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��PPLICATf� FOR CONSTRUC�I�C PERMIT <br />CITY OF EVEREIT • BUILDING DIVISION � <br />32�0 CEDAR STHEET • EVEREff, WA 98201 •(?5) 257-8810 <br />❑ DEMOLITIUN t7 COMBINATION �] BVILDING �, MECHANICAL ❑ PLUMBIN6 L SIUN <br />uui <br />�xr..rc�onr�vc.�Ea uui�oonEss un nr �- �.m..r - <br />eE�en•ica+m�c:rn uui.o�west cm-- i�r r�r�rr sunuur�v. <br />OWAer <br />ulOabiGlf.M�n�rIDu u�M1/.fdFEss ci*v Iv� pnOr;r Sr�rfU[FMSE• <br />�m <br />M��1 <br />Yql1M <br />eioa or <br />CONi�R11L�1p11 O�N 1 f MIfR. �CI`V[55. TEl[1Y1p1E MU4BF11 <br />FOR OfFICE USE ONLY; <br />1110N1Y�P�fK pl�p5flP�f.11 <br />nrica nwuuau I uo a owcwnc <br />i ns <br />� <br />S <br />i <br />s�a snn•c. <br />I V1C�NI511[ <br />❑�ES ❑M <br />MB�W�� <br />I B�tFYf11 <br />❑Yf5 ❑v0 <br />CITY OF EVEHETT <br />LOCALS�LES <br />7A% COD[ �S 7105 <br />Cr1pNi <br />HEATING SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />ewn.errrnsou.rmnvrr. eo <br />I HEREBY CERTIFY iHAi I MAVE READ AND EXAMINEO THIS <br />APPLICFTION M!D NNOW THE SAME TO BE TRUE ANU CONRECT �LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br />WORN W11 L BE COMP�IED WI7H WHETHER SPECIFIEO HEREIN OR <br />NOT. TNE GR�NTING OF R PERMIT DDES NOT PRESVME TO GIVE <br />AUTHOFITY TO VIOLATE OR CANCEL THE PROV�S�ON OF ANY <br />OTHER ST�TE OR LOCAL LRW REGV'.ATING CONSTRUCTION OR THE <br />PEPFORMANLE OF GONSTRJCTION. THAt I �M AUTMORIZED BV TME <br />OWNE9 OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lA\N IB 2] RCW �ND 296100 WAC. <br />x ���FB <br />5 Al PF. 1 U��l - <br />C�fYpUAMSSIC[NSC NO <br />flP�DiNf. <br />�uiurwr. <br />Ni1:N/ If�l <br />�pGllnl�� 1`IANC��ff.� <br />Ob�FO <br />[I�q fluilU✓a:'u�0���(:f <br />rimucwon.a <br />TOT�L <br />�FfFlI`I NO <br />