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APPLICATI�! FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />Q OEMOI.ITION ❑ COMBINATION ❑ BUILDINO ❑ MECHANICAL ❑ PLUMBIN6 ❑ 516N <br />� PROJECTADDRESS � c, � / /. .� � Q� C` � � <br />d� W G</ <br />� �p � l,tis �F7� C�Pu,tT�' 9kao� �/.�$ e2S� �42f� <br />�: <br />0 <br />uccn�wcucovrn.cran wti�m+css crtr rs narh saci�ccxsi. <br />RUMBMGCONIP�LIIX1 MML40U1C55 GiY SO I'11P'1E SURIC[NSE• <br />OESCfl2E <br />io* <br />��o <br />8 <br />FOR OFFICE USE ONLY•, <br />(nOHiSRe�[x PE�FSEI <br />USE EOM. LOMnf.� <br />NEqNtli4RRqN I1q0lOWELLIN3 <br />UNiiS <br />V�CN1iSItE <br />❑res o�o <br />OVEL ❑1q <br />CITY OF EVERETT <br />LOC�LSALES <br />TA% CODE IS 3105 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTHIC ❑ <br />w�rr.c� rcnwr� u�o rraxc rq <br />1 HEREOY CERTIFV TNAT I HAVF. REAO AND E%AMINED TNIS <br />APPUCATION AND KNOW THE SHME TO BE TRUE AND CORRECi ALL <br />PROVISIONS OF LAWS AN� ORDIhANCES GOVERNINd 7HIS T'PE OF <br />WORK WILL BE COMPLIED WITH WHETNER SPECIFIED HEHEIN OR <br />NOT. THE GRANTING OF A PEPMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE ON CANCEL THE PROVISION OF ANV <br />OTNER 51ATE OR LOCAL UW PEGUUTING CANSTRUCTION OR THE <br />PERFORMANCE OF CONSTflUCT10N. THAT I AM AUTHOflIZED BY THE <br />ONMER OF THIS PROFERTY TO PEHFOPM TME WOflN FOR WMICH <br />APPIICATION IS MAOE AND I COMPLY WITH THE STATE <br />CANTRACTOgS LAW 1827 RCW AND 286200 WAC. <br />/D!L . - i1��. � ,Sv�a7 <br />�[ l.� rc.�d <br />'licw.*unE o��e � <br />arr eusmcss iGCNsc no. <br />BUIMW <br />RUMBMJ <br />4[CN�NKK <br />I.WRICNµPVJICNEC1t <br />OLNEfl <br />SI�iE W0.pxa S�tt1GNRGE <br />nreic wa�s <br />TOTAL <br />