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APPLICAT�N �OR CONSTRU�ION PERMIT�}► <br />CITY OF EVERETT • BUILDING DIVISION �i� <br />3200 CEDAfl STREET • EVERETT, WA 98201 • 257-8810 �l`��—• - <br />� <br />❑ DEMOLITION ❑ COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING �1 S!GN <br />�PROJECT ADORESS <br />�o �O Z_ ��o W E� R-+ A G-E R.i k'- � � <br />OWNEN NMLAODNE55 CIiY EV PNONE <br />Fk�sro.� B0-�J �� ya�4 i�-t� c+. ,te �r,.��� w4 ��L�-+ �4s�sz,9-h9t <br />TENAlR MIILMMIE55 GTT IN P�KK1E <br />FRLIIIlEGTO{I9ESIGNER A1tilAWPE55 LItY ZW PIqNE <br />'G�.u.✓ ce-�-l� AEsi�,-� E..u.�T w�I- <br />LI�L <br />STeIE LiLENSE � <br />•/S'R,.OZ�-C S� <br />SiRE LICENSE • <br />7h 2 E i+ rt.�E N^-4 ^'1 L✓ � �-t. E uJ � <br />FLUMOIIqCONiPACT01i MAIL��jDOi1E55 p� !� GILY � ZW � F�K✓�E StA¢L4E115F.� <br />h'l� i✓�L(�E iLLI IM.q.i�T —/ _ <br />LONIRALTPF eorwonK �.,I�1e HEATINGSYSTEM: LY'GAS ❑ELECTRIC ❑ <br />OlSCFIBEWOPNAN�SOUMCiWiAGEIHJ0.VW C TPEPSON IppNONEM <br />�csa- a.�F- sr-� ���.e ��.�s.a,.1 %4sSiw8-4i96 <br />LOT 4— BLCLK OF y�� �7 - <br />v�nceirnniu r�uuocn <br />FOR OFFICE USE ONLY: <br />USE 20NQ� � <br />1� <br />ra a <br />Z() ' S � <br />LOTMEA � WCN1TS�tE <br />S 6 ^� , �YFS 0 NO <br />tA.OLOWELLlxO SIZEOFBID(Vfl. <br />IINR$ c,,' O C <br />�uti � <br />occurun �o� e�scucHr � <br />arEs 1�r+o <br />I HEREBY CER7IFY THAT I HAVE READ ANO E%AMINED TNIS <br />APPUCATION AND KNOW TIIE SAME TO BE TRUE AND CORREC7. ALL <br />PROVISIONS OF LAWS AN� OHDItJANCES GOVERNING THIS NPE OF <br />WOflK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GflANTING OF A PEFMIT DOES NOl' PRESUML: TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIiER STATE OR LOCAL LAW REGULATiNG GOHSTRUCTION OF TME <br />PERfOPMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERN TO PERFORM THE WOFK FOR WHICH <br />APPLICATION IS MAOE AND I COh1PLY WITM THE STATE <br />CONTRACT� LAW iB27 RC AN� 29fi200 WFC. <br />/ <br />x r,� C '' � i�- r��i.s�"'� <br />swrv�nne oni . <br />GIiYBU4NE551 NSEIq. <br />HEATERS <br />1'4NOIECNNUN�EP � FEE <br />/ <br />�� <br />FEES <br />BIIIIUIIp <br />rvuuertta <br />uecnuac.0 <br />noonror+u.rw�cnecK <br />omEa <br />CITY OF EVERETT �+eikvroaKs <br />I.00AL SALES <br />TA% CODE IS 3105 TOTnL <br />i <br />