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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 257-BB10 <br />❑ DEMOLITION . COMBINATION BUILDIN6 ❑ MECNANICAL ❑ PLUMBIN6 ❑ SIGN <br />PROJECTADDRESS�qiJ - - - .�.,...! r._ _ y qp7nr ,�� .-._-. -__.-. <br />5.���� Lit..�i?5��r�2k 4�/5 STn'G�/11KJr i?.� i�z��a�i %8GV2 �Zs`338��`7 <br />TE1uN� n u�M1�W1�E55 CIiY liP p1CNE <br />�//1 <br />MLNI1CCip��FSGNfP 4�'lAppf�[55 CIIY IiV RqM[ <br />�d�ii,/ Ns_s,.,,,�r • <br />O[MFALLWiPRCiIXI IA�M1AppP(55 LI}Y 2W N'MII: SL�IELICEN$f• <br />4CCnANC4C0'RN�L}011 M�LLI.C�i1C55 OIY Zi� p�W( Sf�t[tK(NSE• <br />M�MBiNGCp11RaLiOR NUL�DOR65 CIIY 2iF Wq1.[. SMIELICENSE• <br />CW iR�LT VPCE OF WOq4 <br />/d / Ls �O <br />� <br />FOR OFFICE USE ONLY: <br />lPG�IL.EIDKK / �UN]LIPACM / <br />� <br />115f lntif . LOiAP[� <br />/ lubn�owcuiw <br />'�( <br />3(J <br />�5 <br />5`DESCt84N / <br />� <br />UG11t 511E <br />❑res nra <br />K e�oci i <br />ZD sF. <br />ws ucnr <br />❑YES eq <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />� ..xx�,�.� �,.,.�.,�, <br />I MEFEBY CERTIFV THAT I HAVE READ .1ND E%Ah11NED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS NPE OF <br />WOPK WILL �E COAIPLIED WITH WHETHER SPECIFIED MEFEIN OR <br />NOT. 7HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTMORITY i0 VIOLATE OR CANLEL THE PROVISION OF ANY <br />OTHER STATE OR �OCAL I AW REGUUTING CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORRED BY THE <br />OWNER OF TMIS PROPEFTY TO PERFORM THE WOPK FOR WHICH <br />APPLICATION S MA�E AND I COMPLY WITH TME STATE <br />WNTRACTOp W1 2)RC�j AND2%2�OWAC. <br />x �I / A...�Ga�— /z—/I-9! <br />sa r c o��c <br />CIIY 6U5 WCSS l�t[NSL NO <br />YECH�NICfL <br />STOVE <br />qq�a-oa <br />eunon1c <br />ttuun�wc <br />ufCN�NSK <br />Ipp�1�.14PU"'CN.�M1 <br />oTMcn <br />Sl�1E &10.p�q SUMNu�GE <br />R�BI�.." KC11�5 <br />TOT�� <br />O� <br />1q <br />