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APPLICATIO�FOR CONSTRUCTI� PERMIT� <br />CIN OF EVERETT • BUILD�NG DiVISION <br />3200 CEDAR STREET • EVERETf, WA 98201 • 259•8810 <br />❑ DEMOLfTION 1'1 COMBINATION fa BUILDING i-1 MECHANICAL �l PLUMBING I�l SIaN <br />ADDpESS <br />RimER <br />JLrFF Sf�4NK %�%ZS L.4QI�hBR RD CVERL? 9t20$ ��0��6aL <br />1F�W1f uul�ppPEss urr TP rrqr.E <br />�fIG�lEGi0qLf51GNER YIJlItp11E55 CIIY )il` 1'MOHF <br />OENFMLCCN1MG1d1 4YL/.pq1i55 CIIY !IP PIqN[ SIREIICENSE� <br />(3LNE R�80oq StEE� 4coa. 12x�-G RiudRsipg D2 mr.y2RwoN 9Pzv3 9u�•7Bi-fr��f BLUERi42oYG� <br />� MIdt�WRE55 Cltt lm �IbuE S1eiEliLENSE• <br />P[OP9FQCOIVIRISI9fF— NNL�ppPE55 G1v Oo RIONE SIRE4GEHSE� <br />io* e�ou <br />VDGYA3-Y-OLv�00n9 <br />GWSIRULIqN l WN tENOEP, AWflE55, tElER10NE MIMlEP <br />FOR OFFlCE USE ONLV: <br />ruanrs[m�tx a[�nscte�cK siocscre.cK <br />S 2S � o <br />usEzar�' I iornne� vuu��v�E <br />rnEs <br />NEqNTUMiI.iION I MOOiVHEWNO S�IEOfBtIXVlI <br />35 ��« � < <br />CCJC�CpUAPAMb MIIXT�M[5 CCNVANf W�D IIRE4ENf y <br />11 - � � f1YE9 <br />I HEREBY CERTIFY THRT I HAVE READ ANU EXAMINED THIS <br />APPLICATION AN� NNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORIIINRNCES GOVEFlNIN6 THIS TYPE OF <br />WORK Wlll BE COMPLIED WITH WHETMER SPECIFIED HEREIN OR <br />NOT. THE ORAMINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCQ LAW REGULATINQ CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PPOPERTY TO PERFORM THE WORK fOR NR11CH <br />AP?LICATION IS MA�E AND I COMPLV WITH TME uTAlE <br />CONTRACTORS LAW IB27 RCW AND 296200 WAC. <br />x _D� a a�.�.e�,,�,,, ,o Z,� <br />s �iaF nme v o�i[ <br />�3577-00-�o-OI <br />crc eusr�w �r.EHu xo <br />uceusuicu <br />r��N c�¢cK uuuorn <br />J/�/o�� <br />FEES <br />omimr�a <br />rmuerm <br />MEb1�NK4 <br />�OqIqNALRANC��6K <br />o*rcn <br />St11E RIIIIOIN(I SUPCII.�ME <br />CITYOFEVERETT rueur,v.ones <br />LOCALSALES <br />TAX CODE IS H705 TOTnL <br />7U Inrr.rmrHo. <br />