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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 � <br />❑ DEMOLITION Q�COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBIN6 ❑ SIGN <br />PROJECT ADDRESS <br />'F� c � � 4o Pox ao �� Eo.eff 523zoi vzr�3oA-3i74 <br />lENH1I M�M1/.W11E55 CIIY IP RU11E <br />/�RLIII1EGiO�OLSqNCP M�M1/.Oq�E55 ���r �P � <br />T 5+ R'+c 70 �K :2or3 co�er+ 98:b3 �izs�tA�3��Y 'c c+Rc#nr�dG <br />c[MEn4.Lp11n+cion u�M1nponEss c�n 1� qbME 6t�iEt�CFNSE� <br />MCLN�NiL0.Cd�1RACIDR H�M1AppPE55 Citt d' P1�OME Si�IEL�LENSE• <br />RUMOINGCON1MGiq1 NAt��ppRE55 LI1Y ZV PM011E $iAiEl1CLNSE• <br />��5�� <br />rnorosEo usE or eunoiw <br />5FR 7�wsc m <br />IEG�L IXSLP%M1�'tION O� C11IX'ERIV (SIpN <br />�pi �(_ BIOCN _ <br />70' -O� <br />r�ncc�tum. n � <br />coNSIDULuoHloeNl[NDERnpw�Ess. <br />I FOR OFFICE USE ONLY: � p��T� <br />fPONiSEtB�CN 11EAq5F1BAM <br />Zo� � <br />���F:�,.,� n . LO�AP[/� <br />I NCIGNtLIIAl1AlIpN/ IIUUNI$FOW[LLINO <br />�� <br />wa <br />HEATING SYSTEM: L�GAS ❑ ELECTRIC ❑ <br />um rHOHc w <br />1 NEREBY CERiIFY 7HAT I HAVE READ ANO EXAMINED THIS <br />APPLICATION PND KNOW THE SAME TO BE TRUE M1D CORRECT. A�L <br />PROVISIONS OF LAWS PND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLIED WITH WHETHER SPECIfIED HEREIN Ofi <br />NOT. 7HE GRANTING OF A PEHMIT WES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL UW REGUUTING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT i AM AUTHORIZED BY THE <br />OWNER OF THIS PflOPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LA 1827 RCW AND 29620U WAC. <br />X �.t�� {`�-- 4• �3-� <br />S�µ�(p DALE <br />LItY6U5ME55lREN5Elq. <br />E <br />S i <br />S <br />7 �'-b <br />Si0[SEIB�CN ftINLHECItNUYBFP fEE <br />S' -D/� <br />v�cu��*SnE FEES <br />�Ol[5 O HO BIlM1OMO � <br />9l 91 s. F °"1YeiNO <br />�SE4ENT / uE01eMCK <br />❑YES 0��0 � <br />�DUIIIfMIK VIIN LNECN <br />OMER <br />� SiI1F.&1M1OIN3SlI��C1U.�GE <br />CITY OF EVERETT rueiaxaacs <br />LOCALSALES <br />TA%CODE159105 70T�L <br />NJ <br />