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APPLICATI� FOR CONSTRUCi�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />320(� CEDAR STREET • EVERETT, WA 9B201 • 257-8810 <br />DEMw'!.ITION .��� COMBINA�fION I� BUILDING ❑ MECHANICAL f7 PLUMBING '-1 SIGN <br />'�OJECT AUDHESS �j�I U � I�CV� I � �.JI ✓�f � ,E�e✓�T�, � (/�/Ct I �Z�.3 <br />t9 . uui.00n[zs arv ic nara <br />29Q (�OI <br />�nGMil[CIO��M�/S�Ryln u�it��na[55 Gltv [i MIOiiC <br />(�]li\ ht+� <br />GULLn4Cp11P�Ciq1 4AR�DDn[55 •Y IW Rq1{ 6L�CliCCNSH <br />.nu..r.uucc.vuc*o�� uuuucw¢5 n nn nror¢ Su�n¢uis[. <br />�ooa��:mrnn.c*a� uui.00n�ss ur rm r+ro..� s�nnwv�se. — <br />oicc�m.ce����.o�a`�I'12c�•r�avm �OXaO. <br />Gf <br />r �..�s,siouseorem,�nn <br />l[.14 MSCPW�qfl C! VPCMPiv ISqWII p[IONOq RIKN 1WOC[ <br />L'J� PICLn p <br />�.3J�--oo3-voz- ozo� <br />nu�[ [ � iq i 0 INup(q <br />CCIISIf�UC110N lON1 L[NCiX /.00�[55 lll [MNMIE HIIMd[R <br />FOR OFFICE USE ONLY: <br />n�our;oiur.R n.eacneue swcsoe�ca <br />us! z�r.r <br />«uc«na�,wror� <br />HEATING SYSTEM: : 7 GAS I i ELECTRIC f'. <br />cor��a�r[n:q��N�orravcrq _ <br />I HEREBY CERTIFY iNAT I MAYE PEAD AND ExAMWEO THIS <br />APPLICATIUN AND KNOW TME Sr11dF. TO f1E TPUE ANO CORREC". ALL <br />PROVISIGNS OF LA1'IS AND OROINRNCES GOVERNING TMIS TVFE OF <br />Y�ORN WILL OE COMPLIED WRH IVMEiHER SPECIFIED HEHEIN OR <br />NOT. iME GRANTING OF A PEfIMIf DOES NOT PRESUME TO GIVE <br />AUTNORITV TO VIOLRTE OR CPNCEL TME PROVISION OF ANV <br />OTHER STA7[ OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br />PERFORAIANCE O� CONSiRUC71CN. TNAT I AM qUTNORRED BY TME <br />OWNEP OF 7NIS PROPERTV TO 1'ERFORM THE WORK FOR WHICH <br />APPLICATION IS MA�E AND I COMPLY WITH TME STATE <br />CONTRACTORS LAW 182] RCW AND 29fi300 Wr1C. <br />3a.n un��`�� °�'`c� p�-43�L%�OO <br />Cilv BIA�1455 UC[i6L 1b <br />����+��• ��cwrsrtc FEES <br />-.¢s n uo eouoim <br />�aorov,uur«, sa[ne�octi <br />ur�ns <br />Muuav�c <br />a:.curer��mnn o�s[uun <br />�AECII�II�CK <br />rrEs r.rro <br />wu sa�i eoortar�u rw, artu <br />on�rn <br />nEnsoN _ <br />si.�[ eurtovic s�x�uacc <br />�"•���•"'�0�,1°e' qTVOFEVEREiT weieeoaes <br />LOCALSALE: <br />,. .� TAX COOE IS 31u5 TOTAL <br />•�I <br />rzE I n¢upi <br />