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pppLICA�N FOR CONSTRU�ION PERMIT ;V� <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 257•0810 <br />EMOLITION OMBINA�T/ION ��BUILDING ❑ MECHANICAL ❑ VLUMBING ❑ S1GN <br />PROJECT ADDRESS:� G6 �S ,�/ L(�r>� <br />//!�//�(2r'�i'1_�j',�S}xj7tr �� 2Y�.fi IPC'LG Gr�ia 9.Fao7 ��6u3SS7� <br />j rq E <br />IENAN� u41 epIX1[55 GIY I�� vtlCNE <br />llli �.. <br />� S 11 �1I�'!./sl <br />YEC����+�ULCON���C10� RuI�UME55 Grv !�� PuONC SLiFUCFNSE� <br />CW�O�NGCl:1PR1W MuI�IXmF55 Cllv iln P�W�f 51�1EL6FMSF• <br />''7 � /17rY1 s�a <br />tol BIOLK _ <br />S <br />HEATING SYSTEM: �CAS ❑ ELECTRIC ❑ <br />I HEHEBY CERTIFY TNAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AN� COFRECT ALL <br />PROVISION$ OF LAWS AND OROINANCES GOVERNING TMIS TVVE OF <br />WpRK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />NOT. THE GAANTING OF A PERMIT DOES NOT PPESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTMEF STATE OR LOCAL LAW REGULATING CONSTRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO BV TME <br />OWNER OF TNIS PRDPERTY TO PERFORM TNE WORK FOR WHI,^.M <br />APPLICATION IS MADE AND I COMPLY WITH THE STAIE <br />CONTRACTOPS LA1V 1827 RCW AND 29fi200 WAC. <br />9i4Ne1pPE 0�1[ <br />LIiY0U4NE5516FN5[ NO <br />7YPE <br />S <br />FOR OFFICE USE ONLY: <br />rnoNi zFin�cK nc.n s[* <br />IISESONF IoIAnF� <br />smE <br />�i� �J/3 <br />ortc��+uun n <br />n �i�0� ' D i� <br />OVFS O u0 pNlfl�Nf: <br />��EiG��it�Miu�iOv �AO�OWEIIiW SilEOfBIOf✓f� v�vuPieO <br />OCI'11CAHCY M(1M51M'�I5 IX:CVV�NIl0�0 B�SFULM� 4{[.114i1L�1 <br />f.110UP ❑Yf5 � H�i <br />/Dp110uq. M �M CufGK <br />fIRESFPINNIEHNEOD �F�SpI � <br />O�uEn <br />i1f1EµAPAfpfO'D �RSOv <br />A��I[ BUM1O�MG SunC��i�LF <br />tm[nrcons� ninus�vrnor.00r CRYOFEVERETT r��e�"�""c <br />LOCALSALES <br />,,,,� TAX CODE IS 7105 TOTAL <br />