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APPLICATIt.i FOR CONSTRUC7.�N PERMIT <br />CITY OF EVEREiT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, Wq 98201 • 259-8810 <br />❑ DEMULITION p COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS_ (D SO ` geJ2R1�/ Q � J� � EJei2e T� W� , 98ao3 <br />� <br />NILMfELTpppESIGNEN 4N1A00RE55 �,ry <br />l�� PNONE <br />PlU4BW(CONTRAGTOq M�II�MAiESS ��n. <br />21P P1qNE S7�TELICENSE� <br />C51 <br />`) �� 3 `i <br />�ec/u o¢scwvrwN a alloq <br />LOT�_ glpCN <br />531 Lo = 000 - 00$ - p000 <br />CONSTi1UL710N lON1 LENDER.AOdiE55. TElER10NE MINBER <br />!:i <br />DISP <br />TOTAL <br />TOTAL <br />FOR OFFICE USE ONLY: <br />ippNiSETBy1C1f,� REMSETBA�I( <br />USE I�/I//�v)(/� � � UT �PEA � <br />I.� ff-� � Ii / i l%. <br />NEIOIIT LI41TAilON <br />a� <br />ra or owcwNc <br />VNiIS . <br />o�iE <br />SIDE 9ET0ACIc <br />�j <br />V�CANIyiE 1 <br />i ❑YES <br />SIZE OF BIOG/11 <br />❑YES �.i(p <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC � <br />Cd/T�CT PEPSON um o�w�uc un <br />I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICAI'ION AND KNOW THE SAME TO BE TRUE AND CORRECT qLL <br />PROVISIONS OF LAWS AND ORDINAhCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED W17H WHETHER SPECIFIEU HEREIN OH <br />NOT. THE ORqNTIN6 OF A PEHMIT DOES NOT PRESUME TO GIVE <br />AUTHURITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LqW qEGUU1TIN0 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BY THE <br />OWNER OF THIS PqOpERTV TO PERFORM THE WOAK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW iB.27 RCW AND 296200 WAC. <br />x fwN_ V`- "tLct"� 3- `� <br />5 pE <br />O�TE <br />CITY BUSINES$ IIC�NSE Np <br />NO. <br />RANGE <br />M�N CIIECK <br />BIIRDIHf <br />Pl11MpING <br />M(CHeAICAI <br />�DO'iION�L PUH CqfLN <br />Op1ER <br />SiqE Ou1lDMG SIIOCIUR{E <br />CITYOFEVERETT rueiir.rronKs <br />LOCALSALES <br />TAX CODE IS 3105 TO7AL <br />SVSTEMS <br />SUBTOTAL f � <br />PERMIT s —�r— <br />TOTALFEE S � <br />�� nrr.Emrrq <br />VAL.UATION FEE <br />qq i <br />/ /O iL�,l <br />� � <br />��-- <br />_� _�L��� <br />