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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98207 • 257-8810 <br />ANICAL � FLUMBIN6 O SHiN <br />❑ DEMOLI710N ❑ COM8INATION ❑ BUILDIN(: ❑ MECH <br />PROJECTADDRESS 31zL/ sN�• sF. sw. EvPr�T'� <br />I <br />srn.�. c��v«�-+�- 98ao3 i'vzs) 3[�� -g6s8 <br />APCHIiEGTCP0E5GNER MMI�COPE55 Cm I� R�� <br />GENERKCONIMCiOR MAILMDPESS CIiY IP VMME ST�IEULEKSE• <br />MEGN� �CiOq MULe0DRE55 CRV ZW PMONE SieIELiGEHSE� <br />FWM��tMaCON'PACTOF MIIL�DDPESS LIiY 11p RId1E SUiELILEN5E1 <br />io* <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />[ONi.1LiPEP$ONINUCNONE1p <br />/ I HEREB� CERTIFY TMAT I HAVE HEAD ANO EXAMINED THIS <br />�r <G"� pppLlCAI ION AND KIJOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�e or eunon+c PqOVISIONS OF LAWS AND ORDINANCES GGVERNING THIS T'PE OF <br />WORK WILL 3E COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />arrouarnoventt�swwne[�anouen�cHmocoai�sl NOS T1E GRANTING UF A PERMIT DOES NOT PRESUME TO GIVE <br />_ 01aK � AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFOF.MANCE OF WNSTRUCTION. THAT I AM AUTHORI7.ED BY THE <br />OWNER OF THIS PROPERTV TO PERFOF4 THE WORK FOR WMICH <br />APPLICATION IS MADE ANG I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 39620U lNAC. <br />SUB <br />FOR OFFICE USE ONLY: <br />:[iONiSEiBnLN PE�FSE1BeCr. <br />IIE:�iNllI1.11iAiON I bI s[pVl[LLING <br />u <br />NUMBER <br />CItY BUSMESS IICENSE !q. <br />GAS <br />PLAN <br />V�L�N'SRE <br />❑YES ❑ MO BWI�i�'�'+ <br />SREO%OLOGTI <br />Vl11MBING <br />ASEMENi YECMANICAL <br />❑YES ❑ NO <br />AppIT101ULPlANCNECN <br />OiNER <br />SI�LE B�rtDi1q SUHCN.WGE <br />CITY OF EVEHETT weic woncs <br />LOCALSALES <br />TAX CODE IS 3105 TO7AL <br />� 6-/3- <br />GEE <br />