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APPLICATI� FOR CONSTRIlC'i�N PERMIT� <br />CITY OF EVEREIT • �UILDING DIVISION <br />320D CEDAR STREET • EVERETT, WA 98207 • 257-8810 <br />G DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL CI PLUMBING LS SIGN <br />PROJECTADDRESS <br />ovriEH u•�uooncss cirv zii� r��orie <br />�rniv� (AM (�rr���i��faiv�s 771h_�up/���p�nGk:✓�/e2�ll 9K�bZ vu•v�7-o7xj <br />rourvr � uu��oon[,. un nv a�oxE <br />;o � CA. uior c,�A <br />VFOqNKKCONiF1C10f1 AIA�IAGOP ��� —�O� <br />E55 CIIY IIP PIIONE SI�iFLK[!4G <br />VW411uA.LOfliR�GtOP 61er�/,pORE55 UtV bV PIIOu[ Sie1ElICE16E• <br />SC�% �� <br />cesrnmew neuiosawncvaa*eceirvvavco <br />io* oiocx <br />co��sinuc*�ou mui tcr�ocn. nconcss. <br />CLOTHES <br />SINK �SERVICE — <br />FOR OPFICE USE ONLY: <br />FfiJtlL5Et04N REAq5E1 <br />USGZO�iE . � LOiI.REN <br />IIE�a11L111.11IAIY]N <br />HEATING SYSTEM: f] GAS ❑ ELECTRIC ❑ <br />ca�nncr vtnsC�� �rm rnou[ rw. <br />I HEREDY LERTIFY TFIAT I HAVE READ AND E%AlAINED THIS <br />APPLICATION AIJD KNOW THE SAIdE TO �E TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS ANO ORDINANCES GOVERNINO THIS TVPE OF <br />WORK WILL 6E COt.1PLIE0 WITH WHETMER SPELIFIED HEREIN OR <br />�nen�c��r::ocowcs� NOT. nIE GRANTING OF A PEflM111T DOES NOT PRESUI.tE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTNER STAiE OR LOCAL fAY! flEGULATING LONSTRUCTION OR THE <br />PERFORlAANCL OF CONSTflUCTION. THAT I AM AUTHORRED BY 1HE <br />OWYER OF THIS PROPERTV TO PERFORh7 THE WORK FOR WHICH <br />APPUCATION IS IdADE AND I COIAPLY WITH THE STA1E <br />CONT ACTORSLAW1027RCLYAND296200WAC. <br />:�,:�.,oE,� x —7 3/a�ol <br />simuru;=c � o r�— <br />cav ousu.css ucui;¢ rw <br />SUB TOTAL 5 <br />1q OF OWEIL�HG <br />UIlIiS <br />cccuvurtto+o <br />Gc� <br />TVPE OF <br />LVATER HEATER <br />GASRANGE <br />S�C[$E1�A�R I VIANGMECNNI'MpEF <br />I w.cu�nnE FEES <br />il�ES ❑ NO pWtOrtA <br />$IjE OF 9lLGT I <br />RUMO��q <br />o.see�cur u[o�n�acu <br />❑YLS ❑ ND <br />�OOI110NKFUN0IECN <br />OiNEP <br />SUiE 9Wl0iNG SUFLHApGE <br />CITY OF EVERETT weie wor,xs <br />LOCALSALES <br />TA%CODE153105 7oTAL <br />PERMIT S <br />