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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br />CIN OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-B8f0 <br />❑ DEMOLIiION ❑ COMBIIUTION ❑ BUILDIN6 ❑ MECHANICAL .{�LUM81Nfi ❑ SI(iN <br />✓ �—t �/ � . <br />� H�,i�"f" qv � c,�4�t„��f�� a��`"v,�� <br />�PLMI1Ef.iOqCCSqNER YLL�Oq�C55 [Ii• [W p^µ[ <br />OEtKP1lCONfRnClpl Y�4N:01�i55 Cli� jp qqNC $11i[IILENSE• <br />MCCN/.NICALCONiR�C�C41 YA.L�OC9Ci5 CItY IW AqNE Sl�tElKEMSE• <br />wt _ __ e�ocR <br />�oW «H�x� .�,��«� <br />�,C.�. 4F�5� �6u-S6�-Yd7T A1z?SP7 <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />Cq1i�.L1 �CPSp1 /JN Np�.E 1q <br />I NEREOV CERTIFV TNAT I HAVE RE�D AND EXAAIINED TNIS <br />APrLJATION AND NNOW THE SAME TO BE TRUE AND CORRECi ALL <br />GROVISIONS OF UWS AND ORDININCES GOVERNING THIS TYPE OF <br />WORK WILL DE COMPLIEO WITH WNFTIIER SPECIFIED HEREIN OP <br />NOT. THE GRANTING OF A PEPMR OOES NOT PRESUME TO GIVE <br />AUTMORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL UW REGUUTINCa CONSTRUCTION OR TME <br />PERFORMANGE OF CONSTRUCTION TIIAT I 4M Al1TMORREO BV THE <br />OWNER Of THIS PiAPERTY TO PERFORM iHE WOPK FOR WNIGH <br />RPPLIGA710N IS M�DE AND I COMPLI WITH TME STATE <br />CONiRRCTORS LAW IB27 RCW AND Y96200 WAC. <br />X _�✓� - �v—�7—cw <br />FOR OFFICE USE ONLY: X M��_�,� <br />nrorvrsc�n.c� nc�r+sc*e.c+ sioes[re�c� auHc�[cRmiweca �icc accrrorrn <br />usr rw.� <br />IiLIGllfliM11�1qN I1pClpVr{LLIN'� <br />IINII$ <br />❑r�s �= <br />svc a e�uc i � <br />B�5[MfNI <br />nrEs r.rro <br />CITY OF EVERETT <br />LOCALSALES <br />TA% CODE IS �105 <br />euudrr: <br />RW9R+G <br />YEM�MCK <br />•Cp�1qN\l M�V C��FCK <br />OMCa <br />Si11k BULL��1A� <Vn�NU1Gf <br />wel�C xqnns <br />TOTAL <br />