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APPL14'ATI� FAR CONSTRUC�N PERMfT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 <br />❑ DEMOI.ITION ❑ COM9lNATION �] BUILUING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />•nC��l[c10I�0ELGN[n 4V�I�OIX�E55 Grc lii� nqNE <br />GFNFMlCON1O�C1IX1 M41dW11E55 ,�.pY )�P Rq1@ 51AISLICCNSF� <br />NE MC�LCp1IPkipi M�U��pp11E55 f.ItY jl� pIqNE SIAfFLKCNS[• <br />,U/Y��/1 J <br />oEun�e[ rq�v uy <br />f1EATING SYSTEM: ❑ GAS ❑ ELECTflIC ❑ <br />Ccw��r.t rtnsa� u'n I'�ro�rt ra <br />I HEREOV CERTIFY THAT I MAVE READ ANO E%AMINEO THIS <br />�iroroseouu or Baip.q APPLICAiION AND NNOW THE SnME TO BE TRUE �ND CORRECT ALl <br />V e PROVISIONS OF LAWS AND ORDINRNCES GOVERNING THIS TYPE OF <br />IEGAtDESCNv�lOM0i1Y1p4Ittt�9pVHi![lOVIM�tIK111NOCOAES) W�AN W�« �E COMP�IED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. 111E aRAMIN6 OF A PERMIT DOES NOT PRESUME TO OIVE <br />mr eiocn __ p AUTIIOPIiY iD VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER SrpTE OR LOCp� LAW RECUUTINO CONSTRUCiION OH THE <br />PERFOIiMANCE OF CONSTRUCTION. 7HAT I AM AUTHORIZED BY THE <br />OWNER OF ik115 PIIDPERTY TO PERFORM THE WORK FOR WHICN <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />PMGEL iut I0. Mn9E11 CONTRACiOHS LAW 1827 RCW AND 298200 WAC.n / <br />._._.___._.__.___.._. � . �. / / w. . t � � <br />D�SP <br />FOR OFFICE USE ONLY: <br />IpONI5E1pACM pF��5E10.1CN <br />USEIONE <br />IIEIGIR 1141Ut1pN <br />FOf7CEDAIR <br />STOVE <br />m�enu ve�u1r9i� FEES <br />o.Fs o �ro oimmm, <br />rro os ovrtwxo vtc or oioarti <br />UMIi <br />rwunwn <br />DCCV1'ANI�O�D BhSEMEN� 4fC11�MG/d <br />❑YLS 0 NO �— <br />f1f.15p1 �Dp11fN��1 ry I.N C11f CM <br />otum <br />1NSq1 <br />51�1[ OIIIIIHIH{ SIIIIf.11App[ <br />tinvs�rmpvcoor CITYOFEVEREiT ninix:vmm.c <br />LOCALSALES <br />uc TAX CODE IS J105 70tAL <br />S <br />f[F �nEf.fW�NO <br />