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APPLICATI�1 FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDIN(i DIVISION <br />3200 CEDAR 3TREET • EVERETT, WA 88201 • 25D-BB10 <br />❑ DEMOLIiION ❑ COMBINATION � , UILDINO ❑ MECHANICAL ❑ PLUMBINfi ❑ SKiN <br />/� /� �� " ' <br />itw.rrt �( ur�ooniss /� arv /� n naa[ �/ <br />.'cnncrrnaEsw�n �wm�ss an m� n�ar� <br />y �� �� �r <br />u[� woir <br />eiao� <br />IExOFR. MMESS. RlERb4 MIM![R <br />WATER CLOSET <br />BALI(FLOW <br />FOR OFFICE USE ONLY; <br />rnp�iutn�c� nc�nsrin+cK <br />J� � <br />��OG111 Uu'OIbN <br />i�..—, .ununeao <br />SUBTOTAL S <br />TP IY�piE <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />conuct rtmwua r� w <br />I l/EREBY GERTIFY THAT I FUVE RE�D �NO E%ItMINEO TMIS <br />APPLIC�TION MID NNOW TNE S�ME TO BE TRUE AN� CORREC7 ALL <br />PROVISIONS OF UWS M1D OROINANCES GCVEWMNC TIMS iYPE OF <br />WORN WILL BE COMPLIED WIiH NMETMER SPEqflED NERE�N OR <br />NOL TME OMNTINO OF A PERMIT OOES NOT PRESIME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTIIER STATE OR LOCAL l�W REODUTINO CONSiHUCT10N OR TME <br />PERFORM�NCE OF CONSTRUCTION. 7/UT I AM AUTMORIZED BV iHE <br />OMMER OF 1N15 PROPEHTV TO PERF011M THE WORK FOP WHICH <br />APPLICATION IS M�DE �ND I COMPLY WITH THE STATE <br />fA✓MM�CTORS LAW 1B Y7 RCW AND 39821p WAC. <br />z /o'�'�l� ` /v��9G <br />Sq4�lUiE WIE � <br />pfYMNNE55tCENX W <br />GRSRANGE <br />SYSTEMS <br />TOTAL <br />socuia� � In.�.1'S� �n I r`A /. �� <br />�0��� s y v.�C�M�9�F - FEES <br />� � �5 � - o.�s �rw ou�own <br />MOQUWCIIINf 51}FC(llVGlll <br />u�.na �. nuwwn <br />SZ� Sf• �� <br />IX;CIM1NIl0�0 B45fMfM1 / 4(C�NNIC�I <br />pY6 E� <br />IIf�iM ��IA'1N�11'lM1C�Mf.1( <br />an�m <br />nf�srw <br /><II.i[ OuIIH� �MCIi�M:F <br />PI�NSMIVIOVFbBY CITYOFEVENETT nmir.wmas <br />—�b LOCALSALES <br />,,,,, �„ /,� /G� TAX CODE IS J105 7oTAL <br />