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APPLICATI�1 FOR CONSTRUC�N PERMIT <br />CITV OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />❑ DEMOLIT�ON f i COMBINATION �� i BUILDING MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS <br />7(00� E�r.a�.�.�„ w�„ 1�-S 9s�zo3 <br />o'BM1[n �A�illDonE55 � <br />�re�W:.t.l,,.e�.,.,l,s, �3sa5swZ�s� I�-au�.1�,oR 97we �So�i7g5-77a1 GREEY�'�"o33oT <br />RIECN�IIiULC(�NfP<ClOF N�iI��OFf55 LIIY 11V VIIGNE iiAiEIICEN$E• <br />��t<ksre, G,.s3,_.1.., I3Sas5ti 2is� 13eaw�/��,oat 97o�e(5�3)785-�7g/ LRrEK �U33eT <br />r�w.m:ncmrnucmri uuu�oncss cirv nv r��oxc ,umuccxse. <br />ccscemev.snKu�o sou.ae voorace irvvaveo <br />cF <br />LOi CLCCN <br />CONSiRULipi� IOM� IENDEP. W00E55. tEICPoONE NUu�[R <br />WATEF CLOSET �TOILET� <br />BATHTUB <br />LAVATORV I�YASM BASINI <br />pRINHING <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />oSEZCn'c lOi/.aEA <br />IICIGIILLINIiA1pN NOCFOWELLIHG <br />u•urs <br />GCLUIUNCY bOR51pB[5 �CCCUPI.Nil0A0 <br />GN� I q O <br />n�+��Fnwuenneoo auson <br />��S E�ti'�` <br />IIf1"cfL�111ANCOU IiE�50t1 <br />�S �,La�ci. <br />ni�cocccnsr rwis�ova coer <br />V—� _ � . <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />mnuc� rcnspi� u�o w�or�c rw. <br />n4� a�u��t, <br />cso3) �s9-��ai <br />I MEREBV CERTIFY TMAT I HAVE READ AND E%AMINED THIS <br />APPLICATION A:ID KNOW TME SAldE TO BE TRUE AND COflRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br />l"lORK Y�ILL �E COAIPLIED VlITH YlHETHER SPECIFIED HEflEIN OR <br />NOL THE GRANTING OF A PEPIdIT DGES NOT PRESUldE TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING GONSTROCTION OR THE <br />PEPFORIdANLE OF CONSTRUCTION. THAT I Ald AUTHOPIZED �Y THE <br />OWNER OF THIS PROPERTY TO PERFOPM TME 140RN FOR \YHICH <br />APPLICAiION IS MqDE AND I COldPLV WITH THE STATE <br />CONiRACTORS LAW 18.2] RCW AND 296200 WAC. <br />�p <br />�:x�mnrx � �/ � /E J�0 � <br />UtV IIUSRICA L6EN5[ tq <br />HEATERS <br />GAS <br />smss[�o.cK ru��nrtc.nuuo[n <br />wc�r�rvre FEES <br />❑vE5 f1N� BU����bG <br />sacoFo�ocri <br />11-2.p vimnoun^, <br />Cl{LMENI NECIUIIIUt <br />�.Es � ��o <br />woirwrui rw� c��cc« <br />omcn <br />surEemi�rocsuanuwe <br />CITYOFEVERETT Puaievwn.s <br />LOCALSAL'cS <br />TAX CODE IS 3105 TOTAL <br />5 <br />PECEIPi NO <br />