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APPLICATI�1 FOR CONSTRUC�N PERMIT� <br />CITY OF FVERETT • BUILDINCa DIVISION �'��'�O <br />3200 CEDAR STREET • EVERE'iT, Y:A 98201 • 257-88f 0� p p p�OI Fj <br />�. DEMOLITION I� COMBINATION ❑ BUILDING C MECHANICAL ❑ PLUMBING ❑ SI6N <br />PROJECTADDpESS <br />� � � / <br />�.•,ncn Muuooacss arv xm �'nor�e <br />��/�f� <br />.�.��u:i u<��ncoi�ess cnr �� :m r��anc <br />� i�dicio��ors��io� uuuooncss crtr i�n vwrvE <br />„ii.�n+�cornnu:ron �uiieoom'.ss nrv r�— vnor�r sniuicrr�sc. <br />urcauuc�ico�inacmn uuuooness cnv ziv i��crve surtucerisc• <br />�wrwr�ccr.ua.ua�. u>iu��nN¢.s cnr _m — r��cnr sumrt c.--- <br />�. � _ .. _ n _." _' _.,..._ �.,, _.�._ _ ..�-..ia <br />��i _ r.wce wa«+�io sao.ne roouc� rtrvavcn <br />n. �..:,.rniu�oromioivc <br />i i�.+; c[scnmpw+Gr CnorE�n' �snonN aelow on �tu6� <br />i. moch or <br />� ..-�� �� i u. i o �un�ncn <br />. ,,sn�ucn:» io>•..� uo�n..no�css. rarnno��e rw�m�e <br />R <br />— OAR. <br />. ._ _ —_____ 7i <br />FOR OFFICE USE ONLY: <br />�i.-,. �iw., --�i.i.>n�ciercx <br />... . �ior.�.i� <br />1 O� fivd u ir�l <br />�r ��. �•..�• Utllli <br />. �_ i,.. (X,I:VFn011O�U <br />,.. . ...�•..._ . <br />1 <br />, ... .....S..fn 7�n ai.sori <br />,,. .. Fl.WS�nVPG:lufv <br />�...n <br />HEATING SVSTEM: fl GAS i 1 ELECTRIC i; <br />Gom.c� �ces��� nrio �norrt Ha <br />I NERLC�Y CERTIFY THAT I MAVE READ AND E%AMINED TMIS <br />APPUCATION AND KNOW THE SAME TO EiE TRUE AND LORRECT AlL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERNMG THIS TVPE OF <br />WORN WILL DE C0IAPLIED WITH WHETMER SPEQFIED MEAEIN OR <br />NOT THE GRAIJTING OF A PERMIT DOES N0T PRESUME TO Gll'E <br />AUTHORITV TO VIOLATE OF CANCEL THE PROVISION OF ANV <br />OTMER STATE Ofl LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORIAANCE OF CONSTRUCTION. THAT I Ald AUT110RIZED BY THE <br />OWNER OF TMIS PROPEiiTY TO PERFORM THE WORK FUR WHICH <br />APPLiGATION IS MADE AND I COMPLY WITM TME STATE <br />CONTRACTORS LAW 182] RCW AND 296200 WAC. <br />�`I�.IOt�IYI� �, ��- � <br />Z��n� � o.+c <br />crtr ouswas ucu�sc no <br />5 <br />:iDlS[IDACrc IYANG�[CRN'y{� RP I - <br />veuiasi*c FEES+w <br />;�YGS :ll�p P�i���!�r. <br />O�piIX:li <br />rmui�vK. <br />O�SCAIE�II 41CC1111nCµ <br />mes n rw <br />sounar�+� rwi aiEcn <br />omu+ <br />su�[ Bun' -1c su9uunG[ <br />CITY OF EVEflETT rouic wa�.s <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />ra <br />