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APPLICATI�1 F�R C(3NSTRUC�N PERN!!T� <br />CIN OF EVERETi • BUILDING DIVISION <br />3200 CEDAR STREET •'c�1ERETT, WA 98201 • 259-8810 ����� <br />�,. <br />❑ DEMOLITION ❑ COAIBINATION '� BWLOING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTA��RESS: �i'i�9 /�..f <br />�cH•Hi —'—' ��n.nonrss urv � nv r�owE <br />.��cwrrcronoEsicn[n uui�ooncss nrv rm rHor.e <br />c[rvrnuwum���p� �u�'mncss cnr trr nwHe au�E�e[asF. <br />4ELNI.NiCNCW10�CiOR 4ML�NBf55 CJh !ip plqNf 54iEUCE45E• <br />PWWnKsCON1R�Clq1 Yul4ppf1E55 Ciry I�V pl�OnE SlAlEl4CN5E• <br />Of VIC�"M <br />MYRiBE <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />:ONIACIPlH5011/.N01'NCNFNQ <br />1 NEFlEBY GERTIFY TNqT I MAVE REAO AND E%AMINED TMIS <br />vnproscovs¢ or eonpw APPLICATION AN� NNOW TNE SAME TO BE TRUE AND CORRECT p�L <br />PROVISIONS OF UWS ANO OROINANCES GOVEflNING THIS TVPE OF <br />WORK WILL BE COMPLIED WITN WHETHER SPECIFIEO MEREIN OR <br />ite�ioescninnprio�morenttivam,e[mwrnenr.cHrnutovics� NOT. THE GRqN71NG OF A PERMIT DOES NOT PRESUME TO G�l'E <br />ior eiacK o� AUTHOFITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTPUGTION. THAT I AM AUTNORIZEO 8Y THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APP�fTIS]tJ_1�MADE AND I LOMP�Y WITN THE STATE <br />PM[Cl iAY I D. NNIBFR C9tJTf1AC�j�tlRSl� W IB 2� RCW AND 29fi2C0 WqC. <br />lENM11.ILYN1E55. <br />sua <br />ac — <br />sue <br />I �UIPLFtE 51 � � TOTALfEE fJ ' <br />�_ <br />FOR OFFICE USE ONLY: <br />TON15rix4v nENSFle�tx siOESFreKM RLvcuttaMounrn rrt nFf.pr�bo <br />CC� (v � <br />use:ar�i <br />��fIG1111I41I/.IIOH <br />tV��nte WCANIy�f FE�S <br />❑YC$ ❑ NO pUI�INf <br />NOCiOW[LIING y1[pIBIOGRI <br />UH�IS PIVUBMG <br />DCN1`ANtlO�o 6�SEUENt yFCNnMILAI <br />❑Y[5 ❑ NO <br />11(ASpV �W�IION�l1Y.VICIYCM <br />omFn <br />�F 4cpN <br />SI�I� gVll WMC SIIIICIUIIfrf <br />=uvs�rrnov[ner LITVOFEVEHETT rvm¢vmnae <br />LOCALSALES <br />�.�� TAX CODE IS 7105 TOTnL <br />