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APPLICATIOR FOR CONSTRUCT�N PERMIT(�/���� <br />CITY OF EVERETf • BUILDING DIVISION �/��_ <br />3200 CEDAR STAEET • EVERETT, WA 98201 •(425) 257-BB10 ������ <br />❑ DEMOLITION ,�1 COMBINATION ❑ BUILDIN� ❑ MECHANICAL ❑ PLUMBINfi ❑ SIGN <br />IXOuqrCµC[atn�ciP� vul�pDnF55 Grv lir ��KHf [r��{pCEMSF• <br />AUYlMGCOH1111pp41 p�M1I^p1E55 LIfY !�� VIM.NF SiMfICFMSF� <br />CCNIMLI MeC[ Of W W�R <br />�� n�, � NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑_ <br />�EStiueF WMt /.Nn STl�ut �OOI�cE mvJlvFp cONt�cr vin50N �vo rMOr�f r:p <br />��...in�.eT /vf� .o�:c. /-cir /nT r.rit.fA.v� <br />r <br />ioi e�mK <br />'OSS—O/�' VU'L <br />IfNOFR M4255.1[6PqvF rMMfR <br />TOTAL <br />FOR OFFICE USE ONLY: <br />Illf)41VipYM f1fN5fIpKN yp(Sf�E4S <br />osei�r�r io�uir� v.ce•nvrt <br />0 <br />I HEREBY CERTIFY TN�T I HAVE PEAO AND E%AMINED THIS <br />�PPUC�TION IJJD NNOW THE SAME TO BE TRUE AND CORRECT AlL <br />PROVISIONS OF UWS AND OPUINANCES GOVERNING TI/IC TYPE OF <br />WORB WILL BE COMPLIED WITH YMETMER SPEGFIED HEREIN OR <br />NOT. THE GRANTING OF � PERMIT ppES NOT PRESUME TO OIVF <br />AUTHORITV TO VI�UTE OR CANCEI THE PROVISION OF 11NV <br />OTNER 51ATE OR LG..M. UW REGULATI�G CONSiPVCTION OR THE <br />PERFOPMANCE OF CONSTRUCTION. TNAT 1 AM �UTHORREO BY TME <br />OWNER OF THIS PROPERTY TO PERFORM TME WORK FOR WNICH <br />RPPLICATION IS MADE AND I COMPLV WITH THE 57�TE <br />CONTqACTOR B 27 RGW A 00 \YAC. <br />1% / O��Sc �_'30 -91 <br />Grv pUON[SS lCEMSC �.O <br />rFs o ro nirinm <br />IIE�O�IIIN1�111U4 NOPUMYlI1HG $IIFMMOG�II <br />IIMI[ 1'1�1411M0 <br />l]U:IIMV(:Y MA�IM�.IS UCC.l11YN�1��f1 01il4[H VlCN�NK�1 <br />1.11pN` — / <br />O�[5 Wn <br />fW�SN�NnI[11PCGD �1A[ON �M'�X�M41Y�vpHfK <br />� v � � �-• <br />_ O1M11 <br />nnE�w+uneo'o auc�v <br />� : � i 5 "— <u�r ev,m�c, c��ou_� <br />�vrroicovn rinvs�rrnovtnn CITYUFEVEREiT n���KMT»�+� <br />V I`I � IOCAISALES —�--- <br />n.n ���O �a.� TAX CODE IS 3f05 TOT�L <br />PERMIT S <br />TOTRLFEE f <br />rfr ufcrMtwo <br />N� <br />_ V�LU�IION FE__ T_ <br />, �9 �so <br />� �{� <br />-- _4;�a <br />