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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLITION ❑ COMBINATION fl BUILDINO ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />crtr <br />se-, u � <br />rEr��Hr u,2.w�.» ..... _. ..._._ <br />.naarccrrnocsar�iu u.n�ooncss cnr ro P� <br />GENEMLLONIR/.Llql M�M1�DC�ESS biY IP R�J1�C SUfEIICENSE• <br />Y <br />1 <br />4CC111NiGlCONiPKlq1 Mul�Op1[55 CiIY 1V AMiC Sil.IEIICLNSE• <br />PW4P�IUCpRF4I011 IA�iUOJ11C55 COV ZN AU�4 SRtEIXENSE� <br />HEATING SYSTEM: i}�GAS ❑ ELECTRIC ❑ <br />won, <br />I MEREDY CERTIFY iNAT 1 NPVS READ ANJ E%RMINED TNIS <br />APPLICATION ANO KNOW TNG SAME 70 BE TRUE AND CORRECT. ALL <br />/vr�wncseo use w evr.oirvr. pqOVI510NS OF LAWS AND ORDINAACES GOVERNING THIS TYPE OF <br />�F N'ORK WILL DE COMPUED WITH WNETHER SVECIFIED HEREIN OR <br />aw�ocuuir�rorvarirov[anrnanrvo[irnvoue*t�a�rvrocwrts� NOT. iHE GRANTING OF A PERMIT 0^E� iJOT PRESUME TO GIYE <br />iar oiocK ov AUTHOFITY TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br />OTMER STATE OR LOCA� UW REGULATING CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTPUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OP THIS PROPER7Y TO PERFORM THE WORK FOR NMICH <br />APPLICATION IS MaOE AND I COMPLY WITM TNE STATf: <br />n�nct�t�� io r�unraca CONTRACTOPS LPW 18 27 RCW AN�/D I9G.200 WAG. <br />CONSf1�LC'�CNLO�NICNOCII..�OMESi.IEtCR1p1EM1MbLl1 �. �( Y/�Ii/1/ . (�L!!/i /� �O_'/ <br />OIY BOSNE55 LICENSC M <br />FOR OFFICE USE ONLY: <br />iPONfS[lOACI PURSE104[ SiMSEIB�Cc RN4[CnM1IUB[11 � ilE PCC[iFtlq <br />�O� <br />usczar�c �a*r.u�. v¢.nisrte _ FEES VALUATION <br />or�s n r�o ewmirm <br />NE1GIItlIMII�IpN HItS�Clllrf S�IEOfJIIXiiI <br />nuua�nc <br />CCLUC�NCv W b 5'Ca45 IXCUPeNI L(IeO B�SFM[Nl 4ECN�Nq4 <br />GPWP _ <br />CIVES O NO <br />iWESPniNnlWPC00 PGSON IDCilpNLLPLANb�KR <br />OIH[P <br />{�C�I.��MPE00 P[�30N <br />S���E BUMDwG SueC`���GE <br />n�orcons� nnvs+�reovmev CITYOFEVEPETT �'uoicwai.s <br />LOCALSALES <br />.,... TRX COOE IS J105 TOTAL <br />