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APPLICATI� FOR CONSTRUC�ON PEi�MIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98207 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMiBINA710N ❑ BUILDING ❑ MECHANICAL �FLUMBING ❑ SIGN <br />PROJECTADDRESS: .SDO SLs� (/i.Kt7T /i9/�(( Cu/ly B=6 <br />,QnDn�lan P,c�i�P _�o s� �✓rnrs�n�u c✓� �vra�>.- 5d-zoe'�rl�' <br />OwMFn ualepOnF55 ntt tir rMONt � <br />GPo.2�io �S�uR� c�s» ca-Gvrot»rn�sriw�Y i9-L �I <br />IfNAN� � UYI 41'J11F5$ [IlY )IP p��OMF <br />•t1C1ui(CtO�ff.ilO�lf�� M�II�MIPFSS �Ilv )in M1I:1Nf <br />�° -�� �� /%/�-/6oPL Sc� ����<» SE2o � 337-�5"'1y <br />GIN[�N CONiMLfC(1 MMI �DIN1E55 Ci�� liv I'n0Y( Sl�ll I�CENS{ � <br />Cliv <br />oFscaiev rr�aK �nn wu.nc roor�c[ rrvavEo <br />ioi _ _ aiocx _ or <br />r�ncri ��v i o Miunen <br />CO4i1flIK ��[H110�N 1 f NIIff1. /JM1FE55 1E1EA10NE NII4pFf1 <br />Sf�IF <br />MEATING SYfs�fEM: ❑ GAS ❑ ELECTRIC ❑ <br />cOu��Crvrnsovarmr.ovfuo <br />I HEREBY CEATIFY THpT I MAVE READ AND E%AMIHED TMIS <br />APPLICATION PND NNOW TNE S�ME TO BE TRUE AND COPRECT A�� <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORN WI�� BE COMPLIEO WITM WHETHEP SPECIFIED MEREIN OR <br />NOT THE GRaNTiNG Of q PERMIT OOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF qNY <br />OTHEH 5?ATE OR LOCAL LAW REGUUTING CONSTqUCTION OR THE <br />PERFORMANCE OF CONSTPULTION. THAT I AM AUTHORIZEO BV THE <br />OWNER OF THIS PROP[RTY TO PEHFOPM THE WORN FOR WHICM <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CO�ITRACTORS lAW 1B 2] PGW AN� I96.t00 WAC <br />z %//-��-1«� �� `�/n- /3-SY <br />�mv�mnc ou[ <br />OIYBU9MSSlK[NS! �:O <br />I TOTALFEE E I j(, ' I I <br />FON OFFICE USE ONLY: � <br />rnnu�v.n.r, nnnsnnu:n smcsne•a ruvcnecnauunru <br />u.i :ovr �6� u��.— v.cun sut �1�0�� <br />_ ❑YFc ❑NV fluiipitii, <br />uEn:�ai�e�in�n�� 40ppwllliNG $�IEO�BIOLT -- <br />n4�rt <br />�wt �✓.yFn�TTU <br />I.I:L >IA�V�+1�:. � <br />rvrF rv na�, <br />i9 p vG <br />I�iiVf�� Mil ��/.�il �I <br />❑1F[ ❑Y�1 <br />- �UDniOtneu4Cmu <br />t)IUFB <br />[pll RiulUM1:5O�puf1G[ <br />CITYOFEVERE77 rv�eiu�wn���s <br />LOCALSALES --� <br />TA% CODE IS 3105 70TAL <br />�rr <br />SUB TOTAL 5 <br />_. L..__... <br />