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� APPLIt',( �''ION FOR CONSTRUCTI <br />. O�. PERMIT� <br />CITYp�EVERETT. BUILDINGDIVISION <br />3200 CEDAR STREET. EVERETT, WA OB201 .257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING � VECHANICAL � p�UMBING ❑ SIGN <br />� PROJECTADDRE55 <br />9031 Everprean Wey <br />OWN[fl ANY.ILOI1[63 Gtt Si pq11E <br />Georqb'e Pizza 9031 Everprean Way Evamtl ggppy qyy,��_��Z <br />tE1MN! 4ALMqtE59 4.n. � <br />P1101( <br /><NAME> <AODRESS> �C17Y> cZIP> �PHONE> <br />MCNIIECTORCE&GN[q Mµ/�p�qEy� qn, =p <br />R�QYE <br /><NAME> <AODRE�S> <Clry> cZIP> <PHONE> <br />GEMfMLfAMfluciOH W0.ApDqE99 �yn. m <br />�NAME> <AODRESS> � P1� aareir,u�se� <br />ucuawvic.ucorvrn�cran wa,�mncss CI7Y' `ZIP' <PHONE> <UCNO> <br />a� � ��E 8}A1E410EMSF.� <br /><NAME> �ADDR[SS> < <br />Rui.��uowHrnncran u,y,�yE,s �� �' �21P> <PHONE> <UCNO> <br />f1nvA 1JN. oL.. e w� o r� ..__ ..... _ � PNWE 6ieLE4CFN5E• <br />Inslall Greasa Trap 8 replace 100gn1 gas hwt healar. <br />rnososeouaEorev <br />ar <br />98U4fi 425•77'�� �64 <br />HEATING SYSTE61: ❑ �AS 0 ELECTRIC <br />I MEf.EBY CERTIFV TMAT I HAVE R:q� AND EXAMINED THIS <br />Hrq APPLCATION AND KNOW TI:E SUIE TO 3E TRUE AND CORRECL ALL <br />PROVI: IONS OF LAWS AND ORO�YANCE.i GO`/ERNING THIS TVPE OF <br />°narERrc�snaHr�aEwwonertncniwoconEs� � WORK W:! L 8E COMP�IED WITH Y�HETHER 5?ECIFIED HEREIN OR <br />NOf. ;HE CRANTING OF A PERMIT u0E5 NOT PRESUHE TO GIVE <br />�� ---oF AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM pUTHORIZED BY 7HE <br />OWNER OF THIS PROPERTV TO PERFORM TNE WOR'( FOR WHICH <br />APPLICATION IS MADE ANU I COMP�y WITH TNE STATE <br />CONTRACT W18.27ROWAN0P96.200WAC. <br />VOfR�00XEi1.i[IFPnOVCNUUBEN J( _ �1/IJYLOOO <br />�ADDRESS> sioHerune -- <br />OALE <br />CIiY 9USINk55 LICENSE NO. <br />