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APPLICATIO�OR CONSTRUCTI� PERMIT <br />CITY OF EVERETT • BUILDING DNISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-BB10 <br />❑ DEMOLITION L7 COMBINATION ❑ BUILDING ❑ MECH�NIC�L ❑ PLUMBINfi O S�GM <br />PROJECTADDRESS:Sf,��AL �.. I�� _RA _ . , ^__ _ �'_ `___ . . <br />•ncr.rruonoevernn ue�i.nrn�ss urv <br />`�������� _�,�,,� �� ���� � �p� D J � I HEATING SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />`+1L.L�Cld ' co.1�•c� n nsm nvn r.�wr �.o <br />�o� aia+ o' <br />i�uinMnwln y <br />Ji. »nnnn3�lD�LI� <br />ca��imKrro+�o�M�r.xitn w�r.n.ss �����+rorF.n�mrn -- <br />FOR OFFICE USE ONLY: <br />rfH)u1viP�rR nr�aN���� <br />USf IOMf 1 OI up • <br />MIKrN11rVi1�v0Y ;O d OWfIUN� <br />OCLIT�\::� x n�l c1 V(�1\i�•�M�IU�D <br />va sr�e.c. <br />�.�.�� s„� <br />❑Yfi ❑ M) <br />N Ma�� <br />fl�ti4ln� <br />O.ec Orn <br />CRY OF EVERI <br />LOCAL 511LE <br />TAX CODE IS J <br />Y�I�)111� � � <br />1 HEREBY CERTIfv THnT I MAVE RE�D �ND Ex�MINED TMIS <br />pPPLtC�TION �N� 0.NOW TNE SFME TO BE TRl1E ANO GORPECT ALL <br />PPO�ISION$ OF ��W$ AND ORpINANCES GOVERNING T1115 iYFE OF <br />WORK WII L BE COMPLIED N'ITH WHETHER SPECIFIED NERE�N OA <br />NOT. THE GRANTING OF R PERMIi DOES �OT PPESVME TO G�VE <br />RUiMORITV TO VIOU7E OR CANCEL THE PROVISION OF ANY <br />OT11EH ST�TE OR LOCN. LAW REGUUTINO CONSTRUGTION OR iME <br />PEAFORMANGE OF G()NSTRUCTION TN�T 1 AM AUTMORIZED BY TME <br />pWNER OF iHIS PROPE�TY i0 PERFORM THE WORK FOR WHICM <br />pPPUCAiID�� �S MAOE AND I GOMPIV \'/ITH THE STATE <br />CONTR�CTORS lAW 1 2% RCW �ND 296200 WAC <br />� —.s�' �`r`�r� �/1 �yy — <br />� —��i <br />fYPUVMSSI�[INcI vU <br />R��IM4G — <br />ry1141��Yf <br />4f1"M�N�fM � <br />�op�mvu n�+oa� <br />awfn <br />51�11 flonD�xG TIMu�PI1f <br />n�mrvm�.. -- <br />iOTAL -..-- <br />70T�LFEE f � <br />Rr �Frrmtu0 <br />V�LU11110N FEE <br />- — — a, � <br />_ _. .. _j <br />—_' '/ 'S✓ <br />__ . 7- <br />__ �� �� <br />