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APPLICATl� FOR CONSTRUC�N PERMIT//��/''� <br />CIN OF EVERETf • BUILDING DIVISION \ J <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-88I0 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING L�f MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS:��� �vr �1�L C�/� <br />aw[n uui.c <br />1CN�M� VYI 4)Ou�$$ G!V IIV ���0'. <br />��CIIIt�GIO�fIE51GNEP 4��I�OOnF55 C�1Y l�� M1�(�4f <br />(���"1 Coi.s irY,l� IRILt M� �-'. L'�r QBzo?� �4z� 338-ZI�Y <br />cfnenuco•+n.arn w•���onn[ss ai !�r �•��o�[ cu�u¢rHsr. <br />(� s. u Ro.� �sc� �r asreo� (4zs� zsz �ru �ss o�zoT <br />MFCNI.N1C�lCO.YIP�CIU• 4��1�f%ME$$ f.11V I�� 1'110'.f <«�Fll[ENSE• <br />P11140iNGCON1P1ppf� M��U'JIMC55 C1IY I�� f'NONF S1/.IFIICfHSFi <br />io� <br />B�ocx <br />c WSmt61�(M� lo�rv I rul)En. Mfn[5s. i( <br />FOR OFFICE USE ONLY: <br />mov�vrrn�[. nru+5 <br />usc rovr , <br />n¢i�m i�vnenou va a nwuur�c I s¢e <br />OCl'I�f'�'.:� k���`.�`u.ff IX:CV�INI:U�I� <br />HEATING SYSTEM: LYGAS ❑ ELECTRIC ❑ <br />cnn�c. vrnso.�umrr�a+r uo <br />I MEREBY CERTIFY THAT 1 HFVE READ AND E%AMINED iM15 <br />APP�ICATION FN� KNOW TME SAIAE TO BE TRUE AN� CORRELT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORN WIIL 6E COMPI�ED W�TM WHETHEF SPECIFIEO MEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOi PAESUME TO GIVE <br />AUTHORITV TO VIOL'nTE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OF IOCAL LRW RECUTATING CONSTRVCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZEO BY THE <br />OWNEF OF TNIS PROPERTY TO PERFORM TME WORN FOR WHICM <br />APPLICA710N IS MAOE ANO I COMPLY WITH THE STATE <br />WHTRACTORS lAW IB 2l RGW ANO 296200 WAC. <br />X /�-�.�.G�. /.7. $'..� .�-Zo-on <br />E2uHunL U��[ <br />IIC�NSC NO <br />AIR <br />�S <br />oE5E1B�cv, rleXOrLCKNu4nrn <br />+GM� 5i�[ FEES <br />❑rE5 ❑ �'O qutnivr. <br />eima� _— <br />nounier. <br />�SF4fkl xi1.1�A'.�1"Y <br />O�ES ❑ �+n <br />-- .opn��vun.vnrtu <br />SUB TOTAL E <br />PERMIT E <br />TOTALFEE S <br />r[F nrrrm�vo <br />V�LV�TION FEE <br />—�_— <br />� <br />. <br />_'__—_' _____---�- <br />naesM rvir�rnrru ..... _'_"_ _ <br />ourtn <br />lia[AU��AfpLUD nF�cOV � � <br />v�q nuaU�bt: sunnuM! <br />nrt n.-naa-- rinu � novrno� CITY OF EVERETT ��'mr,: w. �.� <br />� LOCALSALES --�--- --� <br />�,.�t U- ��. pU TAX CODE 153105 707A� _ <br />