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APPLICATIOR. FOR CONSTRUCTrc N PERMIT �'°�'`P" <br />rM E���p�.� TO BE COMPLETED IN INK—PLEASE PRINT � <br />cm a <br />everett HEATINGSYSTEM: GAS ❑ELECTRIC ❑._ ---� <br />BUILDING DEPARTMENT <br />259•8810 <br />� nFYOL1TION COMBINATION BUILDING �i1ECNANICAL PLUMBING SIG <br />C" <br />NEW ADDItION <br />ior e�a. oc <br />`�,.X s,� *� ?)� <br />�jDOa <br />8 <br />FOR OFFICE USE ONLY: <br />NEOD <br />Br <br />Uiv <br />CIIY <br />llr i1��� U�Ve <br />r �Et}- 3y � - <br />PMONE <br />vNpNE <br />3 � ik1 Y-�'{'11F�%1 � <br />� RF.PAIP OEMOLITION WOOOSTOVE/FqPL INSERT BUIL�ING RELOCATION <br />coHr ^ �eNwnuiow�cvui • <br />>,(J`� p n lo Kr��S��P _ <br />�ri� LJ �. �/-�3, I <br />I MEREBV CERTIFY THAT I HAVE READ AND EXAMINFD THI$ <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRFCT ALL <br />������q���p��si FPOVISIONS OF LAWS AND ORDIHANCES GOVEflNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEHEIN OR <br />NOT. THE GRANT�NG OF A PERMIT DOES NOY PRESUME TO GIVE <br />AUTHORITV TO VIOIATE OR CANCEI THE PROVISIONS OP ANV <br />�' �� _��� PERFORMANCE OF�ONS RUCTION LTNAT�I AM AUTMORI ED BV TME <br />OWNER OF THIS PROPERTY i0 PERFOflM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPIY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2%.200 WAC�_ G_� <br />S�GN�lUREO�CONiHeCiOAON�UiXOaIZfEAGENi O�IE � Z <br />% <br />�� �Q� _ <br />epPLK�NiS Gi� BIISME55 LiCENSE NO µ0 BUS�NE55 NR4E <br />�/o �'- S'.� <br />FEES <br />BUILDMG <br />PLUMBING <br />MECHANICAL <br />�O�ITIONAt �'UN GHECN <br />OiHcri <br />StAfE 9UiLGING S:1RGH�PGE <br />PUBUC WOFNS <br />TOTLL <br />NJ <br />