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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 257-8810 <br />❑ OEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBIMG ❑ SIGN <br />�1t� eon�...u�TAuTS ���23 p�iRAWP +a�r1r��C�lP2A��� 343.623-1o.1eC <br />NCMIifC10�M1F.S�C.��F Y��I�OOPF55 C�IY !rl` 1'N�IHf <br />�� <br />99D52 415-863•912q M6Etr•(ni-163U'� <br />PI111IBMGCONIR�f,lUf1 4�1�/,{�WFSS [11v IiC f�NONF Sf���I1LF1+5f� <br />wvav[o <br />��F1'OP fAK.AG•UNI�"S� NEw <br />�c.D�c.Z- Gxs�zTi�- �aP <br />i%norowuvst nr nwinnK: <br />iccu n[scmn�i� o� r'qrEnrv isrqwr1 pE iow a+�n�cN *wo co�+[ <br />ia moc. or <br />rmcrt ��+ 9� r n <br />/.i:� <br />cr»�s�nutriwio�xrt <br />TYPE OF <br />LAVA70RY <br />CERMIT 5 <br />_�'_ __ Ti <br />FOR OFFICE USE ONLV: <br />�n��u+ann•-. nr.nsnp.c. <br />n,.imvr—_"..'.- in�u�t� -. <br />��I�G��IIiNi�/.�ii�\ �O (Y I�WIIIIM� <br />[ill��llh'r V �• N� (Nlii1�N11:)111 <br />_-i�.. ;in�l�far.. _' .nT7��w' _"_ <br />� �IaiA��l�i+l�:� - n{�a�7y <br />MEATING SYSTEM: �GAS ❑ EIECTRIC ❑ <br />couucr w r�scnc+n nvrvr `x, <br />•y.<�- w.� tc � �='n�. 11b <br />1 HEREOY CERTIfY THA1 I HAVE READ AND E%AMINEO THIS <br />APPLICATION ANO HNOW TME SPME TO OE TRUE AND LOFRECT ALL <br />PPOVISIONS OF LAWS AND ORDINAN�ES GOVERNING TIIIS iVPE OF <br />WORN WII L BE COMPLIED WITM WHETHER SPECIFIFD HEREIN OR <br />NOT. THE GAANTING OF A PERMIT UOES NOT PPESUME TO GIVE <br />AUTHOFITY TO VIOIATE OR CANCEL THE PROVISION OF ANV <br />0T/1ER STATE OR IOCAL LAW REGULATING CONSTflUCTION OF TNE <br />PERFORMANCE OF CONSTRUCTION TMAT I AM AUTHORIZED BY TNE <br />pWNER OP TNIS PqOPERiY TO PERFORM TNE WORN FOR WIiICM <br />APPLICATION IS h1ADE AND I COMPLV WITH THE STATE <br />C CTOR� V 82IRCWRND296200WAC <br />����� 9�ia /98 ' <br />X•GN/.iVflf U�1 <br />OtVB�9NES5lifF�ISIM1O /lI,'38 I <br />• unnu v <br />MSERT hvOOD BUPNING) <br />S <br />.�.o�Arn Irfr 1 nffvm��uo <br />�.uwsei __"__ -_—v'_—FEES —__'_ VII <br />❑Yf[ ❑ Y RIIi��iM�: �. 4/ <br />�BlM.9� � . �1e <br />4P4f� . . . ... <br />i1G141♦ N41���I.\�1�4 <br />o.ta ❑,o -- -- - <br />—"-- �oonmaninwvrtr. <br />n���[�' <br />(I�11 fl�l.11)!�I'.[i111C�1If1:'.f <br />CITYOFEVEHETT ri�xi�,:wnu.� --'�' — <br />LOCALSALES -� — — <br />TAX CO�E IS J105 TOTaI <br />