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APPLICATIO^' FOR CONOSTRU���1L��� <br />3200 CEDAR STAEET E VERE'TT, Wq e'201 • 259•d�b �.l 19 � <br />97 <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING � ��" """' �� <br />O MECHAIf11�RY OF E �YI��1NG �SIGN <br />PpOJECTADDHESS: �a,� C(_ L� �'�{��� Gj� Public Works Dept. <br />�I�� �-.�. � I�I��� ..� ._.._ r.- - <br />MA� W?��/ / ��1.'7 _ <br />UESCMBE VqqK �ND SWIIRE Fpp��GE INVOWED <br />USE OF <br />.�..��.ica�nn•�Nnur rnorEnTrI5lroWNe1 <br />tot " " <br />BIOCK <br />�- SEE P.ITFl[ f-�Ef� <br />m <br />m <br />a <br />CONSTMICiION IO�N lENOEq. AODOESS. TElEM10NE HUMPEfi <br />N_O. L TYPE OF <br />� WATER CLOSET <br />SINK S <br />TRAY <br />VG FOUNTAIN <br />DRAIN <br />FOR OFFICE USE ONLY: <br />fqpNTSETHAdf RGnO SF.TB�CK <br />USE ZONE <br />C- <br />OR ITEM <br />11EATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONi�CI PEii50N ANO PIIpNE NO <br />I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT qLl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIL� DE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />cories� NOT. THE GRANTING OF A p[RMIT DOES NOi PRESUME TO GiVE <br />AUTHORITY TO �qOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE uF CONSiRUCTION. THAT I AM AUTHORIZED BV THE <br />OWIJER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITN THE STATE <br />CONTRACTORS LAW iB27 RCW AND 2g6200 WqC. <br />X Z, 7/I i/ 9-7 <br />51�� v pAIE <br />CITY pU51NE55 LICENSC NO. <br />0 <br />SUB TOTAL S - � <br />PERMIT S �� <br />TOTAL FEE S � <br />�TION NO OF UWELlIN6 <br />Lf�E UNIIS �R <br />NO O�StOmfS OCCU�nNfLOSU <br />�GpN <br />9UE SE78�CN <br />A Nh <br />� VA��Nf SIfE <br />��ES � <br />SIZE OP I1106R 1 <br />❑Y[5 ❑ NO <br />I�'}%�"'°` CITY OF EVERETT <br />� !'� � C, � LOCAL SALES <br />� TAX CODE IS �1D5 <br />rvi.—�ynN <br />FORCED AI{ <br />FIEAT PUMP <br />UNIT IIEATE <br />ER <br />GAS RANGE <br />GAS PIPING <br />OF EqU1PMENT <br />SUB TOT�L S <br />PERMIT E <br />TOTAL FEE E <br />NUMp�-� fFf 11F.I:LIPINO <br />'[o oC� 7 32. I �3 <br />IIVII DINQ <br />PI IIAIIIINfi <br />MFf,11�qICAL <br />�ODIIION�L PIAN Ci�fCN <br />ou�[n <br />S1pIF OIIItbIN(: SIIqCI��OG[ <br />runi ir. wunes <br />TOTAL <br />