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.�� / _;.�. <br />APPLICATI�1 FOIR CONSTF:UC'I�N PERMIT/ <br />. GTY OF EVERETT • BUILDING DIVISION Y� <br />3200 CEDAR STREE? • E�/ERETT, WA 98201 • 257-88t0 � <br />❑ DEPAOLITION '�✓COMBINATION !`�BUILDIRG "MECHANICAI 'V PLUMBING -� SIGN <br />PROJECTADDRESS � <br />9 �Y No�� �iuE, Ede2�T7, wti4 9$�oJ <br />p':I�.Cn R11:,�G�"C.5 CIII 2.P f�i:.:� <br />�G�w, �aoue�v��4�v �r avE��&7r 98zor yys-�g1-3� <br />���.:,.r uui.00aeu --r cn r�� P��.��r- — <br />f,Euen.l�pritnaf,lon MK.appaESs c�iv iia vrlqlE surEtiCE�4E• <br />6�.1,UEI2. <br />!•fOU.iCA�C011iP�C10(1 PqLI.�pRE55 CiIY �ip R�ONC SLRIICFNSE• <br />�.i,'.�I�.�iGCONtRI..'.iOfl Nq��0�PC5i LItY I.� f'HO.0 SIqElCENSE• <br />cc'scn.e� v:onn u�o souenc voouec n�vavca <br />�u.,:,;=�ooxornui�o-rx: � ADr71�7'p/J <br />:ct.� o[scmnuo�� ci i-r+orEuiv is�wm ouan on.n.cr� rwo ca <br />�o� 27�ZH _ o�ocn g6d cr fbY'7' A[.6A <br />_,Q�7DY La�7n complq�,�— <br />S 2noQ Ac� <br />arc��*nxio Ho�.�oce <br />S53Y17 OZ7OD <br />cerGulaeirouloaruEtmOi �o9[s_.�E16'uoNCuwFo[a <br />TFAV <br />FOR OFFICE USE ONLY: <br />rn,-rrtsno�cn nuncuo�tR <br />u�:i.cn�� .O mr�nu z0 <br />I`- Z_ % ] o <br />uua�.u�nnn�o.roi / i�°orov.euv�.� <br />!. ��s <br />soc rsc�e.ca <br />\AL4� yiE <br />,,�s <br />>r uin: n <br />i.\CS VI:C <br />HEATING SYSTEM: �1GA5 ❑ ELECTRIC f' <br />coxr.�ervmsor�u�o>r�oex r�o <br />I HERE�V GERTIFY THAT I HAVE READ AND ExAldMED TM6 <br />APPUCATIONAND KNOW TME SA!dE TO BE TPUE FHD GORRECT. ALL <br />PROYISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />YJORN WILL BE COh1PlIED WITH Y/HETNER SPEGFIED HEREIN OR <br />NOT iHE GRANTING OF A PERM1IIT DOES NOT PRESUIdE TO GNE <br />AUTHORITY TO VIOLATE OR CANGEL TME PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br />PERfORMANCE OF CONSTRL'QION. THqT I Al.1 qUTMORIZ[D CV THE <br />UYINER OF THIS PROPERiY TO PERFORM TNE YlORK FOR NHiCH <br />APPLICAiION IS MF�E AND I GOIdPLY WI7H THE STATE <br />CONTRACT S LA1Y 1B2] RCW AND 296200 V�AC. <br />x �,%�. � Gz�07�� <br />SiGNJ � O�iE <br />[Ov 011S�tf 55 t6[;B[ NO <br />r�n�cni�Rn�ueu� �ch�� a"c[mirp <br />o ea-oa s <br />FEES VALf1AT10N <br />emmnuc <br />PWMB'�ti <br />NCCNANiLAL <br />AC�IiIp`UIRµLY1ELR <br />OMCR <br />$i�iE BIIiLDIM. SUP'NMGE <br />r�innsern,sEniirU�i CITYOFEVERETT �ron:n:��cnes <br />r � /' /' LOCAL SALES <br />TA%COUE IS J105 . TOTAL <br />