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APPLICATION FOR CONSTRU • ION PERMIT <br />CITS EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET <br />ET • EVERETT, WA 98201 • (025) 257-8810 <br />r] DEMOLITION COMBINATION I❑ BUILDING <br />❑ MECHANICAL ❑ PLUMBING ❑ SMN <br />PROJECT ADDRESS: _ 4 j 7 <br />GMIFR x.114%Frtt fit• /In n..wl <br />74 f'f GFx o fi/Jx,i� �-�. W r <br />1[M•MI xl •fl( 5 fll. RP M1rylr <br />•1Kr•RCt.]R ML;.ti•n <br />hark 5szn.s <br />GTnInu CC4lPxarn YUI UNIRIH Clh ,r nnnf 54R IKrnN• <br />tEp•NK•!C.[n+P.c1Ou uul •IARRSS OM1 )n' %CN il•+F IKPFSt• <br />%IIIAIH(CCMInFfFp\ - WII •UIYY55 [II♦ l�r � rWq� 51•If IKFNV <br />Im <br />IWM'll I. 111 MIMIY II <br />FOR OFFICE.USE ONLY: <br />HEATING SYSTEM: PtGAS ❑ ELECTRIC ❑ <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 C`F <br />WORK W11L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DCIES. 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 15 MADE AND I COMPLY WITH THE STATE <br />CONIRACTOR4IAWIIt)RC.w nM2WWAc <br />J nR! <br />WI YUSYKtSIC14[1 YI <br />I Rf141 Sr IRK`•`�'� � <br />Rr•P NINCI(/t <br />yC(NIFKt f <br />--- <br />h•4 CIRf. nIMrR rlr <br />--_— <br />Rff iY'tp <br />uv nv.r <br />nn un • <br />vu•41 wl <br />FEES <br />VAIUAfgN <br />_'1—_IUZ <br />- '� <br />A]CliL <br />�SFEE__ <br />- � !a <br />'KKAI+UN� W <br />IMIIH4: <br />SILL d <br />1 <br />nll` <br />Nat1 <br />�-+— <br />11 <br />17 70 <br />ruWIWCi _ .. <br />OCI:IY'•\Ct <br />M\nallMls <br />IX'CIIN4110•P <br />RRNVnI <br />V'�J•I <br />� <br />D.iS FJr(,I <br />FRQIY.WII nc\CIYCn <br />IIRE SIpMIEP M'JD <br />Rr •4M <br />II YR <br />rKI RUPn Pl00 <br />Pi Rt(IV <br />— <br />RIIR�.IUWI:SIIRC-•nfl <br />I'mn 1p 1 <br />n•4RRr144NrnR <br />CITY OF EVERETT <br />nalKrrtYHR <br />LOCAL SALES <br />Z�f_, / <br />N <br />P•+F S O <br />TAX CODE IS 3105 <br />TOTAL <br />