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APPLICAT�N FOR CONSTRUC*ON PERMIT� <br />CITY OF EV[RETT • 9UILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9B201 • 257-8810 <br />DEIdOUTION ❑ COMBINATION ❑ BUILDING ❑ MECNANICAL ❑ PLUMBING ❑ SIGN <br />PR6JECTADDRESS �.33G ��X�n���vn /\v�/ <br />nPCNi1FCTDP0E5GNEP MAILI.�'%WESS LIIV Sm %IONE <br />GCNEfLLLLONiRALiOfl NNLI.�RE55 LItY ZW PMONE SiI.LElILE1RE� <br />iI:CHANICµCONiR�LiOfl MMLAOORE$$ CIiV ZIP Rq11E 5I11E11[CNSL� <br />PWMOiNGL.Y11MCi0fl YMLAOIXiE55 LIiY IIP PIIp1E Si11ElILENSE� <br />C']11iqALi PPCE 0lWOflY. <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CLCP�BL WOAM ANp SOUME [ppLAGE IINIXVEO C01RLLi PCRSJN RIIO PIIONE 110 <br />� <br />ior e�ocK <br />I Y.F.RE9V CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAT�ON AND KN01Y THE SAME TO 6E TRUF AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE C0IAPLIED WITH WHETMER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERIAIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL 1HE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSiRUCTION OR THE <br />PEflFOflMANCE OF CONSTRUGTION. THAT I AM AUTMORILE� BY THE <br />OWNER OF THIS PROPERTV TO PERFORI.7 THE WORK FOR WMICH <br />APPLICATION IS MADE AND I COldPLV WITH iHE STATE <br />CONTRFCTORS lAY! 182] RCYlAND 29fi200 WAC. <br />X I �'/n..-e ✓� �r ..(.k—> �l�G+�ii <br />sicwmne o�rE � <br />cirv ousmess uccrrsc no � <br />FOR OFFICE USE ONLY: <br />lu^.'li5Op4N PE415EiBRCG SIOESEIDI.CK P CIICCNIIV�BEP i[E PCLEIPi110 <br />l� Ooil -Gt�a- <br />aazor:e ioi�n¢e vnc.wrsn[ FEES VALUqTION <br />❑res ono auumxc <br />ec�crrtuvireus� rvoavowewrm saeoFeior✓ri <br />uHrts pwueinc <br />�' CUI'ANLY IYJ W SipPES CCCI1G�Ni10�0 U�5[MEM YECHI.M1ICq <br />6.OJP <br />❑VES Q NO <br />V.uESPRINeLE11RE00 AEeSOu AOORIONkI':.wLNECa <br />Oi11ER <br />IiRC�L/.RIaNEQU �FeSON <br />St�IE OJM1OINO SUPQIMOE <br />rv�eorca+s* vur+serrnweoev CITYOFEVEflETT roeicwanKs <br />LOCALSALES <br />,,... TAA CODE IS 7105 TOTAL <br />ClFo"C� — �/C� <br />