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APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CITY OF EVEREff • BUILDING DNISION � <br />3200 CEDAR STREET • EVERETT. WA 98201 •(425'� 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINQ � MECHAN!CAL ❑ PLUMBINO ❑ SION <br />PROJECTADDRESS: 3?4a Ia \\ A x. <br />Fr �� P k Zr �1' � n1 za2s [�l ev 98au1 zsfr�o2�.Y <br />��.��H� uui � css � cnr no n�or�E <br />•nOeiftlo�OEs�c9rn wM1�Dlm[ss � c�ir t�r r�qpr <br />GfN(f1NCOHIDLL�q1 N9l�Dd1E5i CIM1 l�� PiN1Y( $411.IIfM$� <br />YFCIUNIL�lCON1MC�00 N��I�DC��E55 Clry lli` C�IWf [��tFUCCNtE• <br />L•d�,.�n� sk.le� P.o /S�„ �soa Fe. �rz�� 2ss•a��w rveRes-su�lt�— <br />Plll NGCON1R�CtM 4�i141tME55 Qb !IC pNCNF SIAfF16fN5F• <br />io� eiocx <br />io <br />FOR OFFICE USE ONLY: <br />�nONt4in+c[ nf�n5[1P4K <br />Ilt(I04( IOII.m� <br />��c�c�a uvn•nov w a uwuur.c <br />rw o� cirn�s I a:cuv�v� �u.o <br />u+it <br />MEATING cYSTEM: �id GAS � ELECTRIC ❑ <br />cor�.�c� nirsor�,w.:s�dm �ro <br />I HEREBY CERTIFV THAT I NAVE AEAD AND EX�MINED TMIS <br />APPLICATION AND NNOW THE S�ME TO BE TRUE AND CORNECT ALL <br />PROVISIDNS OF LAWS ANO ORDINANCES GOVERNING TNIS TYPE OF <br />WORK WILL BE COMPLIEO WIiM WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �IVE <br />�UTHOPITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OR LOCAL L�W REGULATIN6 CONSTRUCTION OR THE <br />PERFORMRNCE OF CONSTRUCTION. TMAT I �M AUTHORIZEU BV TME <br />OWNER OF THIS PROPEPTY TO PERFORM THE WORK FOH WHICM <br />RPPUCATION IS MAOE AND I COMPLY WITH TME STATE <br />CON�RACTORS UW 18.27 RCW �ND 296 i00 WAC. <br />X�..� .Z•1o��8 <br />smn�i �T n•rz <br />G1YlU4ME55lICFNSC MJ <br />�EE f I I I iOTALFEE S � <br />sias�tn.cR ri�tic���+aa�yp�� r�r nrrnr*ra <br />' � <br />vr.C�vtvte FEES V1ILUATION FE� <br />❑Y!5 ❑ � Rll�lp� <br />$IIE O� BIOL�I <br />n�iuniMa <br />e�stw[u� vruunx'n - _ --- """__G,�i- <br />O�fS ❑N� —� <br />•pqll(IH�I Il W 6RCR <br />OI��(O <br />i�11I flllilU:N(:51111C11�n('.t <br />CITY OF EVERETT runur. mx�+s --' -'- — <br />LOCAL SALES - -' —' ---- <br />TAX CODE IS �105 TOT�L , <br />