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APPLICATION FOR CONSTRUCTION PERMIT� <br />CITV OF EVEHETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA BB207 • 259-0870 <br />❑ DEMOUTION ❑ COMBMATION ❑ BUILDINd l� MECHAlNCAL ❑ PLUMlINfi ❑ SION <br />PROJECT ADDRESS: -.�oZ O ` Q <br />)n�.\ �\Y�EIZ Ir�III __�.3De�dtRc CJLRGTI _ �/ �- O <br />�flyH� YNL1D011E55 G�Y lp ��� <br />•qfMTCClOP0E51GMR W�ILL'011E55 CIiY IN r7 �b�F <br />��_ ,�� ., r�_a�t ��,.,. e,�.-,s.t- C=i/ q�Yva - 6CE�1o+f�'o�r%� — <br />pIVWMGCdliP�CIML�,•�l�Od�E55 GfY I�0 rrqME S�AIELICENSE• <br />I HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />rm+.0 mvvEo cwr�cr xnsw ua srbrrt r+o <br />8 <br />FOR OFFICE USE ONLY: <br />1011.nF� <br />I HEREBY CERTIFY TMAT 1 H�VE RE�U AND E%�MINE� TNIS <br />APP�ICATION AND NNOW TNE S�ME TO BE i RUE AND CORNECT ALl <br />PROVISIONS OF LAWS M1D ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE CAMPI.IED WITH WNE7NER SPECIFIEO NEREiN OR <br />NOT. THE OR/�NfINO OF � PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITV TO VIOLATE OR C�NCEL THE PROVISION OF ANY <br />OTHER ST�TE OR lOCl1L UW REOULAi1NO CONSTRUCTION OR 7ME <br />PEFFORMANCE �F CONSTRUCTIpN. TW�T I AM �UTHORIZED BY T11E <br />OWNER OF THIS PROPERiV TO PERFORM 1ME WORK FOli WMICM <br />APPLICATION IS MADE AND I COMPLV WITH THE ST�TE <br />CONTRACTORS LAW 1827 RCW AND 296200 W�C. <br />""�`" I % <br />s�a.�•�ux wie <br />I dfYBl151ME55lICEM5EM0 <br />90ESFIBKC M�NP�ELMMPMfN Ifff IPFf.E1PIM0 <br />❑vF5 p r�o I o�n�Um� <br />RE�G�IIOMiUiIOH 1q'CfDMll1MG SREO�lICC✓�� <br />riuuena <br />OCCVC�NC� 1qMS�M[S OCCUY�M�lO�� EAY4FN1 yF�����LL <br />cnwr <br />❑.cs o � <br />nncsm�wcienncon �c�wM <br />r.oa�rcw.i n•w c��ru <br />on�rn <br />$I�IE OIIilUiM6 S�IOO��OO[ <br />CITYOFEVERETT ruour.v.tm+s <br />LOCALSALES <br />TAX COOEIS�105 7oT�L <br />