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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STHEET • EVERETT, WA 98201 • 257-8010 <br />❑ DEMOLITION ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ADDRESS <br />t�j f <br />4S'aG <br />�s,'fZ �z!r{:l�n�i ,�Sl/:� /'„�l�+i /lvr �v��r�% /,J. I�Jabl �/.�S .)ti -�7 f <br />��c�ricc*anocscricN ua�«ooaEssV� crtv zm rrwr�e <br />OEHfl1PLCO4tR�CtO� IUM1I.�ME55 CIiY IiP 91�X1E SUiEULCNSE� <br />h-. ..n t Il-..�,.���ii L�fil. i.� m�;r��r� r. 11;= URFuc.^r�fi /.� 79.,X�� i/.1ti2r/�77� <br />VCCIIn1:ICAlCON1A�CipR LI�R��plt[.5 LIIY $IP V�qH[ $iAIEl�Lf115C• <br />- �cr�p <br />rw�.rert�ccoritA�croe uu�eoon[ss u.v :w �rrouE srereik¢xs[. <br />oescmec woaK �r�o sau�Ae <br />io� —e�an <br />COHSIppCi10N IOAN tEND[R. PO�B65. iCLEFIKKIC NUAIBFP <br />FOR OFFICE USE ONLY: <br />rnoinsere•c« nunser <br />z0 � L <br />t15[ ZCu[� LOIAREI. <br />h�, nres nHo <br />IIOG.vlLi4Lip11 NOO[�WCLLING S.EOiOiWTI <br />OQ • UW�S � � � . <br />❑vE5 Z.'�0 <br />HEATING SYSTEM; ❑ GAS i3 ELECTqIC C7 <br />I HERE�V CERTIFY THAT I HAVE REAO AND EXAMINED TMIS <br />APPIICATION AND KNOW THE SAME TO BE TPUE AN� CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIKG THIS TVPE OF <br />YfOPK WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />NOT. TME GRANTING OF A PERMIT DOES NOT PRESUA7E TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTH�R STATE Ofl IOCAL LAW flEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTIOR THAT I AM AUTHORRED BY THE <br />CWNER Of iMIS PROPcRTY i0 PERFORM THE WORK FOR WHICH <br />APPLICAiION IS MADE AND I COMPLY WITH THE STATE <br />CCNi ACTORS �AYI 18'.] RCW ANO 29G200 WAC. <br />X ��., %�/jw�/�/ /o-�G -00 <br />SIGN�IUIIE OAi[ <br />COY O115��NF<S IICENSE 110. <br />GAS <br />000,� -a�a ` 7U3. <br />FEES VALU <br />9VRDiNG [j{ <br />PLIIIA9ING <br />YCCN�NiCA <br />♦D��tpNµCLANCnKtl <br />OiHEfI <br />St�iE BU:L011�G SIiACnuiGE <br />CITV OF EVERETT vua�c wones <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />