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� APPLICATI� FOR CONSTRUC'1�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLRION �j COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBINO ❑ gpN <br />PROJECTADDRESS 6�80 <br />IiR+20E5e�/ �2ck0 <br />S,�m.vuna�P NE�Cc�ulNt G.c RSoS �"�AJL stE 4m SkrnE 94/�I .._�c6 ���- ySb/ <br />1GN�Ni M1M1�pOpE55 Cllv Zp M� <br />LUChS 4�45TSRw/ Sn/C <br />�PCNi1CCIMpESGNER � M11l1ppf�[55 CIiY jq p�� <br />OU:LR.LLCONIMLipR Y�4�ppi1C55 C�tt ZV P110H[ SiREIS[N.E� <br />YCCN�HiC4LONiP/.Ciq1 quLeD.M65 lpY SW %qN[ Y1Ei[:KCNSE• <br />xscnme wone �w sauurt <br />n+orosm us� w nunarm <br />ima ocscnmra�� or riron <br />ior mxa <br />r�nca te� m rmuern <br />��1zSr4-4•! <br />covs�aucrrorv iow uHout <br />i1L —VVVV <br />noon[ss. iR[r��a+E r�uuo[n <br />FOR OFFICE USE ONLY: <br />rnart,neecK nue5[i <br />US1104[ lO1�RG <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />cwr.cr ncasnr�.xo riavc rvo <br />I NEREBY CE:iTIFY THAT I HAVE NEAD AND EAAMINEO TMIS <br />APPLICATION RND KNOW TME SAME'O DE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />1VOFH WILL DE COMPLIE� WITH WHETHER SPECIFIED HEREIN OR <br />NOT TNE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br />AUTH;IFITV TO VIOLATE OP CANCEL THE PROVISION OF ANY <br />OTHER tTATE OR LOCAL UW REGULATINO CONSfRUCTION OR THE <br />PERFOR NANCE OF LONSiRUCTION. THAT I AM AUiNORIZED BY TNE <br />OWNEI OF TMIS PROPEPTV TO PERFORM TME WURK FOR WMICH <br />APPLIC�110N IS MADE AND I COMPLV WITH THE STATE <br />CONTR TORS LAW 1827 RCW ANO 296.20D WRC. <br />x ��.,. C1.�.- 9�s-o� <br />SqN�IDPE O�IE <br />CIIY PUSiM55lICR15C Iq <br />AECNANICAL <br />rq <br />�'Y[S ❑ tq <br />&IRpNG <br />��IUN1UMii�IqN NJOfpW[LLilq SQCIXNOGTI <br />UNi15 <br />PIUYBiNG <br />RtNt YECNWqµ <br />nres nw <br />����+��+cnca <br />Of11CP <br />StAI[ BULLMNO Suf�CNU�GE <br />fYOFEVERETT rueicxp�xs <br />.00ALSALES <br />X CODE IS �105 TOTAL <br />