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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITV OF EVERETf • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL j%� PLUMBING ❑ SIGN <br />PflOJECTADDRESS:_SBCJ ,�:� �Y/C�rt„ pqq�( /,�p.Y <br />n_ .. n. � _ _ <br />./I�1IR�SG /Az¢ - ... ....,... <br />1cNI.M� uu� 4pa[55 f.�lr y�e pupNE <br />♦OGxT(CIG�f1E5�GNE� Mb1�O�PE55 [ilY )ip p��� <br />�� � /�i 5- /ouPL S� ,����f <br />crutM�coN�MC.�On 44�WnnEss c�h —)ir ripvc 51��[ucfNSi. <br />YFCH�Ni[q�ONIl4LtOP 44L�IXN1E55 f.IIY )iP VibNf iG1fOCENSF� <br />%';Qin P.lu..,tvna 3/e-PBr'"� fr� �rr.�e>� �iBzOF �/Gfivf-FP�l /liia/Lu�,�orzcr� <br />c o .00 l pMEss prv l�P r��oNF 511RLKENSF. <br />MEATING SYSTEM: ❑ GAS ❑ ELECTRIC � <br />I HEPE�Y CERiIFY THqT I NAVE REAO AND EXAMINED THIS <br />nnorosro ast ov pinmiun APPLICATION AND NNOW THE SAME TO BE TRf1E AND CORRECT q�� <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />tFr.�ioESCmrnwor�nortnrv�5rrow*�eEiowon�necmwp[on[51 NOi. THE GRANiIN6 OF A PERMIT DOES NOL PRESVME TO GNE <br />�o� Bip�x Or AUTHORITY TO VIOLATE OR CANCEL THE PROV:SION OF ANY <br />OTHER STATE OR I.00AL LAW REGULATING CONSTRUCTION OH THE <br />PERFORMANLE O� CONSTRUCTION. TNAi 1 AM AUTNORIZED BV THE <br />OWNER OF THIS PROPtRTY TO PERFORM THE WORN FOR WHICH <br />APPLICATION IS MADE AVD I COMPLV WITH THE STATE <br />PenLR �Ax i D 1nIPPF� COHTRqCTORS LAW IB 2� ^.:.W AND 296200 WAC. <br />CWS1q11LOpIlOINICupEI1.I➢INI[55.1[lE1YlONENU4RFf1 %�1��� �-���4f' <br />�C ( <br />�!(J111Vf1! U�IC <br />FOR OFFICE USE ONLY: <br />!p(INitifip�LK p�'Ap5F18ACC Slp[SE <br />IISEIOVF �Of�llF• V�f�NI <br />NCICIII1141f�lION INO01'{1WClUMO <br />IlNilti <br />C��Y 9VL11(SS IICE NSC 110 <br />HEAT <br />TOTALFEE S <br />r[F I�r[rm�vo <br />❑vF5 ❑ �+o flUu�Wc — .. <br />�BlOG9� <br />M V4111Nli <br />�SFM[N� <br />ufr.n�nr.0 <br />o.Es ❑ aa - -- <br />— �DP'IiOeMr�evORf.v <br />Uu�F� <br />s��[ mmoi�m snnu�•rzcr <br />pTY OF EVERETT runuc wrn�.s <br />LOCAISALES -- — ---� <br />TAX CODE IS J705 TO7AL <br />