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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEOAR STREET • EVERETT. WA 98201 • 257-BB10 �•- <br />:7 DEMOLITION f�fCOMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 316N <br />PROJECTADDRESS ?,�� �� Q <br />�7> <.L_ <br />ownce <br />�.,�,�. : <br />E�: <br />zs� <br />wn�ooness .- ..... <br />�„� � �Q�d��E E,,,- v��� y�.s-7-sz-�s3��, <br />��1v,�NAn�e,� /osy,VYA�v�z E,,,- y��-.c3 5��-s- �-s�-�y5 <br />H6n1NiOLCONtPnC10R M4L�OW�L"5 CIIY Z�P ��OME Si�1ElIC(IbE• <br />£� �,r�a-rE 9µ��1-i�M1leTa� E�r. 9S�-oi �.SZ— 3iiN <br />viw.m murnncroa u�iuooncss crtr ziv w�oH¢ sureuanse• <br />cOrnnncrrA�ccorwonn � <br />�� ,S(�S HEATINGSYSTEM: AS ❑ELECTRIC C1 <br />�EscnieEwonrc.r�owuu+eroor•cEimravm ca�*.circNsor, rwrn4� rq <br />�..._ ,.� c,���>,.,�, (��Q. Rad,n�sy,.f. D�t��A �. HANSvw� <br />OF �HYN2 YL✓S <br />� �'3(„ „F, Dfk <br />caocosso use a aw�oiNc <br />s�N�,l� Fp�.� <br />LEGAL OESCFU'IION OF PIqPEF�! 6. <br />LOT BLCCM _ <br />M afo <br />�D�{�J�9ODm00/OL � <br />tt ux m rmueen <br />;/�z,q Doo Oo 2 -�orv <br />. i. �O�N�FNO[PADJP[SS.1ElLFNOtENUMBCP <br />OR <br />— BAR. <br />FOR OFFICE USE ONLY: <br />.eoi�,<s,n.rK r+� <br />Gfl! <br />HEicHr <br />1 HEREBY CERTIFY THAT I HAVE READ FND E%AMINEO THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PqOVI510N5 OF IAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW f1EGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS A�ADE AND I CCNPLV WITH THC STATE <br />CONTpACTORSLAW���D296.:00 WAC. <br />X �Vl�h...,v' L,t.(,�.e.-_� 'i�-/e_o� <br />SGnei�RE D�iE <br />GIY6USM[SSLICCNSEIq <br />NG <br />GAS <br />SiDESEtB�CK PLNI�NECN�1A6fyp—� <br />S G �'� <br />v�uxrvre FEES <br />�res CQ' ew�o��xc <br />s�ze a eioc� i <br />88/ Q O S.F auueu+c <br />B� EMENI � MECNrWICA� <br />C1YE5 CVNO <br />ADOIiIONAL VUN CNKN <br />OiNEfl <br />S1ALE 9UILDIYG SUPCH4flGE <br />CITY OF EVERETT we��c wonns <br />LOCALSALES <br />TAX COOE IS 3105 T0Tl1l <br />i[E //�. _IPECFPiNO <br />� <br />� <br />