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APPLICATI� FOR CONSTRUC7�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • F.VERETT, WA 98201 • 257•BB10 <br />� DEMOLITION ❑ COMBINATION ❑ BUILD�Nfi ❑ MECHANICAL fl PLUMBING ❑ SIGN <br />,'.chc.- �'G %I v � <br />um <br />S L 7. t'oes� G/Ssz�c •.• �/.� 55�+1 -ri �'za� SC � c-o}'/.'.' <br />1I[CN1N4^aICCNiR�C1pP Y�M1I.WPr55 CiIY ZW R1012 S1�1ElKfNS[• <br />MUMOiNGCON1NGiCR IA�R�pp165 piY ZiP @IpiE St�IEIILLNSE• <br />conra.c*vnceor.ra+e HEATINGSVSTEM: ❑GAS ❑ELECTRIC r' <br />�CSCPIB[ \vOna I.ND SOUNL fOJ�AGE IIrvpVEO CG11AC1 PCRSON u�p RAyrt Np <br />O�i B <br />.n . <br />io. /if-/`: �ocK <br />CLOTHES <br />r.� <br />— Q � � — <br />SU9TOTRL 5 <br />I HEREBY CERTIFY THAT I HAVE READ ANO F%AMINED TNIS <br />APPLICATION AND NNOW THE SAME TO B� TPUE AND CORRECL AL� <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITN WF:=THER SPECIFIED MEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITV TO VIOLAiE OR CANCEL THE PqOVISION OF ANY <br />OTHER STATE OR LOCAL UW REGUUTING CONSTFUCTON OR TME <br />PERFORMANCE OF CONSTRUCTION. TH�T I AM RUTNORIZED BV TNE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR NRIICH <br />APPLICATION IS MADE AND I COMPLY WITH THF STATE <br />CONTRqCTORS UW 1B2I RCW AND?96200 WAC. <br />. � • _ $-2-OG <br />S�GN�ILRE WLE <br />1:'IY01151N[$$LICLNSGNJ / L (�/l(J <br />FOR OFFICE USE ONLY: <br />vnowse*o.cn n[.nseroea sio¢xre•a wweNceKr1uue[n <br />us[iw�c wt�at. v.CwrsnE FEES <br />�rEs nxo ��ia� <br />�cw�r�iun�rqx uoormvuina s�zca�e�oc�i <br />urois nuMau+c <br />occurencrlr�oasrxss occur.rvt�o.o o.uucrvr u[ounq�i <br />GPWV <br />nrEs nno <br />rmES�nWn4uPca0 eE�saN ��1��LPUMCnECY. <br />Of11CP <br />HPE�UF4P[00 RE�SON <br />si�*[ cuawrm su�+cr�wcc <br />irrEorcnHs* n�ris�rorrovcoer CITYOFEVERETT �ue:�cxoAxs <br />LOCALSALES <br />,,.,� TAX CODE IS 3105 7oT�L <br />S <br />fEE I AECOPLNJ <br />