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APPLICATI� FOR CONSTRUC i�N PERMIT� <br />CITY OF EVERETT • BUILDINC DIVISION <br />3200 CEDAR STREET • EVERETT, WA 48201 • 257-8810 <br />DEMOLITION Il COMBINATION ❑ BUILDIN6 Cl MECHANICAL O PLUMBIN� ❑ SI6N <br />IOJECT ADDRESS , . .. , , . . , _ .n / rI � / � <br />z�v <br />ILV4Bi�CONi11�C1�A M�M1�pJRE55 pLY SM Mqli[ SI�fEICtH]l'• <br />usc <br />io*�!i'4� 40TYf e�ac. <br />HEATING SVSTEM: ❑ GAS Cl ELECTHIC ❑ <br />LCNinC� 1'CR,'.Oil �ii01YqNE Iq <br />I HEREBV CERTIFY THAi I NAVE READ AND E%FMINED THIS <br />— APPUCATION PND NNOW TME SAME TO BE TRUE AND CORREGT. ALL <br />PPOVISIONS Of LAWS AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORN WILL DE GOMPLIED WITH WHETHER SPECIFIED HEREIN OF <br />n.ucnm�coriai M NOT. iME GRANiING OF A PERMIT DOES NOT PRESUME TO GrvE <br />AUTMORITV TO VIOLATE 07 CANCEI TME PROVISION OF AN\' <br />� OTNER STATE OR LOCAL UW REGULATING CONSTRUCTION OR TME <br />PENFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV TME <br />OWNEP OF THIS PROPERTY TO PERFORM THE WORK FOR WMICH <br />APPLICRTION IS MPDE AND I COMPLV WITH THE STATE <br />CONTRACTOBS lAW 'B I7 RCW AND 256IW WAC. <br />N,�ca � ffi7��'XGl__ ,%�l���f��d <br />=M —o�i scn�u�i•••�_�i wu'�— <br />qfY BUS�NLS$ Iu:FNSE M� <br />FOR OFFICE USE ONLY: <br />iPONiSI\B4n PE�PSCIB6[ SiCCSCIB�CR VUNCM6tlM1uBC11 <br />i n •� - oi <br />�s���,:E ,�,.,,�. , ,,,r <br />:;rEs nuo W�io�� <br />��[aXtUunliroN rvOrcpN[LL�NO 5II[OFot[Y.li <br />NI�iS RU4BY3 <br />CG:on�NCv NJLYSIWhS CLLVCnNilO�� B�SEIAENi 4[LHeH�CY <br />cawr <br />n��s rra <br />rwesmwniwnwa nusoH eooi�a�+uviu�t�acx i <br />or�[n <br />rmE�ununco� n[�wn — - — <br />S��n a�nn+[:sun:Hu+cc <br />i.rrncous. �s.rrno.ioe. GTYOFEVEHETT �ae��cwwKs <br />LOCALSALES <br />I�.,� TAX CODE IS J105 M7Al <br />