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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•BBI O <br />f' DEMOLITION ❑ COMBINIITION �BUILDING ❑ MECHANIC�L ❑ PLUMBIN6 G SIGN <br />ADDRESS /'��5- �f�C�E50N R�. �104, EveRem, WA �j�.103 <br />(O <br />2�NM��oR/ ^,S��ss 300 2505 SE[�tiDIIvE, Senrrtie,wA 2o��G2S-9��G <br />itH.Nt u�n+owcss Crtv in rr�o+E <br />SPEctR�'r'f Mnn��PkcrvGtN6 6�oSN�►cs.0 W.�lo4 �ts�Go3-14-lS <br />I.RCIIIiCC10NM544LN M/.RAMP[5$ C�iY IV R101R <br />ENGiNEFREa Pnaa�ers io33 6T�A.�e � SEwrr�c wn zoy��2-Gs9G <br />.LNlR4C[WiP�LiO� M�CAOCQE55 CiiY IV PMMR SUtEI�CCNSE• <br />�i-fEt�Rnrr-�SPSGth�T'1 MRr�uFrlcTu�uN6 <br />AC(N�N44CONINICIOR MYI�D.�11C5$ CILY IM Mb11C SII.iClKCNSE• <br />'lU4PiN9CMIlo�ClGN M��t�DJ11C55 CIiY ZiP MqNL Si�1ElCENSE• <br />roo+.U��irvr_,co <br />tor o�oc• <br />�� <br />�' ' I � I ' � <br />P�PCEl1�Mlp NUMCCP <br />FOR OFFICE USE ONLY: <br />fPOYlSIipaCe RURSC1p1C6 <br />USC IOr:f lnf �PC� <br />REIONtUMii.1LpH tbi16 DWCLlV1G <br />CCLuI'�KY WC�S�JF(5 UCLV1MNIlOAO <br />GRWV <br />liBES�IMICPPE00 PEASOH <br />�m[.uaMueoo u[�wn <br />7 <br />iweorcoHsr rur�s�nrjov¢ <br />/ti <br />....r O _ u <br />1Y[5 [lNO <br />�1P:�1 <br />❑vE5 ❑ NO <br />CITY OF <br />LOCAI <br />TAX COI <br />HEATING SYSTEM: f i GAS Cl ELECTRIC ❑ <br />I NEREBY CERTIPV THAi I MFVE AEAD AND E%RMINED THIS <br />APPLILATION AND KNOW TME SAME TO DE TRUE AND CORRECT ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYGE OF <br />WORK WILL BE C01dPLIEO WITH WHETMER SPECIFIED HEREIN OR <br />NOT. iME GRANiING OF A PEPMIT DOES NOT PRESUME TO GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEPFORIAANCE OF CONSTFULTION. THAT I AM AUiHORIZEO OY THE <br />OWNER OF TIilS PROPERTY TO PERFORM TME WORK FOR YMICH <br />APPLICATION IS MADE AND I COMPLV WITM THE STATE <br />CONiRACTORS LAW IB21 PCW AND 296300 WAC. <br />l 1 <br />�wa-a- ��q 2000 <br />s�cx�iuec o•*E <br />�fUED F�rC BN SPEc�k�TY MF6�L. <br />crtr e�sixcss iK[Nsc xo <br />BWtDVAi <br />RVF�BiNG <br />M[C11�HK.LL <br />�COItqN41'UNCNLLn <br />onrtn <br />s�nc eunown s��cruncE <br />rueic ww+.s <br />TOT�L <br />I/ IP[CEIPINJ <br />% <br />