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APPLICATI� FOR CONSTRUCTION PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257•8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECH�qANICAL O PLUMBING ❑ SIGN <br />PROJECTADDRESS: �O� SG ��� m��� ���� /Y—/�Zi <br />OVMF11 4�Il�LO1iE55 ptt IIP FIqN[ <br />��1�/SU K- FE2�:,��5 909-Sf%ie^Ylp// Lt,�Av �(!3oU s'as�-3`16'ci36'S- <br />1E4�NI 4N1I�I1ME55 GIY lIV PIbNE <br />�RNt SFzi.�� 9n9 £v:ac—.�- r,ni. �.In�-� A�ae <br />�x�n*rcronoesic¢n wuuonness u�r rm rnor�s <br />ctN[MImN�Mc�IXI 4MteDo�[ss c�lv hr r�xnC c41tl�CENSE• <br />�ti� �T�f� n�,��-,z„�>,�,� ��i�� ��a.,a �� s.� U�a:��s-nfA✓C�MS7C�7/o32cjf <br />MFp�l.WC0.00Y1�'nC10R uut�DIX�E55 Grv ZiP PiKKUC Su�FUCENSE� <br />1'1�I401NGCONIR�f,lp1 N4�AqMf55 CIIT ZIP FIqNF. Si�lE110EN5F� <br />k: <br />io� <br />FOR OFFICE USE ONLY: <br />111�NfGfi11�CM I�FMSFI <br />uscrnvr io�.n¢• <br />��FiUa Pvite�Nv <br />a:a�re•.cr :nsr. <br />unnur <br />_�� <br />[Ill[ N$P/.I�:FlCP1.00'D <br />/ L� <br />r n�e nunv a�o'o <br />n�� <br />rvre or [ous <br />�/ -tii <br />\ —_ ___ <br />vecextA�e <br />NOO�IM'[lL�NO S�IEM�BIONI� <br />Ilvil\ ` <br />a:r.u��u�io.o e�sruc.�� <br />S O�ES <br />HEATING SYSTEM: ❑ GAS ❑ EIECTRIC O <br />I HEREBY CERTIFY THAT I HAVE REAO AND E%PMINEO TMIS <br />APPLICATION AND NNOW TNE SAME TO BE TRUE AND CORRECT ALL <br />PPOVISIONS OF UWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORN WILI BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOL THE GRANTING OF A PFRMIT DOES NOT PRESUME TO GIVE <br />AUTHORIiY TO VIOLATE OR CAYCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br />PEFFORMANCE OF WNSTRUCTION. THAT 1 AM RUTHORIZED BY THE <br />OWNER OF THIS PROP'MTY TO PERFORM THE WORK FOR WHICM <br />APPLICATION IS MAOc AND 1 COMPLV V�ITH TME SiATE <br />LONTRACTORS �AW 1837 F.CW AND 296200 WAC. <br />X � %�%6�-C.�l�' _N 3����n <br />SIGNAlV11E IC <br />C�IY BU4NESS lCFNSC NO <br />rtext��EttnuMpQ��� rFf <br />��� <br />FEES <br />eumwc <br />1'111MflINO --_ <br />urnunx u <br />•DP' IION�I 1'l1N C��f CN <br />au�rn <br />[u�l e�ntuMG snnD��ME <br />CITY OF EVEREIT rnnucwon.s <br />LOCALSALES -- <br />TAX CODE IS 3105 TO7AL <br />NO <br />FEE <br />--T— <br />�/3�Dc7 <br />_ Y�;� <br />—__��-' <br />