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OCT-02-R8 FRI 12.17 PH EVERETT PERMIT SERVICES FAX NO. 425 257 0857 P. 02 <br />f t <br />APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION 2 S 1nK(e� <br />❑ BUILDIN�G� C.�ANICAL ❑PLUMBING ❑SIGN <br />PROJECT ADDRESS:_—_6� EV rif, 12% // /,I ` <br />U\ac f,y1MZi�Trs Gn 11y1.C� <br />Q�yn—p' c 960310 C'+zs) 3 &33 <br />.]jj�iEL../-(1-T' YNI AOJACSS frii lir <br />.nLxilCrpu l' ( � Si✓.�v�,�-N YVIaUr I P,bN[ <br />If Sr[+.n uA(Aow[SS <br />GixliUI COYIMOiOR - V At ADfIrESf LIi <br />I CCAI,Aa", VYLVMkf[[ r <br />/) ��X� 7/ Gry PIIWf IQ IK(xt(• <br />�C Il %75�rzf fin. d 7 Sca e 961ZYL 3� <br />h.:uQrp LO'aaaLipA uul Aixl+[sf clrl <br />❑a fief lKCN5F1 <br />I'llLro5f0Ucf OI N[luNf A'/`/�//�-./{.h1 <br />tIoAL RS[RarlpV p"rPGTFg1Y 1(NCwy oC�owr�y l-'rrl{x TMO C0ytS1 ^-- <br />'AAccc reran un `� <br />'JYsrtIVenM toAx l[Wen,adwFSS. rcunloNE NVun[n <br />FOR OFFICE USE ONLY: <br />HEATIMG SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />(sr-)7(4?L4-l_ C09-(e <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT LAW f61T nCW AND 296.200 WAC <br />X--�--�b L - <br />X— VVl <br />PUMP <br />/GALUA <br />u:c zoW <br />Im AMA <br />y.ari 5�6 <br />_ <br />FEES <br />— <br />_ <br />OvFS Ono <br />VALUA TION FEE <br />uGOnt pului'cM <br />NO pOW(llnp <br />Sil(OC"m,II <br />mrl GNf. <br />.16 <br />tf�'.rANLY N9 Gf1: A.tf <br />CGf.IlYAH1 tol0 <br />9AHK41 <br />Iv.510 <br />VICxA4.[Al <br />qNZ Lin l[lIU FCO'0• <br />n1n50.11 <br />❑Y[S ❑ M <br />�— <br />- •• ~•••._---�� "••• <br />A,:J,IlYdll. xGrlfl <br />r7MANY F.4J <br />P(AV1V <br />OlirCn -•- <br />•���—�-- <br />SIAIE OIFlDT1i 91111CILL0(( <br />_� <br />I II'E f•I f,On[I <br />rl fFp\'inQY <br />CITY OF EVERETT <br />LOCAL SALES�^- <br />row4 wpYf <br />'--"—•--- <br />-,_, <br />ou[ <br />TAX CODE 15 31105 <br />TOTAL <br />---' , <br />