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APPLICATIOAFOR CONSTRUC7ISN PERMIT��� <br />CITY OF EVERFTT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, W.498201 •:.57-8870 <br />❑ DEMOLITIOM U C01dBINATION ❑ BUILDING ❑ MECH/iNICAL p PLUMBING ❑ SIGN <br />PROJECTAD�RESS � <br />7 / �7 oC/;./DE� <br />OwMEn ^ una�onES^v � ciiv � zm wqr�p <br />MMADCf1E55 <br />or won. <br />SGIf <br />L�"EI15E • <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HERE�Y CERT�Y THAT I H�VE READ AND EXAIAINED TMIS <br />APPLICATION ANC NNOW THE 6AM9 TO DE TBUE AND COPREGT. ALL <br />rnoreseow[areuimma PPOVISIONS OF I,qWS AND ORDINANCES GOVEPNINC THIS TYPE OF <br />1NORN WILL DE GOMPLIED WITII WIIETIIER SPGGIFlECI MEf1EIN OR <br />iwuo[scmv�arvovnnor[nrvisiwwuoeiowanuv,cutwocoviesi ��OT TME GRFhTIKu OF A PER�di� OOES NOT PPESUME W CIVE <br />ior alocK or AUTHORIiV TC VIOLATE OR CANCE� THE PROVI;ION OF ANY <br />OTHEfl STATE �IR LOCAL LAW REGULATING CONSTRUGTION OR 1HE <br />PERFOHM.1NCc OF CONSTRUCTIJN. THqT 1 AM AUTIIORI2E0 OY TNE <br />OWNEfI OF THIS PflOPEqTY 70 PERFORM TIIE WORK POR WNICH <br />APPLICAiION IS MAOE AND I� GOMPLY WITH iHE SDVE <br />venCenex i0 nuuoEn COYiRACTORS LAW 1021 RCW AND 296.200 WAC. <br />COIISLRI1G110NWINlE11D[R�OOPESS.IELE%ONEMJ40Ff1 X���{(/](�/I�{� /�O`Or <br />SIGN�IUf1F O�IE <br />[ItY pV5V1[•v$ ULCNSE Iq. <br />GLOTHESIVASHER <br />URIN4L <br />DRINNING FOUNiAIN <br />FLOOR �RAIN <br />OACNFLOW PPEVEMEFS <br />SINK (SERVICE — �AR, ETC.) <br />II <br />1— _ 5110 TOTAL <br />PEfi1AR <br />fOR OFFICE USE ONLY: <br />If�O1�I3Et0�CR fIGq5E10KF Slp[SEIB�CX q�[lOIO� Ypip_OQ / fEE �KEIf'INJ <br />V V '( <br />ueu�rt �wiuna+ <br />�q <br />LOIPR[L V/.CnNi611[ rees <br />❑YES ❑ MO OURDvq <br />1qO[pWEIIIM 54EOiBta�ll <br />Nii15 MUM04q <br />occurnrvrmeo eescufxr u������� <br />nres ❑ r�o <br />nE�50N �����N.%NICIIECR <br />_ onrtq <br />PGSON <br />SI�IE P1:101N(1 SU11p1U1GE <br />ruHservnov[oer CITV OF EYERETT vue�cvrones <br />LOCALSALES <br />n.v TA% CODE IS J105 toTaL <br />