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APPLICA�10� FOR CANSTRUC7�1�1 PERMiT� <br />CITY OF CVFFlETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 �_�'�" <br />❑ DEMOLITION ❑ COh181NATI0N ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING �7 SIGN <br />PROJECT ADDRESS <br />G �z� �.wrr� �nE� � F.��,i— <br />OWNER NNL�DpRE55 LITY ZW VNONE <br />Fk.(sro,� aPewJ,-�c 24�4 �44" c�.r1E_ �r.�sv��� wM ye..$i �+r)sae-�+yc <br />iEN.WT MMLA�ORE55 LITY IY�NOlIE <br />APCHRELi0RDE5qNER M/ALApON[55 CIiY 11P pNUNE <br />�.r,.,,t cp-c.a� Dt�lc,�l }4sa Bevaa+.� s�..�D, E✓r.,.-���r w�F- 9ea.a �4zc"�iCT.2A3L <br />GENEflRC011IIlALiOP M1�LAppFE55 CItY ZN pryC � SiQELICEI6E� <br />Fu.rsTe,� a.�,w.r w� sL/4 (4�i� sJ-.�E nMn�Svi.a�rr�i fbi�� fK./fr�ouc,f <br />AIECIIANICALGOMRRLIOP Y�M1AppPE55 LIiY IP ^MON[ SiAi[IILE�SE• <br />�'i, K-£� � Rc.� <br />FLUPBINGCOtRHPG100 NAIUOOFE55 CIiY ZIP PIKK1E SiI.1ELICENSE� <br />LOi V _ OLOCN <br />DRINK�SG <br />FOR OFFICE U E ONLY: <br />�POIli5El0AL1( f , PEAqSET <br />d <br />OSE2011E � _ WTME� <br />�'Sr�� <br />HEATINGSYSTEM: f•IGAS ❑ELECTRIC ❑ <br />I HEREBV CERTIFY THAT I HAVE READ AND E%AMIM1ED THIS <br />APPLICATION AND KNOW THE SAME TO �E TRUE FND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORH WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE CaRANTING OF A PERMIT OOES NOT PRESUME t0 GIV[ <br />AUTHORITV TD V'ALATE OR CANCEL THE PROVISION OF ANY <br />OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEflFORMANCE f`F COYSTRUCTION. THAT I PM AUTHORIZED OV TNE <br />OWNER OF TV.IS PPOPERTV TO FERFOflM fHE WORK FOR WHICH <br />APPLICATIf`;J IS MAOE AND I COMPLY WITH THE STATE <br />CONTRALT LAW 1027 RCW/ AND 236200 WAC. <br />X �y„iL ✓1� e /u/� <br />SiGNeNFE GiE <br />CITTBUSWESSII ENSENO. <br />� r���n�� �� <br />VALNliSiiE <br />❑YES ❑NO BUM1DiNO <br />� INL OFOWELLIN6 I SiZE <br />VNIIS <br />DYES L�iO <br />�LUNB�Iq <br />MECNANILII <br />) ' �LL <br />IEP iGE IIE[[IW <br />- Da 0 (p3o. /!�� <br />ADDIiIdWl PUN LNEGK <br />09�ER <br />STRE W I1011q SllPC1UPGE <br />CITY OF EVERETT PuoiawonKs <br />LOCALSALES <br />TAx CO�E IS 9705 TOTAL <br />