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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERF.TT • BUILDING DIVI810N <br />3200 CEDAR STREET • EVERETT. WA 98201 • 257•8810 <br />. DEMOLITION i i COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />ADORESS <br />9i�i,c'�-u+s��iil..ax; a22y,4 /' � A �c r-,,�r +*���ae:,�( <br />1CN�Ni Y�4�CO�ES tY IP NKM4 <br />A � Cr �.�ll ty.�r� �]_LIi��'2ol Z S2.�rvoN <br />. rtEcrrno �cvc wn.ow+css cn+ tw prouE <br />GlNCR4CpRP�L1M MuII.DWE55 CiIY 2'�' AKK�� 541ELICENS[r <br />r [ e�ruci'' � cr� Pn A,c `I t,ak� Sf��rNs uJ,A- �.,�Sf'ec# 044 rv <br />MELIIANiCRLC 11IKiOli AI/.IL ppfl(55 CIiY �W Aqt2 $l�lC\IC(115E• <br />IFWMB�NGCONIXI.LiOR MAM1IDN[SS CitY 2�� A106i 511I[LKlNSE• <br />Y � <br />14U�N <br />i[r.�� o[scuviron ar vn�r[N�� unvnn m <br />ior /�a�.D oiocK�%7/ <br />M �Z <br />cor�snuc��on <br />8 <br />RFY <br />FOR OFFICE USE ONLY: <br />mc�rtscixs;.x ac�nscre�cx <br />v5CI0uL l0}eFG <br />riEwnruMnnirox Hnoruvrt�anro <br />VN11$ <br />tvC$ ❑ NO <br />oc*i <br />NJPSi�FlS ICL('W�NIIV�u Iun�tuLni <br />nres ❑ rvo <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC C <br />r�x...cr rEAso�� n�m r+�o�¢ ra <br />1 HEREDY CERTIFY THAT I MAVE READ AND E%Ah11NED TMIS <br />APPLICATION PNO NNOW THE SAME 10 OE TRUE AN� COPRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TNIS TYPE UF <br />WORX WILL �E COMPLIED WITH WNETMER SPEQFIED HEREIN OP <br />NOT. THE GRANTMG OF A PERIAIT DOES NOT PRESUAIC TO GIVE <br />AUTMORITY TO VIOLATE OR CANCEL THE PROVISION CF �.NY <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br />PERFORIdANCL OP CONSTRUCTIJN. iMAT I AM AUTHORIIEJ BV THE <br />OIYNER OF THIS PROPERTY i0 PERFORM TNE WORK FOR WMICH <br />pPPLICATION IS 1dADE AND 1 C061PLV WITM THE STATE <br />CONTRACTORS LALV 1B 27 RCW AND 2962DO WAC. <br />� �� 6+J+-- <br />sa ac o�*c <br />cirrausiHcssucrnscHo �-(-�1yy <br />•�� <br />GAS <br />tt �rtChv�ue[n r[[ <br />� �j - OD <br />FEES <br />ewm�� <br />PIUNBiNG <br />MECn�NiCK <br />�oonr�u�utturo�¢R � <br />O�uEa <br />S1�tE BOR�iM^� SURCX�nGE <br />CITY OF EVERETT �ue��cwrn+s <br />LOCALSALES <br />TA% COOE IS J105 TOT�L <br />ncc[iat.q <br />