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APPLICA'��N FOR GONS"�RUC*ON PERMIT� <br />CITY OF EVERETT � BUILDI�G DIVISION <br />3200 CEDAR STREET + EVERETT, N' A 98201 • 257-8810 <br />DEMOLITION ❑ COMBINATION �( BUILDING G MECHANICAL ❑ PLUMBING ❑ SIGN <br />IOJECT ADDRESS � I � �"n a�(f yU <br />S-r�NAS. R+� Sor� Sc,�Hu�dt A« ��(iR�rr �ig2oi ¢25 ?1� 2�+11 <br />renu�r u�vuooness e:rv zm wwrve <br />ppf,NliECTOROE5IGNEN MAILAOORC55 CIiY ZIP MbNE <br />NFATING SYSTEM: ❑ GAS ]]j ELECTRIC ❑ <br />CONiArTP^R5011A11�*N-OJNA f � L� �`i �' <br />q I HEREBV CERTIF� THAT I HAVE READ AND E%Ah71NED TNIS <br />�_r„c tir7 P .7�5 qpp��CAT10N AND KNOW TME SAME TO BE TRUE AND CORRECL ALL <br />inJPOSED USE OitlUil�iNO pROVI510NS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />5� �� .__ WOPK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />aEceioesCnirna'orPRov[RttiSnownBElowonenAcnrnewriE51 NOL THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />�or_ _mocK_.._oF_. AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF AIrY <br />OTHER STATE OR LOCAL LAW qECU�ATING CONSTRUCTION OR THE <br />�+:s�--(��_ -� `�' � 1 pERFORMANCE OF CONSTRUCTIC.�. THAT I AM AUTHORIZED DY TME <br />-- OWNER OF 7HI5 PROPERTY TO PEflFORM THE WORK FOR WIIICH <br />37i46n G02 oao APPUCATION IS MACC AND I COMPLV WITH TME STATE <br />....,��� .,..,.. ,,,,,,o�.. CONTRACTORS LAW 1B29 flCW AND 296200 WAC. <br />IOAN LENfYO. AOORESS. <br />FUR OFFICE USE ONLY: <br />G <br />nccnri rro <br />�� `� /V,> ✓V ❑YES �4N0 <br />BIIRpV!] �v <br />lAipN M10FpWEW� SREOFBLDG/(l <br />�� � UNILS / ` PWN01lq <br />�L1 � . <br />� rqti90F4i OCCUPAHiIOM BASEMENI / uECwWiCAL <br />❑YES B'NO <br />;LEPPE09 pEA50�1 AWIilON0.VUNCNELN <br />OLHEP <br />RE00 NGSON <br />ST�LE BWlDiNO 50liCHMGE <br />nsr. ai.wsevrnov[oer GTVOFEVERETT vuoiqwonKs � <br />�_ / LOCAL SALES /SF4G <br />A/ o�rsl�// O� TAXCOOE153105 TOTAL � <br />