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APPLICATI� FOR CONSTRUC�N PERMIT//��, <br />CIN OF EVERETT • BUILDING DIVISION �/ <br />3200 CEDAR STREET • EVEREl7, WA 98201 •(425) 257•0810 <br />❑ DEMOLITION [Il�trOM81NATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ 516N <br />PROJECTADDRESS: i�.�JO�J modr'son �uerell CUH 9RCi�3 <br />riv <br />rncrn.rcto�otvc�icn uui�mnfss cnr ri� rr�f <br />eenen•jc�n.nw uuuoon[ss cnr — r�r r�xn[ sunott+se. <br />Sel� Some as abo�e <br />MFC��N24COV1n��tOP 4Ut�UCPE55 CItY T�� RKk1I \L�FLKENSE� <br />`'1nmP <br />P1U40MGC0 R1f,!(NI 4YI�IXAE55 Qh DP CNOi�F 4AIElCENSF• <br />SW�P[ <br />l01 y�_ BIOLM 1'�z— <br />FOR OFFICE USE ONLY: <br />rnnu�trm+c��+ (//� � nr�nsn <br />VSf IO4F r� _ IOI�nF� <br />� Iuo a nw�uiw <br />ns <br />� <br />MEATING SYSTEM: CYGAS ❑ ELECTRIC ❑ <br />cou+�crvrnsa�uo xwr.ro <br />h....W.� CS....�,.�14 —CLlC-2G2- <br />I HEFEBY CERTIFY TNAT I NAVE READ AND EXAMINED iH15 <br />APPLICATION AND NNOW TME SAME TO BE TRUE AND CORRELT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEHNING THIS TYPE OF <br />WORN W�I L BE COMPUED W�TH WHETHER SPECIf1ED HEREIN OR <br />NOT. THE GR�NTING OF A PERMIT UDES NOi PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTMER STATE OR LOCAL LAW PEGULATING CONStPUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TNRT I AM AUTNORIZED BY THE <br />OWNER OF TMIS PROPEHTY TO PERFORM THE WORN FOR WHICH <br />APPLICATION IS MADE r1ND I COMPLY WITH TME STATE <br />GONnTRACTORS LAW 1827 PCW pN� 296200 WAC. <br />x�l/�e,�u���� 9�41o�Mi <br />;67:i�— o.i[ <br />GfY &IYN[M1S IILENSC NO <br />� S.DESEIB�[a / i'1 i <br />S � �/� <br />v�cer��s��[ FEES <br />❑YE6 O MU q����. <br />srx[ a eiocm <br />Z S �f nu�nwc .'__'___ <br />BI.[f4[Mt �� 4(I:N�Yifnl <br />0�l5 CHO - <br />•Oqll(IN�I I'1 �4 CIRC� <br />O�uFP <br />41�11 RunU�qG SVOO��nGC <br />°t CRYOFEVERETT n�eucvm�'+� <br />LGCALSALES -- <br />� S TI1X CODE IS J105 TOTAL <br />FEE <br />