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APPLICAT�N FOR GONSTRU(�ION PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 ��•�� <br />❑ DEMOLITION ❑ COMBINATION ;a'BUILDING ❑ MECHANICAL ❑ PLU�d81NG C SIGN <br />>� I 2 � w E.e f—a �6 <br />r.uuooress arv <br />DFUW.1� LI�C 2fo1¢ <br />� <br />k s �-. �.L E <br />� <br />�� 3 <br />� i..-� . <br />u+nmscroaocswrrtn unaeooecs. cm ziv rv�or�e <br />fA-w� ��� D�s�c-.1 E��a-F i� <br />G[NEMLLONiMCiOR 'Nl/.�[WqEiS CITY ZIP PHpNE ST/fELICENSE� <br />F�.�STe,.f BPUtJ„I� 1—I�C FN.i!<5—L o3ut� <br />MECNeNiCKCOMHI.CiOP M�ILAOOPESS CIiY ]W PIIq1E Si1iELICENSE• <br />t� � D � � h � R B FoP+-E-. � Mw.4•M ... ����' <br />iar <br />P�,..„� <br />� <br />9777-GGQ-Di� -C�03 <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REAfl! <br />! <br />USE20NE, <br />�� <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />K-�w+o Fi�..,s'�n.. �zS-St�S-4r9G <br />I HEFEBY CERTIFY THAT I HAVE READ AND E%AMINED TMIS <br />APPLICATION AND KNOW THE SAME TO 6E TRUE AND COR9ECi ALL <br />PROVi510N5 OF LAWS AND ORDINAPICES GOVERNIMG THIS 7YPE OF <br />WORK WILL 6E COMPLIED WITH WHETNER SPECIFIE� 1{EREIN UR <br />NOT. THE GRANTING OF A PEflMIT DOES NOT PRESUh1E TD GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PRUVISION OF ANY <br />OiHER STA7E OR IOCAL lAW REGULATING C045TRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTMORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORN FOR 1VHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT� 5 LAW 1B21 R WlyJp pg6.200 WAC. <br />� � <br />X G �i= � •-. �0 7 io <br />sicrNiuAe onre — <br />crtrouv�+cssucENSErvo. <br />TOTAL S <br />FEE <br />uE�GNTLu.I 1IO�L � ItW.OfDWELLINO �SREOF <br />� UNIiS <br />OYES O NO <br />IINLOING <br />- � 7 v S �'. PIUMBING <br />'.NENT �/ MECNAN�CIL <br />OYES �NO <br />AOpIiIOWLLPWILNECK <br />OLHEP <br />SiAiE BOil01NG SUFLNMGE <br />CITY OF EVEFiETT 'vuei�c wonns <br />LOCALSALES <br />TAX CODE �S 3105 TOTAL <br />