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APPLICATI� FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILDING '6� MECHANICAL ❑ PLUMBINC ❑ SIGN <br />PROJECTADDRESS L��Of �rq�� Ave <br />7 �'f <br />OW)6P M�4/.pCNE55 CI1Y 1V p�p�[ <br />T�ex /�e..s�udP� ?'zY E N�,GI.-�F (9F �<.�,., 9yz73 gCo Y2! - z6Ys <br />rcr4wr u.2�ooncss �irv m pp� <br />APCNIiCCiCRpE$GNCP Y�IL�pDf/G$$ �I1Y IV qp��E <br />GFNER�47CON1R.1L)1U11 �./ �M1M1AJppRE/55 CRY IIP p�q�{� <br />✓4/G J ..!- hi'ni 115�•;. II lo brow� /- surc i�ccNsc <br />uEG�nrnu�cwnnncton uu�eoonE55 , UG7 c(/Vtff- yzr-2s �- YCZf <br />nrv zm nwr� {�s��iciKcvsc <br />{YWt$�� <br />fLUuB�tqLONIR/.CiOR �URdpq165 CIIY SN' iM( [ S1�IEIXENSE <br />Cq11pA�iP111LECf WORR � <br />IiSATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />o�scmecvron�.rrosou.ncroo*.ccrtrvo�vco , „ corn•c.rrnsoHuonarrtr�o <br />I HEPB�V CERi1PY THAT I HAVE READ AND EkAMINED TMIS <br />rnovos[ousc a ew�ona APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />_ WORK WIIL BE COMP�IED WITH WHETHER SPECIFIED HEREIN Ofl <br />imuoescnwrpNarrAorenrv�sqwroaowon�iucniwucor¢s1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />�or eixn w _� AUTHORIiV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />jOTMER STATE OR LOCAL lAW REGULPTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTMORIZED BV THE <br />— CWNER OF TMIS PPOPERTY TO PERFOPM THE WORK FOR WHICH <br />A?PLICATION IS MAUE AND I COMPLY WITH iHE STAiE <br />��r�cE�u�io uuue[n CONTRACTORS LAW 182] RCW AND296200 WAC. <br />CONSiPUL1qNl0�NlENOCB,ADM[SS.ICLC�rqN[MIYfiCP x (�1 � O / <br />S�GN40PE � <br />o•rz � <br />bfV UUSiKSSIX[NSE Iq <br />CIOTHES WASNER <br />FOR OFFICE USE UNLY: <br />rncnrsero+ca aunsoa�a <br />Wc ioi�E <br />IIEiGIIi IIMItA1qN <br />AIR <br />�otu+c+ v�cwtsuc FEES <br />nres n rvo ewiowc <br />!!00lOW[l'ING SiZ[OF&DGTI <br />U4i15 <br />PlUYOiNG <br />OGCUV.WiLO.�O B�SC4[NL MCCM,1NICq <br />flv[5 ❑ NO <br />f1U50N �WI1pNAl1YA11CM[GR <br />OiXCP <br />uE�50N <br />S1elE BWL�iNG SUnCN�U1GE <br />nws�wnovcoar CITVOFEVEflETT i'ueiewa+�s <br />LOCALSALES <br />,..c TAX CODE IS 7105 TOTAL <br />S <br />p¢cror <br />