MECHANICAL ❑ PLUMBINQ ❑ SICN <br />PROJECT ADDRESS: �C�.�� ��� r�yj�� /J � <br />FT <br />�)/jlL' O/ <br />o[scweevqacn vc t, ree¢i <br />(Y�SL� � '� <br />afqvO5f��5iMr" pM <br />i[c��oEscaiv riqr[nm� <br />iai eiocr.l <br />l <br />l <br />P fLTAYI .MNBEN / <br />C(WSiMICIKNlOu1LFNDEM1MMESS. <br />FOR OFFICE USE ONLY: <br />rmu�scrn+cK � acu�sr n+c. <br />Zo 6,0, <br />USESOMF n �/ lO�ME� <br />� <br />NEIO�IIU41f/.�1CN / VMII�OW[WMO <br />P:CIIPI.NCY p p51{v4(5 OCCUI'.1N��p�O <br />� <br />❑vC5 ❑ rq <br />BlW/11 <br />�0 97 SF <br />AS MfN� <br />[5 ❑ x0 <br />2� l%lCh%7 . <br />CITY OF EVEflETT <br />LOCAISALES <br />Tq% CODE IS J t OS <br />W <br />��3 <br />0 <br />' firorrt SraiEUCFMs:. <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC fl <br />I HEFEPY CERTIFY THAT 1 M�VE REAO ANO F.:(AMINEO THIS <br />APPLICq110N AND KNOW THE SAME TO 8' TRUE �NO CORPECT ALL <br />PROVISIONS OF UWS AND ORDINANCES fiOVERNING THIS TYPE OF <br />WORN WILL OE COMPLIED WITH WHETH�lfl SPECIFIED HEREIN OR <br />NUT. TI{E GAANTINO OF A PERMIT D:'t5 NOT PRESUME TO OIVE <br />AUTIIORITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />OTHEq STATE OR LOC�L LAW REOULATIN6 CONSTr. �pON OP THE <br />PEfiFORMANCE OF CONSTRUCTION. TH�T I MI AUTHORIZEU BY THE <br />OWNCR OF 7HI5 PROPERTY TO PERFORM THE WOflK FOR WHILH <br />APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br />CONTRACTORS W IB. CW AND 296.20D WAC. <br />x <br />51(iNqVflf. �E <br />LIIY RIISWES$ IICENSE Iq <br />IEGII�NICAL <br />ruucutt� <br />mmn�,:a <br />n�iunwa �_- <br />4(f11�MIC.A1 <br />�Op�N1NN ry AN Cilf CR <br />omrn <br />if�l[ ��IIIOI�IC S�IM111fl1i[ <br />nim�r.wrx�xs <br />TOTAL <br />