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APPLICATI� FOR CONSTRUC7�N PERMIIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 25�-8810 <br />❑ DEMOUTION ❑ COMBINATION jK BUILDING ❑ MECNANICAL J�PLUMBING ❑ SION <br />_ �.. / � • . cnv zin r�aiE <br />GALL CAA12Bi-/L ' �/�MC- ASJJC ^ S�I—17g�� <br />*E�+•�* Mu��oon[ss pn <br />zio vraxe <br />AqLN�tECi0110E51GNEf1 M�M1�DDPE55 qfY IN P11p1[ - y�� D <br />-r=�,asN Lx,��s �.x ^ 6zos 6en+ ���c. Hw+yzo,r/c �..ia vsz�o Fz„usuoov <br />GENEPµCpNiRALtOP qqL�OJHE55 �Itt ZIP VNONE Si�iELICENSE• <br />� <br />NECNANiGLWNIRICtOR MAIL�OOPESi pIY IIV VIION[ LGtEIIfLNSC� <br />PLUM�PqW111Nn�lOR MAi�AD[FC55 filV lip CNON[ SiAIkLICCNS[• <br />oescnme xann nr�o souenE <br />LOi BICCN <br />9oS <br />uxio <br />Do0 � <br />nnavm <br />♦ooaEss.*cicnnen[r+u�no�a <br />FOR OFFiCE USE ONLY: <br />morrtsuo<cK ne.aseraecK <br />USEIONE IOiI.PEA <br />�� I <br />ucicrrtuurt�t:on noocowEtuNG <br />uwts <br />o�rE <br />HEATING SYSTEM: f] GAS Cl ELECTRIC ❑ <br />wrrtncr ncasoruxo nuo��s Ho. � <br />Jn�,,.i .w�� o.� 4]S-3�/N-4S <br />I HEREBY CERTIFY THAT I HAVE PEAD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TME GRANTING Of A PEPMIT DOES n0T PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHER STA7E OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS FROPERTV TO PERFORM THE WOFK FOR WHICH <br />APPLICATION IS MA�E AND I COMPLY WITH THE STATE <br />CONTRACTOFS LAW 1827 RCW AND 29fi200 WAC. <br />t��'"+�✓�^�-'a'� ( �/ % /� � <br />nun- � oere <br />LIIY BOSINESS IICENSE 110 <br />707aL 5 I <br />'dlT 5 � <br />\L FEE S � � <br />SIOCSEi04N pUf1CNECNNUM6Efl iEE <br />G O �-�/ ��, <br />v�urrtsrtE FEES VAI <br />m¢s n Ha omm�rvc <br />SIZE OL BlIX'iTl <br />�� 7�v MVUBwG <br />OASEAIENi NECIUNiL4 <br />nres rLAo� <br />nnonrowu ruM cn�cK <br />OLNFP <br />SieiE BUIlOiNp SUFCNeqGE <br />CITV OF EVEREI'f vuei�c wonns <br />LOCALSALES <br />TAX CODE IS 3105 TO7AL . <br />TOTAL 5 <br />PECEIPi1q. <br />