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APPLICAT�OPI FOH COiNS7'RU�� ruw �t���.. f� <br />. CITY OF EVERETT • BUILDIN6 DIV N <br />�,,, . 3200 CEDAR STREET • EVERETL WA 90201 • 259•8810 - - <br />, i \�: (�y�[E) <br />U'�EMOLITION . ❑ COMBINATION ❑ BUILOING �MECHANICAL ❑ PLUM9ING ❑ SI <br />ROJECTADDRESSi SDD SL �VLi�`�' �YI sl ( a )a • • - <br />OWNER . - 4NlAWPE59 . � Citt SiP PHONE <br />6CTI SOo S E EVT M.�'GL �f/AY ��VT 9PZe � UNK. <br />TEN.Wf Wlll-0OPE55 GiY I�P �E <br />�IICMRCCTOFOE516HEN MI�lID0�E55 CIIY ppIIP PHONE . <br />/_..�..,.. i.�y.,� �/��i� /9T3! w!K' CL EVi _l.flf.0� �%ZS 72A-7//¢ <br />OENEMLLON:MCTpi MMAWPESS C�iv Ii� %�ONE Sf�TEUCFMSF� <br />p,er,E.orPiPF 27a�.�an/.au� �'. T�� 9P4�7t� ZS3 9?G•2Z9oPw�iFPo99�F' <br />yE�µ���qRp��{pq WRAOOPf55 f.ltt S�� PIqNE SUlELKExSF� <br />' _ _._ ewue 4T1RLI[ENSE� <br />��� .DESCNVf10NOiPNOPENtt1��BElOWMATIAtN <br />•OT BLOCK � OF <br />VMCELTA%I.D.NVuOEN <br />►828-Os3 - <br />CANSTRUC110M tOIN IENOf R MDIIESS TEIEPHONE NUu9E11 <br />URINAL <br />FOH QFFICE USE ONLY:� <br />IflONTSETfiACK . AEM51 <br />`� '�IIIUMItAiION IVNIaOWfWNO ISIIE <br />onTe <br />HEATING SYSTEM: 0 GAS ❑ ELECTRIC C] <br />iZSJ) %2G — <br />I HEREBY CERTIFY TIiAT 1 HAVE READ AND EXAMINED TI <br />APPLICATION AND NNOW THE SAME TO BE TRUE ANO LORHECT � <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS 7YPE <br />WORK WILL BE CAMPLIED WI7H WHETHER SPECIFIED HEHEIN <br />NO7. THE OMNfINO OF A PERMIT DDES NOT PPESUME TO O <br />AU7HORI7Y TO VIOLATE OR CANCEL THE PROVISION OF F <br />OTHER STATE OR LOCAL U1W REGUU71N0 CONSTRUCTION OR 1 <br />PEHFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY 1 <br />OWNER OF THIS PR�PEHTY TO PERFORM THE WORK FOR WH <br />pPPLICATION IS MADE AND I COMPLV WITH THE ST� <br />COMF9pTORS LAW 1827 RCW 9N➢ 296.200 WAG. � <br />i% � <br />SIOESETBI.CN �lANC11ELMNUYpEf1 fFF <br />V:4Arvi5rtE <br />FEES �A�� <br />OVES ❑ v0 ouM1ntHf. <br />PlUuOMG <br />[MEMf MiLN�111G1 <br />❑YFS ��� 10DII�ONA�1'LANCIIf.GM <br />on�[n <br />SiGIE OUitOWO5U11CNA110E <br />CITYOFEVEflETT ruaii-wOnKS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />