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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILD�NG DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•BB10 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL Cj'PLUMBING ❑ SiGN <br />�RCMIRLLORUESIGMR 4AItApp{IE55 CIT' ZIP PMONE <br />Gfl1ENµCp1iR�CTOR WM1�Cq1E55 CI1Y ZiV N10�4 SiEiElCCNSE• <br />M[C11�NICALCONi�1�LiCR A11M1�pqiE55 CItY SIP PqN[ SiI.iCLKENSC• <br />WOPx <br />l01 BLOCN <br />r�acu <br />VFINAL <br />ORAIN <br />.�ppf1E55. El[f9�NV4BCF <br />FOR OFFICE USE ONLY: <br />fROF*SE184x PUR! <br />USf. ZONG <br />��E�cni i�u�..iron I �a a owcwra <br />uwrs <br />CWiFsI <br />SiD[ <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC C <br />�jS 3a� �/53 <br />I MEREDY CERTIFY TMPT I HAVE READ AND E%AMINED TMIS <br />APPLICATION AN� KNOW THE SAME TO �E TPUE AND CORRECi ALl <br />PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7YPE OF <br />WORK WILL BE COhIPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. iHE GPANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONS i RUCTION OR TME <br />PERFORh1ANCE OF CONSTRUCTION. TMAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEflTY TO PERFOPIA THE WORK FOR WHICH <br />APPUCATION IS MRDE AND I COMPLV WIiN TNE STATE <br />CONTflACTORS LAW IB27 RCW AND 296200 WAC. <br />X �.�, Q,C��'�/-�?.a«� <br />S�cx�iunE o�tE <br />CItY BUSryESSIICCN$C IIJ <br />aC <br />HEAT <br />DRVERS <br />-D/G� <br />MUUBCR 4E RfCE1Ci1q <br />❑n� � Mli <br />;lv[5 �%� BU50�bu <br />eiw n <br />MUUPiNG <br />�SIUENT 4ECN�NIC.4 <br />❑YES �NO <br />— �OOi1MM4PLAN6IFCK <br />OIn(P <br />Si1tE BNIDinG SU�1LM��GE <br />CITY OF EVERETT weic wanxs <br />LOCALSALES <br />fAX CODE IS �705 To7AL <br />