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APPLICATION FOR CONSTRUCT11rN PERMIT <br />� Ere���� TO BE COMPLETED IN INK—PLEASE PRINT <br />cin oF <br />everett <br />BUILGING DEPARTMENT <br />259•8810 <br />' i DEMOLITION . . <br />HEATING SVSTEM: ❑ GAS ❑ ELECTRIC 0 <br />everett <br />ANICAL �_: PLUMBING . SIfiN <br />PIKKIE <br />rr 3r.3- q�o. <br />iFN�Nt , MM�UOXtJs �"• '^ •^�"' <br />•qCNIIEG OROESC.NEf MAq.A00PE55 CRY I:P PIqNE <br />GENEIULLONTMLiOP MI.4RO�flE55 Gi'I ZIp P1KK1E L2ENSE• <br />4ECN�NIC0.�CCNI�BA�CI011 MA0.ADOPE55 CILV 1i> PNCNE LICENSE• I <br />�G.SQecTiT-,/��;^*c %�o6skS$^7 �✓.vw CJ.r 77�Y-//[r Go�rn�c-�FtTP <br />PWWYNGCIXAPACTOR M�M1ApqiE55 P�Y -�iP PM�lI� L4GNSE• <br />✓ <br />iot <br />S!:Of KGflN <br />NEW � � ADDITION �. ' ALTERATION . �. REPAIR �. '�. DEMOLITION ' �: WOODSTOVBFFlPL INSERT �..I BUILOING PELOCATION <br />LONUCi PCOSCN 1N0 PIqNE 1q <br />�� � <br />� 7 Y� <br />' I HENEBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO 8E THUE AND COR9ECT ALL <br />�srwvmoc�ava+eir�cNFounccr�cs PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br />WORK WILL BE COMPLETED WITH WHETMER SPECIFIED HEREIN OA <br />_ o� NOT. TME GRANTING OF h PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLAiE Ofl CANCEL THE PROVISIONS OF ANV <br />O7HER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOHMANCE OF CONSTRUCTIGN. THAT I AM AUTHORIZED BV iHE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN <br />APPLICATION IS MA�E AN� I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AIJD 2952U0 WAC. <br />SqN�111NEOFCp1iMGi0NOflAOi1qBIZEDAGENi OAE <br />X t •�`=' -- <br />_ � I� P 4'ANiSCIiYBU£iNESSLILENSENO.ANpBU9NlSSNRMC <br />FOR OFFICE USE ONLY: Se <br />fHONi5Ei8ACK PF�NSEIBALN <br />W I �IIU <br />ntt w mxsi r.c�wi <br />NO Of S10PiE5 <br />lIPC SPPNMLENS FE( <br />hANSAi✓qOVE�BY <br />S <br />GAS <br />'-r. Ca.+ft i n•-�c.: t�� rr.+ U,-� G <br />emioir+c <br />PLUM0ING <br />MEGMANIGRL <br />�DDITION�L PUN CHELK <br />OTNER <br />ST�TE tlUILDING SURC��ARGE <br />PUBIIC WORNS <br />rovu <br />T <br />