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APPLICATI�1 FOR CONSTRUC�ON PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3:00 CEDAR STREET • EVERETT. WA 98201 • 257�8810 <br />�. �I DEMOLITION -. COMBINATION f,� BUILDING `. '. MECHANICAL x PLUMBING �-� SIGN <br />PROJECTADDRESS <br />G�N.U� u1h�Dp�C55 �n! � A�O�R <br />�\e � T� �i ii\� -47� a�^ � ��n�T �.li �i8"2L,3 1�a5-3�17' �9 <br />1L�:AN1 Y�Il�DIX1E55 CIIY lit' 111pR <br />�.�...i�illGiOPpEir.'.�:ll� N�IL�Cp�f55 u�r a. ........ <br />I:tl�[nnICONIPaCiOP MuIACMC55 CILY SIP ���M4 Sl�1CLILENSE♦ <br />L�I�:��nNIC4CGNLPKiq� Mul�DD11C55 CIfV Ip ���p�C L«iCIICENSE• <br />i.,:VoeNLGIlR�C1pR M�LL/.OWE55 CIfY bP RVJi2 9�iClKlNSU <br />. �.VI�„IpRICCOfWOPR <br />. i ..:n�,oC wonn �rvo <br />io* B�OCK <br />��ai�fLlil 10 M140[P <br />� ,n�rnucnan �a.0 avo[n u�or�E �s. <br />FOR OFFICE USE ONLY: <br />�,. .:�nn�. ��,�u�sue.c. <br />..._..i lO1�nG <br />. ,�u uan�iar� rro a nNuurrc. <br />mms <br />e - 'JRSppI' (xNl'�NiIO�D <br />,1.� srn,.,�cr�uruo �,i.sa� <br />i �.-��enMatuo nt+son <br />i��LJfCONGi Piu�SnvPnJVI[i <br />� <br />HEATING SYSTEM: IIGAS f�ELECTRIC fl <br />cmn�::r rrnsrn� neo n�cic rm <br />17v1Q �Go�.a �.ps--3��7- 3-��9 <br />I MEREOY CERiIFV THAT I MPVE READ FND [%AIdINE� 11115 <br />APPLICATIDN AN� KNOI'! TNE SAh1E TO DE TPUE ANO GORREGT RLL <br />PROVISIONS OF LA1"15 ANO ORpINANGES GOVEPNING TMIS TYPE OF <br />IVOFK 1'JILL fE G01,!PLIEO 1YIiN WMETHER SPECIFIEO MEREIN OR <br />NOT THE GPANiItJG OF A PERMIT DOES NOT P9ESUME TO GiVE <br />AVTMORITV TO VIOLAIE OR CANCEL THE PNOVISION OF ANV <br />CiNER STPfE OR LOCAL LhY! REGULATING GONSTRUCTION OR TME <br />PERFORLNNCE OF GONSTRUGTION. THAT 1 A41 AUTHORRED f3Y THE <br />OYlN[R OF TIIIS PROPERTY i0 PEFFORM TME WORK FOP YfNICH <br />APPLICPtION IS MADE ANO I COMPLY WITM THE SiATE <br />CONTR4CTORS lAW 10.11 RGW A�D 296200 WAC <br />x_�� $�� g 1� � n� <br />SiGN�f��( D��C <br />Lli-I BVS'.NCG� I ILI �LC NJ <br />— A 11NDLG <br />nAHG[ <br />SiCE SEiB�LK <br />Y�LWI6ilE <br />-v[s n uo nm�oo�� <br />�r eiocn <br />hV1.19'.1q <br />o�AM[N1 4CCM�Mq1L <br />ntts oxo <br />r.00nronuouHc�ccK <br />on�u+ <br />, d1V:6UIL�'.1�.51'aCNARG[ <br />CITYOF�:ERETT r',a�:.:,•..... <br />LOCALSALES <br />TAX CODE IS �105 TOiAL <br />iwoco <br />r ��. I accorr rro <br />