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APPLICATI� FOR CON�1fRUCT�N PERMIT� <br />CIN OF EVEflETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 � 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING I�,MECHANICAL ❑ PLUMBING ❑ SIGN <br />r- <br />A�ELIUNiCaLCONiR�CiOR M�iL�:JPC55 LIiY SV PIIONE 9R1[LiCElfiE• <br />1'LUTABi1pC011iR�C10R YAIL/.00flE$$ GI1Y ZIP �Hp1L $i/.iEIILENSEr <br />wone v <br />�v �i HEATING SYSTEM: ❑ GAS ❑ ELECTflIC ❑ <br />SWMEiO'JUGE�1ryQVE� GUIIPOTPCRSCNN�OPIIONEfp. ._ . . <br />� I HEREDY CERTIFV TNAT I HAVE flEAD AND E%AMIN�D THIS <br />APPLICATION AND KNOW THE SAME TO BE TflUE AND WPRECL ALL <br />¢naco5muscar m�ova . ppOVISIONSOFLAWSANDORDINANCESGOYERNINGTHISTVPEOF <br />� " ,f , L1 WOFK YJILL BE COMPLIED WITH WHETHER SPECIFIFD HEREIN OR <br />�Ec uE; w�auarraovEa*vlse xe[iowonnrucnrxowrres� NOL THE GRONTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />�or o�oca or AUTHOPITY TO VIOLAiE OH CANCEL THC- PRO'1I510N OF ANY <br />OTHER STATE OR LOCAL LAW REGULVING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BV THE <br />OWNER OF TNIS PROPERN iD PERFORM THE WORK FOR WHICH <br />APPLICpTION IS MADE AND I CONPLY WITH THE STATE <br />o.���, ... �,..,�����a LONT'�ACTOq�LAW IB 2� RCW AND 29fl200 WAC. <br />CONSiFUCiIINILORILEN�EP.AD�PE55. <br />PANGEH000 <br />5 <br />FOR OFFICE USE ONLY: <br />fNONISEiBKM P[RRSEiOACN SiOE5E1BACK VYANCNELNNUMB[P fEE <br />U.CIOiIE lOiMEA WCANLSRE FEES <br />❑YES ❑ 110 pUIl01NG <br />M[IGNfLIM11AiIpN 1b'JL�IVflllllG SI:EOFBLCGiI <br />UN115 <br />RUUBRNi <br />OLLIIV.VICY IqCf5I0�iE5 IX:CU4'ANIIOAp OASEMCNi Y(CNANICµ <br />LPOUV <br />❑res or+a <br />iNESVPINxLEPREOp PEPSON AOOI�IONALPLWLNECN <br />OMER <br />finE�411MPE?0 REASpN <br />SiAI[ 9UM1�iNG SLBGe.1RGE <br />.rv�ovconec cuxsevrnovcoer CITYOFEVERETT rue�nwoexs <br />LOCALSALES - <br />n�s TAX CODE IS 7105 TOTAL <br />