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APPLICATIO� FOR CON8TRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DM510N � <br />3200 CEDAR STAEET • EVEREIT, WA 98201 •(42� 257-8810 <br />❑ pEMOLITION �COMBINATIOnN ❑ BUILDIN6 ❑ MECNANICAL ❑ PLUM811W ❑ SION <br />PROJECr,�,;,���SS: �E✓7- 7tnL�C�tf)r,•AiL Ct�t�'tI'I lUA. �g�G�l <br />Y-_; _ d� C'r.�a.� i�a•�n-•� .�BiA Sr SE S.�inAnn,,._44�L-"�L �N2$�%�r5'g13? <br />ifl4Nl 4N I.I101E55 Gt1 M P�F <br />�p�WTfG�OAMS�GN[P 4�II�MM�FSS CItY lll' A�h <br />MV4pMGCONIPV:lpi1 41�l�bCR55 GIY b0 PWJN[ SI�LFISfM¢• <br />IEGM �CSCII�PIIp1 C! 1'110PERi11S�Rl�n ec��n �.^ ni �^^ <br />io� uaK a <br />wxr. � � • i o ruuncn <br />�1�'�/� UO3 2�'�t%�. <br />a �Fss h,« �a <br />$UB <br />FOR OFFICE USE ONLY: <br />IMW�VIDM,Y M�PS�IMCR <br />pc!lO4f IO��M� <br />1�(IC�IiINi1�11UV NOI'(YI1W[lllNb <br />Ilnf <br />HEATIN(i SVSTEM: ❑ GAS �] EIECTR�C ❑ <br />I HEREBY CERTIFY TH�T 1 H�VE RE�D I1ND E%AMINEG TMIS <br />APPIIC�TION M7D KNOW TNE S�ME TO BE TRUE ANO CORRECT ALL <br />PRObIS�ONS OF UWS AND ORDM�NCES GOVERNIN6 THIS TYPE OF <br />WpRN WILL BE COMPLIED N'ITH WMETHER SPECIFIEO NEHEIN ON <br />NOT. THE GAANTING OF 11 PERMI7 DDES NOT PNESIME TO OIVE <br />AUTNORIiV TO VIOLIITE OR C�NCEI THE PROVIS�ON OF ANV <br />OTNER STATE OR LCCK UW REODUTINO CONSTRUCTIO4 Ofi TME <br />PERFORMANCE OF CONSTRUCTION. THAT I MI �UT1N)N�ZEO BY THE <br />OWMER OF THIS PROPERTY TO PEFFqIM TNE VIONK FOR W/NCM <br />APPLICATION IS M�DE �ND � COMPLY WITH TNE ST�TE <br />CONTHIICTORS UW 1B3] RLW �AD 2% 200 MMC_ <br />s�� ' lr <br />�./. � io-9-9� <br />o+n <br />LItY MI511E5$ lCENSL NJ <br />Sf�MLt M�NC�RCawV�fN� <br />7 <br />,v� y�� FEES <br />❑�Li ��O RU�fM� <br />R✓1� <br />ryVVPMO <br />�4(41 4f1:MYM:4 <br />[I�ts ONn <br />1ppIN144. R �v ONP <br />otri[n <br />VLII flU11NNO51111CN�M! <br />m oF eveaEn �,�MK �,�•� <br />LOCAL 511LE5 — <br />\7c CODE IS 7105 T�T�� <br />