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APPLICATIO�FOR CONSTRUCTI�1 PERMIT� <br />CITY OF EVEFETT • BUILDINO DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />DEMOLITION ❑ COMBINATION � BUILDINO ❑ MECHANICAL � PLUM&N6 ❑ SN:N <br />IOJECTADDRESS , ,,, ,,, i ,. „ ,/� / _ � /� � <br />MEL I.�P6iCP Y1R�pp�E55 CIiY ZP RY]11E 6i��EtCEMSE� <br />RUM011qC011iRAGT(M1 M�ILApONE55 CIIY 2V PIId4 ST�iE11LE1dE� <br />ior�i�'4� e�rc;K <br />cor�, mrc,iov <br />FOR OFFICE USE ONLY: <br />lPOAtSflBI.L1( PUPSEIB�CIt <br />USEION[ lO1�PE� <br />�1Eq11illMil�IpN IqOFpW[IIIM <br />Ur�liS <br />vi,Cuit SitE <br />❑vE5 ❑�q <br />SIZE Of MUM � <br />B�Y4ENi <br />OYFS O�V <br />CITY OF EVERETT <br />LOCl1l SALES <br />TA% CO�E IS �105 <br />HEATIN6 SYSTEM: ❑ 6AS ❑ ELECTRIC ❑ <br />I NEREBY CEPTIFY THAT I NAVE REAO AND E%AMINEO TNIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE �ND CARRECT. ALL <br />PROVISIONS OF UWS AND OROINANGES OOVERNINQ THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANiIN� OF A PERMIi f70E5 NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF �NY <br />OTMER STATE OR LOCAL UW PEGUUTINO CANSTRUCTION 07 THE <br />PERFORMANCE OF CONSTRUCTIOY. TMAT I AM AUTHORIZE� BY THE <br />OWNER OF TN�S PROPEFTY TO PENFORM 7HE WORM FOR WHICM <br />APPLICATION IS MADE AND I COMPLY WITM THE STATE <br />CANTRRGTORS LAW 1827 RCW M!D 298.300 WAC. <br />z � <br />w u'a o.a <br />crtreusurtssuccxscra. <br />%AV GNECM <br />W4pN(i <br />IRIM011U <br />MEPIMXCK <br />•OOIIO114 %/�M Q�FCR <br />OMEN <br />Sil,iE B�M1flvp SV�buMOE <br />wxc v.amis <br />TOT�L <br />�EE <br />