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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITY OF EVERETf • BUILDING DIVISION � <br />3200 CEDAR STP.EET • EVERETT, WA 98201 • 259�8810 <br />fl UEMOLITION � COMBINATION �( BUILDING fl MECHANICAI �l PLUMBING f 1 SIGN <br />PROJECTADDRESS ��� S'i vt�r <br />C TT /J�%�LL Gv/�% <br />ovnrtn ueiuoon¢ss arv rm r��ou� <br />,�kG/IoBiwe.✓ G07J.EEufjtE7Tn+�� EI.�RETT 9tS2oY, 3S?• 840� <br />1CN.1Nt 4NlN1IXIC55 CIIY SIP 1'IqNE <br />/FtE41'OFF�! ✓4i��ypi.�rrao.�r <br />nnOlilfcron0E5�f.4[n MMIM�nEss Gn Plr Mrovf <br />�iAiry PFRA'�N�.4� 2d/2 C.cpY�vK Fr�PfTY 9g?O/ ?T2• 2IS.� <br />crxrnur.onmecran uu�.namcss nrv nr ruonc srnicucrHsc. <br />CAiiNl� C�NJ'%. �or�� �`%r''9r.�l.E• fY/K 98zo8 33J•2//¢ ri�FF.�c7/o�k3 <br />M(CIIpNIGICONIPRf.tql M4tA0011E55 LI1Y PI' CIIONE 9A1fUL015E• <br />f'IUNBINGCON10Af,1q1 MqIACMC55 CIIY IIP P1pNl St�l[OCENSE� <br />uEunmE nvnK nmt/wusn[ <br />OG6/cf J'G <br />1'1ro1'OSf0115E OF OVRpNO <br />iccu o[scmrr¢w or rrmn <br />ioi niocK <br />l8 2 eos <br />ru!c¢itnrio.wiu�rn <br />�p HEAflHG SYSTEM: JYiGAS �l ELECTRIC fl <br />rnouc[ i�+vaveo conuc� rn�sou nvn r��a+F No �j T <br />/LpsJ [/Rmitr' <br />�at �/��`>!.e✓' %v7l.tlo.t r 2 S 2. 2 I S�� <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRFCT ALL <br />PflOVIS10N5 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORN WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />Ptt�9pWNBEtOWpUTI{IIIWOCOPIES� NOT. TFIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />pr AUiHORITY TO VIOLATE OR CANCEL THE PROVISION OP A1JV <br />OTHEfl STATE OR LOCA� LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. iHAT I AM AUiHORIZE� BV TIIE <br />OWNER CIF THIS P(iOPERTY TO PERFORM TME WORK �OR WHICH <br />+�^ O� APPLICATIOIJ IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />.nonns.+cirwar+cr�uuern z i��"�'' 2��'" %':✓ Q}' <br />sicrumne �/ o�ic <br />CI IY B114M.'i5 LICE NSC 1q <br />FOR OFFICE USE ONLY: <br />rnoHrsr*n�rK n[�nsnn�cK soESE*eu.K <br />WOODSTOVE <br />E <br />rn rrr nrr.nrrHo <br />_ �� aw�.3s i3 i 34(0 <br />US[IONf IOI�IIF� WLA4151R FEES � <br />I1V —i N� OIIII1111K <br />unmrtuuiunon Hooruwrwxa sa[ormm�i yq — <br />,,,.��, a <br />rummvc <br />IX:CV14Hf,Y NJq5�Mi15 CCLIIPAMLOLO B�SFMENI q[OUN6�l <br />(I:IOV1� <br />II\!S NI <br />IIfICAlMN11F011 Pf�GOY �CPIIOM4M1�Np?f.N <br />\ L'� ��ST�� n��rzn <br />nm'svnw.irnmm� m��+rov y- <br />'7i� ��'�ls/'� cini[ounrnvcsunnu�rc;c <br />ivrsorrovs� r�nnsnrrnoronr GTVOFEVEHETT roouc.vmn+v <br />�/r/� —� r q� LOCALSALES <br />/1f� unrt 7 Y// / TAx CODE IS 3105 TOTAL <br />