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APPLICATIOA FOR CONSTRUCTI(�.� p����Y <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, Wq 882p1 • p5g.8g10 <br />❑ DEMOUTION ❑ COMBINATION [� BUILDING MECHANICAL � PLUMBING f"I SiGN <br />PROJECT qDDRESS <br />�„ - <br />33.7� s- �,��. �sw. �-U . <br />�ncwTccronuawHcn wu��oorrw cin � <br />21P M�� <br />wr � <br />CON8Tip1C710N LOAN IFI�E�, �OORE68. TElER101��li q�M�FN <br />TYPE <br />6 DISP <br />TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTfi7MClt eeuo <br />use <br />�ai+t uwr�iper I Ho, oF p�eEwrq <br />uwra <br />wcc <br />nres n ra <br />���� <br />e�mir.i. <br />O YES p 1q <br />cm oF eveAerr <br />LOCALSALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: {�GAS ❑ ELECTRIC C7 <br />� <br />I �iEHEBY CERTIFY THAT I HAVE READ AND E%AMINEO TMIS <br />APPLICATION AND KNOW TFIE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WMETNER SPECiFIEO MEREIN OR <br />NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AI�THORITY TO VIOLATE OR CANCEL TME PROVISION OF APIV <br />OTHER STATE OR LOCA� �pyy qEGULATING CONSTRUCTiON OR TME <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTMORiZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOqK FOR WMiCM <br />APPLICATION IS MADE AND I COMPLY WITM TME STATE <br />CONTRAC70 S LAW 1827 RCW ANp �p6200 WqC. <br />X __�"I 1 � • -�j�/�/ i S <br />BhiN�TU� (� DATE <br />p1Y BUSIMESS IlCENSE NO. <br />Q •�:icn��nn: uti� <br />UNIT MEATERS — <br />aunuwo <br />PLUMtlINO <br />MECH�NICAI. <br />AL'. .n� PtAN CMECK <br />�.�i <br />yUTE BUIIDMO SURCHAfqE <br />wauc waucs <br />TOTAL <br />PERMIT <br />S <br />� <br />