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APPLICATI� FOR L�ONSTRUC'f�N PERMIT� <br />CIN OF EVEREI T• BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLITION ❑ COMBIN�TION ❑ BUILDING ❑ MECHANIC�L ❑ PLUMBINO G SIGN <br />PROJECTADDRESS „ � . _ <br />1411MBINGCONiP�.iQ1 YAR�DY1L55 CILY ST PMMN Si�iEIILfNSC• <br />w* rn c �i o�ocK o. •�, <br />_C�.,, �a L,w„ �n a7rt �(� <br />jEpA� <br />rv�ai�I.QOncQO� VYO'� <br />r.MCillilfiNlN IO�H lEN9CP.I.DIN1E55. lClL1'1qllC MJ4 <br />FOR OFFICE USE ONLY: <br />f{qNiSEiP�Ctl �V�S <br />_� / <br />Vi[]Ov[ 1011f1 <br />� <br />NEIGr11111A1i�lYN1^1 �J �I 5 <br />YY/ <br />-N <br />� �... � <br />\K�Nt SIiE <br />Y[5 ^ NO <br />� si�o��aio�cn� q <br />..117 J�_ <br />B�. M{N! <br />E6 C �W <br />� . .� Uw�T.s <br />� 7 . CCX7�) � <br />HEATING SYSTEM: ❑ GAS '�'EIECTRIC ❑ <br />� HEREUY CERTIFY THF1 I MAVE RERD ANU E%AMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CARRECT ALL <br />PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOPK WILI B� COMPLIED WITH WNETHER SPECIFIE� MEREIN OR <br />NOT. THE GRnNTING OF A PERMIT DOES NOT PRESUME i0 GIVE <br />AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OR LOCAL LAW REGULATING CONSTPUCTION OR TME <br />PERFOPMANCE OF CONSTFUCTION. TNAT I AM AUTHORIZED BY THE <br />OWNER OF LiIS PROPF.RTY TO PERFORM TME WORK FOH WMICH <br />APPLICAiION IS MAOE AND I COMPLY WITN THE STATE <br />CONT/RACT�ORS LAW 1B 2! RCW AND 296200 W�C. <br />x /��,� � �/� �i� t� %% <br />SiGM�NR: L�tlE <br />CIiV0U5MC55L1L[NS[�p <br />e�noivc <br />nwe�vc <br />VCCH�NS4 <br />♦lIU11qY4P141C�1[CN <br />onrtn <br />si�+Eeunonnsuuc��ucc <br />NRl4 WMKS <br />T0TJ1L <br />