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APPLICATAN FOR CONSTRUC�ON PERMIT� <br />CITY OF tVERETT • BUILDING DIV�SION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-0870 <br />❑ DEMOLITION ❑ COMBINAfION ❑ BUILDINO ❑ MECHANICAL �j-PLUMBN1fi ❑ lIGN <br />xs <br />�nCMREClORCf54iNu 4Pl�CME55 CItY 3V iM4 <br />{4U40iN]CONIXICLM MARADJPC55 CrtV IF' M�HE S1R[lKLNSE• <br />ocsca�ec <br />�m <br />aocx <br />roouacnrvavco <br />.��s� ,�,«�� �,�wa�a <br />DPY TRAV <br />FOR OFFICE USE ONLY: <br />InM115L10K( �UR 5[LB4R <br />��EN'iMiliu:�nipH IMMbNILIIN] <br />VNI15 <br />HEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />CMiiAC1P[n$�ry�N�MpNC1q <br />1 HEREBV GERTIFY THAT I HAVE FEAD AND E%AMINED THIS <br />PPPLICATION AND KNOW THE SAME TO BE TRUE ANG CORRECT. ALL <br />PROVISIONS OF UWS AND OR�INANCES 60VERhING THIS TYPE OF <br />WORK .VILL OE COMPLIED WITM WHETHER SPEUFIEO HEREIN OR <br />NOT. iHE GPANTINC. OF A PERMR DOF NOT PRESUME TO GIVE <br />AUTMORITV TO VIOLATE OR CANGEI 'ME PFOVISION OF qNY <br />OiMEH STATE OR IOCAL UW REGULATING CONSTRUCiION OR TME <br />PERFORMANCE Of CONSiPUCTION. THAT I AM AUTHORIZED BY TNE <br />OWNER OF THIS PROPERiY 10 PERFORM TNE WORK FOR l4HICN <br />RPPLICATIUN IS MAOE AND I COMPLY WITM THE STATE <br />CONTRFCTORS LAW 102] RCW AND 296200 WAC. <br />x .�?,c.2�L./wT G�aZVd <br />sar�.nuc o�rc <br />cnveosrtcssnco�sc�a <br />U�IIT <br />�UNCMCCKINMBCP <br />❑vE5 Il NO � BORD�`ID <br />aiii -1� <br />I�IVYBIM <br />.M[NL MLCN�NKAI <br />nvcs nvo <br />�,ppnpn.in�r�cMtcx <br />otHcu <br />$i�iE BVry{yM SUULMtPGf <br />TY OF EVERETT ��� ��s <br />LOCIIL SALES <br />1x CO�E IS 3105 To7�L <br />R[CfFiMO <br />