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APPLICATI� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERE UILDING DIVISION <br />3200 CEDAR STREE EVERETT, WA 98201 • 257-8810 <br />❑ DEMOLRION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ pLUMBING G SIGN <br />�7ai��r{ u,�.,c�fL ..� C� cre.tt wR 4Fzol .?s^<-s�/�% <br />}�rypry� MUI�ODAE55 GIiY 29 pKM1E � <br />�. ._ w.i_ �nna�.__.�.rle� i....._�sl..in 04'2n/ 2S`1'S�i�� <br />OENEAKCON1P6i0R M�M1�fUPE55 CItY SV N1J1[ SL�IEICFNSE� <br />�� a� �Q�c� ,.�'e� rn ���L ke5/-� .�su.�? ul�sTce�ovyko <br />YLCM�N�C4CONtii.�ClOq 11I,LL�Dp�E55 C��Y IT RCIG S1IlElICCNfE� <br />RVAIBINGCtMRRAL1pN M11L�DJAC55 GiY IiV VM:N[ 514E1qLN5E• <br />% <br />Ji�ornn�- �- G�(n�r�.f�Jo <br />lCG4CE5GPNllp1 pWRR�Y151 VNBELOWp1�li NIWOLOFIE51 <br />wrlq+�+� eiocKl]_i—or l! Q�Y �1 fJ_en— <br />y3� srr � ai yA�y <br />pl,pC[L iM I p HJNBCR <br />consrnucrqniou+� <br />8 <br />FOR OFFICE USE ONLY: <br />fPP4i5E1P�S;R PE�PSOB�GN <br />VS1.SO4�^ tOiMG <br />Il <br />l <br />MEIGXillui1�110N tAl(KpWCIIiNG <br />JNIiS <br />4J V <br />SipE SC10�CM <br />V�UNI SRE <br />�rEs n ra <br />Sil[ Oi BlCG1 � <br />tl�$CM[Nf � <br />❑YFS <br />HEATING SVSTEM: ❑ GA : ❑ ELECTRIC ❑ <br />—73�g <br />I IiERE6V CERTIFY 7HAT I NAVE REAO AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND LORRECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEPNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WMETHE� SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICH <br />APPLICATION IS MADE AND I COMPLY WITH THE SfATE <br />CONTRACTOPS LAW •B27 RLW AND 296200 WpC. <br />z .ICQ�� W� 3— 2 D—� <br />SbN PE 0�72�� <br />LIfY PU9MSS lCENSC fq <br />ruHa�ccxruuoca rcc uccc�m <br />FEES V�Ull1T10N <br />Bunoma ' S' <br />RIIYPiNO <br />M[CN�Mqµ <br />/y`p�1NH1�LPtMILNLLX <br />OiN[A <br />51�1E BURMNG SU�CM�PGE <br />NBt�C wJnKS <br />ror�� <br />