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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERETT • BUILDING OIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 •'SE-8B10 <br />❑ DEMOLITION �COMBINATON _�BUILDING ❑ MECHANICAL �PLUMBING ❑ SIGN <br />� - — ' <br />� <br />*[war u.n�ppn�ss un riv M� <br />C' NeF �t�c�Pc.�r G�, � <br />NiL t[CrqlpfSqMrn uul�ppnFSs cln )ir rNONE <br />1 hSsrrF� �u�r_oFes`�� W U,o.,'�z ��/��-�-rs�A 98203 ,�5.�-33�7 Viss�s.-3 1 � <br />ccrrtn�ucoH�n�c�rn uui�urnrss an nr mrore s�ur.iK[�.sE. <br />4ECNWLKCONIF�Llp1 4Ynpp1E55 OIY 11� %qy[ {��1El�C[NY• <br />�.: �' . Alo u 5 .fr��� o , ,� <br />��:a4, .�;..� S'��, � <br />M O5Fou5Eo�nRPua <br />ieeuoEscnrrun a i+�artntt �srarm aiav on �rtr�cn <br />ior uou or <br />l i.0 I D. NUMBE <br />C Ff � i� / 5�7�'' 4n/'�( <br />�o��oc�c«iaw itnocn,.umEss. rtiu+�wE rniuxn <br />FOR OFFICE USE ONLY: <br />flqN�tEtpAGx MM[f1MCR <br />OSEtONE IO��nP <br />IIEIGIIILIMII�fION NO Uf lIW[ILIMO <br />uM1[ <br />S��F SFiB�CK <br />V�C�NI YIC <br />❑YCS ❑ rvc� <br />�I�1oQGl .i 1��1i� <br />: .i�l� C�i�2d(+t! <br />B�SL4[MI / <br />❑Y[[ �F� <br />HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />I HEPEBV CERTIFV iH�T I H�VE READ AND E%AMI'IEO THIS <br />APPLIC�TION �ND 1(NOW TME SAME TO BE TNUE �ND COf..1ECT �LL <br />PROVISIONS OF UWS ANO ORDINANCES COVERNING THISTYPE OF <br />WORK Wlll BE CAMPLIED WITM NMETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOL�TE OR CANCEL THE PROVISION OF ANY <br />OTNEF STATE OR LOCAL LAW REGUUTIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I MI AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THF WORK FOR WNICM <br />APPLIC�TION IS M�DE AND I COMPLV WITH TNE STATE <br />CONfR�CTORS� 1827RLWAND296200WAC. <br />z � / ,� 9�3�SG <br />sr i o .E <br />Clry &ISIN[SS IICM$C Iq <br />IIIAIfIMM1 <br />M�IWIi� <br />4[CII�MC�I - <br />1{MMII(k��l R�N CIIfC� <br />am[n <br />Steq flUlOM:51P1[II�IM� <br />CITVOFEVERETT n�mrwm.z <br />LOCALSALES <br />TAX CODE IS J�OS 70TAL <br />SUBTOTAL f <br />PERMIT f <br />TOTALFEE S <br />rtr racnr�r.o <br />