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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREQ • EVERETT, WA 98201 • 259�8810 ��'� <br />� o <br />❑ DEMOLIiION ❑ COMBINATION �BUILDINa O MECHANICAL ❑ PLUMBNW . ❑ SION <br />rnaeer�oDness:_ ��J�-��A1N11=R��r_�r��vsr��ticnir.ievl /l3//frz�.�c�/�� <br />��i:J11:�r�/fIi\Lr ��i.7�r��f�JOill <br />� � <br />I� J� I ..��� ���� I <br />W w� -.�= ���5 <�LL! <br />� � � <br />� <br />FOR OFFICE USE ONLY: <br />rnwru�n+ca ac�nut <br />2 <br />USFIONF lOteM/. <br />e- sb <br />wEiGNlliw��i�Ix W O�M <br />JJ �1[ <br />ilfliSMINRLENIIEOD <br />�L _� <br />RfIE MAPM PFO'D <br />ir 5 <br />,.� a ��.s� <br />ll 1-, u' <br />pelE <br />HEATINO SYSTEM: ❑ 6AS ❑ ELECTRIC ❑ <br />� <br />1 HEREBY ERTIFY THAT I H�VE RE�D ANO E%AMINEO TMIS <br />APVLICATION M10 KNOW TXE 511ME TO BE TPUE ANO CORPECT ALl <br />7ROVISIONS OF LAWS AND OROINMlCES 60VERNIN6 THIS NPE OF <br />WORN WILL BE COMPLIEO WIiM WHETHER SPECIFIEO HENEIN OH <br />NOT. TNE ORAMIN6 OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOG1L LAW PEGULATINO CONSTPUCTION OR THE <br />PERFORMANCE OF CONSiRUCTION. TH�T I AM AUTHORIZED BY THE <br />OWNEfl OF THIS PROPERiV TO PERFORM THE WORN FOR WHICM <br />�PPLICATION IS MADE ANpD�ypI,�C9yO�MPLV MATH THE STA7E <br />N i�TORS L�W 1! 27 RL�I /.// Do1W V/�C.' <br />rl�.� � �� <br />C•]u <br />6a lo "L9.7�t <br />v�cu�is��c FEES <br />OYfS O NO BUi� <br />ASE 0�llUd�i <br />L/ 7 %C� n�nne.n <br />e�.st Hr u[cnwcu <br />❑r[s .n - <br />rY y' MplqM�l A�N CM[CM <br />L /� I�/'� �1 C,I1 % O1NE0 <br />r SI�iElulMR�51mCMUCE <br />crcroFev¢nert n��:�� <br />LOCALSALES <br />TA7f CODE IS 7105 TOTl1l <br />ra <br />