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APPLICATI� FOR CONSTRUCT� PERMIT <br />CITY OF EVERETT • BUILDING DNISION � <br />3200 CEDAR STAEET • EVEREIT, WA 9�01 •(425) 257-8810 <br />�r�(7 <br />DEMOLITION ❑ COMBINATION ❑ BUILOINU 6 ❑ MECHANICAL ❑ PLUMBMO ❑ SION <br />PROJECTADDRESS:�%D�7 IL7 D� .Z � I I� OC)G rn <br />JbHN TONNES <br />O'�w+FM Mul�Op1f65 p1Y t�P ��pM1( <br />IOZ.tD LAQ)ivtf2 /l� EllF_�?C� 9g2�`d� ULS-337-�09�� <br />�ENW� 441Y:ME55 C�IY Iv PHpx( <br />•RCHT�CIO11CfLGNE� Y111�001�f5$ C1IY lll' IYIQIh <br />GENENICONID�L�M u�i1�IXIDF55 Cllf _� I�P PoKrif 541E1KYM5F• <br />MECM�'uGICOMf��tlpn unU�p�f55 p}v }ip vrqNl iLiFtCEHSE/ <br />PIU40nGCp1lnqlM u�tteOpIESS �rtv b> V�qME SI��EIC[MSF• <br />l01 �_�y_ BICCF <br />rcicnar.c miun[n <br />Ofl 17EM <br />URIN�L <br />FOR OFFICE USE ONLY: <br />um�c+ � nnnse�p�n � sw[ <br />USF l0`�I I 101 u�U <br />11FIGMt 1141I.�i1pN I Np p pW[IIIMG ' S�IF <br />�� NEATING SYSTEM: U GAS � ELECTAIC ❑ <br />I HEREBY CERTIFY THAT I N�VE RE�D AND E%AMINED TNIS <br />APPUC�TION /JID KNOW TME S�ME TO BE TRUE AND CARRECT ALL <br />PROVISIONS OF �AWS AND OPDINANCES GOVERNING THIS TYPE OF <br />WORK W14 BE COMPLIEO WITH NMETMER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PENMIT OOES NOT PRESUME TO OIVE <br />AUTMORITY TO VIOLATE OR C�NCEL THE PPOVISION OF ANY <br />0T11ER STATE OR LOCqL LAW RE6UUTINO CONStRUCTION OR THE <br />PERFOPMANCE OF CONSTRUCTION. TN�T I Nd AUT/WRRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TIIE WOHI( FOR WH�CM <br />APPLICATION IS MADE AND I COMPLY WITM THE ST�TE <br />CONTfl�CTORS LAW 1B.Y] RCW �ND Y96.200 WI1C. <br />s�. �� o�a-,z-9� <br />Pt�l119HESStCFNSf Ip <br />IIECN�MIC�I <br />❑YES 01q Ipull� <br />%IM1Nli <br />iVFNI V{LNu.ty <br />❑�f5 OMf ' <br />♦ppli(Y�11 M1AMC�VCF <br />a+w� <br />tl/.I[ N111M f 5111SN�Mi( <br />CITYOFEVERETT n��u+:�� <br />LOCALSALES <br />TAX CODE IS �105 TOTIIL <br />SUB 70TAL f <br />T <br />� <br />