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APPLICATI� FOR CONSTRUC7�N PERMIT�w� <br />CITY OF EVERETT • BUILDIN3 DIVISION <br />3200 CEDAR STREET • EVERFTT, WA 98207 • 257-8810 <br />❑ DEMOLITION ❑ COMBINATION � �UILDING ❑ IAECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS <br />�no7 � 1��vrz� /I%a// G.7J <br />GAIIACOFE55 <br />� <br />MIdl�O0PE55 <br />CIiY <br />v�rone <br />YECMINILALCONiMCIOfl EUILApppEiS CRT TI✓ PNONE SLAiEL6EN5E• <br />hUlA01YGCON1MLiON HPRAOOP[55 CIiV IIP p110N[ SIRELICEf15Ei <br />co. NiRAC �orn�KO�, HEATINGSYSTEM: ❑GAS ❑ELECTRIC ❑ <br />J <br />DESCRIOE WORN ANO 5.'.T9E iCOiAGE IM/OLVE� fqNi�Gi PCPSON MID PNONE NJ. <br />lOT OLCCN <br />LONSiPUCilOfl LORN LENOCR. WC{IE55. TEIEPNONE NUMBEF <br />G. <br />LAUN�RYTRAV <br />BACKFLOW PREVENTERS <br />SUBTOTAL 5 <br />PERh11T 5 <br />TOTAI FEE 5 ' <br />FOR OFFICE USE ONLY: <br />iPONiGELBRCK REAItLCiOALK !:,LESELOALR <br />IISLZOYE LOLPPG WC�Nf51IE <br />❑vE5 ❑ NO <br />ucic��ruurtniror� Noocowuur+o s¢coroiocTi <br />uxrts 7r/1 <br />�1.� <br />ItAF/M{ <br />/�lJ <br />OF COF <br />�� � <br />l � <br />.so� <br />o>rc <br />❑vEs (qrio <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND COFRECL ALL <br />PROVISIONS OF LAWS AN� OPDINANCES GOVERNING THIS NPE OF <br />WORI( Y�ILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PEFMIT DOES NOT PRESUh7E TO GIVE <br />AUTHORITY TO VIOLATE OR CANCE� THE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGULATNG CONSTRUCTION 0It TME <br />PEHFORMANCE OF CONSTRUCTIO" TNAT I AM AUTMORIZE� BY THE <br />OWNEF OF THIS PFOPERTY TG �� flPJFN THF WORK FOR WHILH <br />APPLICATION IS MADE AND I CPub'_� WITH THE STATE <br />CONTflACTORS LAW iB27 FCW AND 296200 WAC. <br />x � �O ' � <br />�IGf1AiUflE DALE <br />diY BOSu�ESS LiCENS[ �i0. <br />DRYERS <br />CNECMNUM EH I F[E <br />— �� <br />om¢n�c <br />PLUIaB�Iq — <br />uECFaN�tu <br />AODIilOY.LLPWItNECK <br />� �/ <br />1 OiPEP <br />' A �� SLAp1 BUIL�ING iURCNAI <br />CITY OF EVEHETT oueuc wonns <br />' LOCALSAL[5 <br />�� TAX CODE IS 3705 TOTAL <br />RECbOTeq <br />