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APPLICATI� FOR CONSTRUC7�N RERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLITION I'7 COMBINATION ❑ BUILDIN6 ❑ MECMANICAL C7 PLUMBINU ❑ S�GN <br />nivueMcr.artn�cron uui�o0u[ss Gn em naN[ s�e�ueve[. <br />�/ <br />wva�[o <br />CONSIPIK1qN <br />FOfl OFF��E USE ONLY: <br />fYOxiSOP'CN � �[�RS[1045 / <br />/D <br />USENxL qy IOiIPU <br />�—/ ly�i <br />IIC�CNil�4111ipN��^ / Hi�O�C <br />HEATING SYSTEM: ❑ GAS 'X ELECTRIC C <br />1 NEREBV CERiIFY THAT I HAVE REAO ANO E%AMINED THIS <br />pPPLIJATION AND KNOW THE SAME TO BE TRUE AND CORRECi ALL <br />PROVISIONS OF lAWS ANU OR�INANC[5 GOVERNING TNIS TVPE OF <br />WORK Vl�IL OE COMPLIED 1YITM WNETHEH SPECIFIED MEFEIN OR <br />NOT. THE GRANTI4G OF A VERMIT WES NOT PPESVME TO GIVE <br />FUTNORITV TO VIOLATE OR CANCEL iHE PROVISION OF RNY <br />O:MEF STRTG OR IOCAL UW REGULATING CONSiPUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THFT 1 AM AUTHORIZED BV iHE <br />OWNER OF TMIS PROPERTV TO PERFORM TME WORN FOR NMICH <br />pPPLICATION IS IAROE AND I COMPLY WITH TNE STATE <br />CONTRACTOriS LAW 1B2) PCW AND 296200 WRC. <br />X �� )S" / �� �C.,� <br />saHr.nac o•rc <br />cnv e�s�x�ss �K�Nsc u <br />I WC�NISRE <br />']YCS O MJ <br />SIIC M BIDOT I <br />Z PIVMPnq —_ <br />� <br />4ELIIu�C4 <br />❑ NO <br />MOIIION41i.W CIIECR <br />o*Ncn <br />stntc�nomcsu�+c�•ucc <br />EVERETT Neiewa+�s <br />SAlES <br />IE IS 7105 70UL <br />�J `7% S� <br />/ $$U. � <br />