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APPLICATI�1 FOR CONSTRUC'I�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERFTT, WA 98201 • 257•8810 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS <br />7 UC� `7 5/ 5 PC ��: ls�, <br />iea uuieooress arr zir n�o c <br />JfR�Y M£�d�•%%Ay •J''ri"k; >�-) PG. S,�i� �CdF�lrtr�,a. �iFzn:S 4yi 347- <br />FLVM�INGCOIIiR4.'.iOR �APIIPDJllC55 CIiY Zlf� PIIO�iE SIAIELILl115E• <br />iWFG[ <br />L0� � BLCCN n,,,•v•nL <br />Il�!il �l>1 <br />- pAR. <br />FOR OFFICE USE ONLY: <br />rnoruscio.cK � n[<asnoncx <br />� '�.O <br />usuo.E � ioren�c �� <br />n�iGHlli��iqN t�00�DWCLL��f1 <br />irlJ WuiS . <br />ff 4G <br />2 <br />— I HEATING SYSTEM: ❑ GAS }:i ELECTRIC ❑ <br />FEE <br />5 <br />I HEREBY CERTIFY TNAT I HAVE READ AND EXAMINED TMIS <br />APPUCATION �ND NNOW 1h:E SAME TO BE TRUE AND CORREf.T. ALL <br />PROVISIONS OF LAWS Af:D ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFlITY TO VIOLATE OR CANGEL TME PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTPUCTION. THAT I Ald AUTHOFlRED BY THE <br />OWNER OF THIS PROPERTV TO PERFOflM TME WORK FOR WHICH <br />APPLICATION IS MADE AIJD I COMPLV WITH THE STATE <br />CCNTR�ACTORS LAW 1021 PCW AND 296200 WAC. <br />x N',�jY �����9��'�� 7�/�lnl <br />s�cru*Ua 4"'E <br />cnr eusi�+rss iwvise rw. <br />GAS <br />AIR <br />pvES R[MO BUIt�RA'. <br />ULCGTI <br />.� F � � �wuu�•„ <br />GSE1AENi � � MCOUNiC0. <br />rYES :Vf�V <br />�oomoruiviu,aece <br />an�cn <br />su�¢ owmu+a wacnnace <br />CITY OP EVEfiETT �+ai�c woi�cs <br />LOCALSALES <br />TA% CODE IS 9105 TOTAL <br />nEcnvr <br />