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APPLICATl� FOR CONSTRUCT�ON PERMIT <br />CIN OF EVEREff • BUILOING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98207 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING O MECHANICAL � PLUMBING ❑ SIGN <br />PROJECTADDflESS: S�BO S� /'r/tireT� h7iµ�[ w�}y <br />�fJ��tJvn P/!O/� ti07-S.EEu[K>Ym��CC W.9�Y C!/t�'tTi 9d'Zp8 <br />OWME11 4��L�DIX1E55 �ttt (II' prqNC <br />{�/ZC'C/� /�tna/CCRir! <br />1[N�Hi YMI �1)pRF55 CIfY 11V %IOM1F <br />��GIIiILl011f1f$IGNFN NYI�WpF55 �IfY )i� frl(NyF <br />G`AGFi7te FJtM� �T <br />cFHtnHcoM�M(.Ipq MM�onnFSS cnr — !P riqK [4qpp(xSF� <br />MFCII�NIC4C01lIR/.LIUP 44l�pCqE55 (Ih jll` p11UNf [l�IfIICENSf� <br />CI1drJ� P,Cu.,,o.�.� _zi,P-�9"'�v'.fg fvur�r yk2ot �ya=�fsr,y�mPzu*�oz�co <br />P1114BIIGC01/IN�f,IQfl M�IlA4ME55 CIIY jl> �Hp1F 511�FIICCNSF• <br />l01 RIOCR <br />c�s�nircnw� io�H i rHrhn <br />8 <br />SINN <br />ir�vavco <br />miunEn <br />OR ITEM <br />PERMIT $ <br />FOR OFFICE USE ONLY: <br />mnw v�n+ra nnn snx�ce <br />oqlUY� 10�411n <br />�.�., n rv�unuu wo u� nwtuwc <br />onnc <br />.UI�,��: r ��..�XI� W�f�i��Nll(1�[1 <br />! �i��i.r.l[��f:l��� n(nvCN <br />�'.I ��PI�� {Ilf:fl RF1CnY <br />wesnr <br />❑rFs ❑ r+o <br />❑�l� ❑ N7 <br />HCATING SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />C011�1Ci VfR5p1/�N[1pIqNF HO <br />I HEREBY CERTIFV THAT I HqVE READ AND E%AMINED THIS <br />APPIICATION AND NNOW THE SAME TO OE TRUE AND CORRECT A�� <br />PROVISIONS OF �pWS AND OAOINANCES GOVERNING THIS TYPE OF <br />WORN WIIL BE COMPLIED WIiM WNETHER 5PELIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGULATING CONSTRUCiION OR THF <br />PERFORMANCE OF CONSTRULTION. THAT I AM AUTHORRED BY THE <br />OWNER OF THIS PPOPERTY TO PERFORM iHE WORK FOR WHICM <br />APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br />WNTRACTORS lAW 102] RG AND 296200 WAC <br />, ��/I.��1� <br />s�,cx�iune wrt <br />❑IYBU4MESSlCEMs[ vo <br />numwo <br />rii�ue�.vr. <br />vn��.vvni ._._ "__ <br />�UDi IInN�I �I �N C��lf.* <br />owvn <br />9nl OwlDniL SnnGun; � <br />CITY OF EVERETT M�wur, wou.c <br />LOCALSALES -- <br />TAX COOE IS J705 TOTqL <br />SUB TOTAL S <br />FERMIT S <br />TOTAL FEE 5 <br />rEr nFfFlrrvo <br />VALUATION FF <br />