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APPLICATIO� FOR CO�ISTRUCT�N PERItl11T� <br />CITY OF EVERETT • BUILDING DMSION <br />3200 EDAR STREET • EVERETT, WA YBZOt • 26Y-0E•A <br />❑ DEMOLITION ❑ COMBM �BUILDIN6 ❑ MECHAMCAL ❑ PLUMBINO ❑ 810N <br />PROJECTADDRESS: L <br />� <br />RwlMf.Cafm�GiOn uut�OdRu um (ip v�pr( St�tEtKEMSE. ' <br />v <br />ior ,�_ ewcx <br />URIIUL <br />I FOR OFFICE USE ONLY: <br />111pNTSEtPnCF � MAqSEi <br />USEII��� lO��nFI. <br />�7 <br />� .,E��,.� �w�.3., � , � �, � �«,� <br />:�caa <br />p swascre.c� f <br />�P �d- ��.5 ` <br />vK/at LIF <br />' ❑vF5 xo <br />S�IE Oi E1M�11 <br />� z s <br />Bh M� <br />O�FS �MO <br />N�nnc srsrew: �c�s ❑ e�crn�c ❑ <br />I HEREBV CERTIFY THAT I HAVE READ MJD EXMIINED TMS <br />�PPLICATqN AND NNOW THE SAME i0 BE TRUE AND CORRECT ALL <br />PROVISIONS OF UWS ANO OROIW�NCES OOVEPMNO MS TYPE OF <br />WORK YVILL BE COMPLIEU WITH NMETHER SPEpflEO HEREM OR <br />NOT. iHE ORMITINO OF A PERMR DOE6 NO7 PHEBWE 70 OIVE <br />AUTHORITV TO VIOLATE OR CANCEL iHE PROVISION OF ANV <br />0T11Eq STATE 011 LOCIIL UW NEOUL�11N0 CO�qTM1CTqp� pq THE <br />PERFORMANCE OF CONSTRUCTION. THA� I AM AUiHORREO BY iME <br />ONTlER OF 7MI5 PROPERiY TO PERFOIM.1 7ME N0111( Fpp WMICN <br />�PPLIGITION IS MADE �NO I COMPLV W�TH ME BTATE <br />CONTMCT'�NCW AND IIY6100 W�C. <br />x ���-�� <br />MIF <br />dlY RIlME55lCfME x0 <br />IIECN�MGL <br />� 3�G? 7G,� � 79 <br />i n�Ma��tn rF��v�/ nt.m�ra <br />� � � <br />BW Owf. <br />�„�� <br />4ECNLMCµ <br />eowircwu n�u rntt. <br />on�cn <br />s.�i[ oww�.r. simc�unr.c <br />CITYOFEVENETT n�nir,avnx� <br />LOCALSALES <br />TF% CODE IS 3105 70TAL <br />