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APPLICATIQ�1 FOR CONSTRUC7" )N pERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEA7ING SVSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />RUILDING DEPARTMENT <br />259-8870 <br />7X DEMOLITION I1 COMBINATION IJ BUILDING fiMECHANICAL ❑PWMBING i7 SIGN <br />LIiV <br />v�e <br />Fl o N <-. — — <br />ar�our'ec'ronoescr�ee unaeooness cin nc P�ro"E <br />ccu[n�cornnesion ueiuoonEss tirv zin vxor+e staiE�r_o�sE• <br />S,ow�. ac nbo�¢r ALt7ERcNl'ttII'i <br />V[P�AN�CKLONLflAL10P MAILAD�E55 C�iY EIP PX'JNE SIREUCCNSE• <br />hiu N -a.. <br />P�VA'9;NGLq1LPACiOP 1A�RAII�PE55 Clry TIV PNONE SiR1ELICEYSE• <br />COi��onf.t PfliCE �F N'OPN <br />3 00 0'= Z�L �"- <br />UESC11'BE WOPRANDSW�RE fOJiAGE INVCIYE� <br />bt <br />venvos¢ouseo�eunonm <br />t[C.AL OESLFIPiION CF YFOPEdtt ISN0IYY BELOW OP ATLRfH iYiO LOP161 <br />�cr l\ \T �5_ e�acn Z" oF �..G �+A � �� ia��/i <br />texio r+aaoen <br />qS0 —OJZ�OI{ �' OOoS <br />FOR OFFICE USE ONLY: <br />Vf�ONLSEIpALR flEAq$EiBACN <br />VSCICNE LOT�PEA <br />11sF Of CONSi NO.OF S10PIF.5 <br />SZCOfpL00. FIPESPRIN'dl_P: <br />tKNPM'CYLOAO RREALAIiMPEO" <br />ninsw1 <br />W�RxLOV PlANSPPGPOVE <br />p{�E <br />❑ YES ❑ NO <br />amr.ro rnncnuuvicemrs <br />c+ao <br />fl VES f.i NO <br />CITY OF EVEflETT <br />LOCAL SRLES <br />TAR CODE IS 3105 <br /><ONiRCTI'ERiONRN�PHONENO. <br />[T_a.vrj\cp �hZTs 334--27$4 <br />I HERLBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />qPPLICATICN AND KNOW THE SAME TO bE TRUE AND COPFECT. AL� <br />PROVISIONS OF LAWS AND ORDINANCES GOVEflNING THIS TVPE OF <br />WppH WILL �E COMPLETED WITH WHETHER :PECIFIED HEREIN OR <br />NOT. THE GRANTIMG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AIITHOFITV TO VIOLATE CR CANCEL THE PROVISIONS OF ANV <br />OTNER STATE OR LOCAL LAW REGULATING CONSTR�CTION Ofl THE <br />PERFORMANCE OF CONSTRUCTION. Ti1AT I AM AUTHOFIZED BY TME <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WMICIi <br />APPLICATiON IS MAOE AND I COMPLV WITH THE STATE <br />CONTRAC RSIAW1827RCWAND296200WAC. <br />,,,�l�dC� V'� � t�J t�\ �- �+-3 t 3 <br />.n��.unv we� <br />BUILOIN3 <br />PLUM0ING <br />MECHANIG\L <br />ADDITIONRL PLAN CHECK <br />OTMER <br />STArE OUIL iNG SUNCHARGE <br />FUDUG WOhKS <br />TOTAL <br />tl <br />