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APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUIIDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 257�0810 <br />I 1 DEMOLITION I-1 COMBINATION f-1 BUILDIN6 f-1 MECHANICAI �Q PLUMBIN6 �� SI6N <br />PROJECT ADDRESS <br />fSo l <br />�IILNIIlClplfl[!pMfR 4�0.��OR[55 CItY 2A 1MJ11F. <br />GfNC111LLCNII�IGip1 4/.LMII4E55 CI�Y tll� IYYY�[ S��IEIFCll5F1 <br />4LCII�NiULCONIPI�CIp� M�kApOl!C55 LII� lf AMA1f $��1ElICINS(• <br />�nPC — <br />RVMOM6C(1N1'1�C1M u�R�aD�155 I:IIY S�' A��. SII..I IR.I�P:1 • <br />o,�nin[waanumWuu�[roo.u:E iv <br />ICPO�A i�'W�� P .M ada� <br />bu� Idi <br />��Sr t�a w�,�., <br />u�.�� ��.cnro�rou a ihx�� mr �s�«�mi nnow<m eneunwo a <br />�or___e�ocn a <br />c��a r.. i o �niuern <br />CONSIIry1C�ql1 LO�N IGN�ff�. �DIII�E55 iEl( Aq1h MIIMI[11 <br />FOR OFFICE USE ONLY: <br />rr�wisnwcc m.�nsne¢K <br />u�rr,.n �o�em. <br />nno�u uvn�irox ra w ovrtunx: <br />I11�15 <br />t✓.UID�N�v � �q V 5iMA5 CLCUPYi�IOW <br />HE�TIN6 SYSTEM: CI GAS I 1 ELECTRIC I I <br />rn��u:� rrnu� ua nvt rq <br />I NEREOY CERTIfY THAT I HAVE READ RND E%AMINEO TNIS <br />APPUGATION NJD NNOW TNE SAMF TO BE TRUE AND GORRECT ALL <br />PROVISIDNS OF L�WS AND OPDINANCE3 GOVERNING THIS TYPE OF <br />WORK WILL DE COMPI.IED WITH WMETNEF SPEqFlED HEP[IN OR <br />NOT. TNE CFAN?ING OF A PERMIT OOES NOT PRESUME TO GIVE <br />RUTHORITY TO VIOLATE OR C�NCEI TME PROVISION OF ANY <br />OTHEP STATE OR lOCr1L UW REGULATING WNSTRUCTION OR THE <br />PEiiFOPMANC[ OF GONSTRUCTION. TNRT I AM AUTIIORIZED OV 1NE <br />OWNER OF THIS PROPERTV TO PERFORM TME WORI( FOR Wh,^.N <br />APPUCAT�ON IS MADE ANO I COIAPLY WITH TNE $iRiE <br />CON�CTORS LAW 1B?1 RCW AND 296200 WRC. <br />x y . �d-y/�"` �.�' �7'ao <br />Fx:N�IV11 OA1( <br />CII� BU511KSG I IV �ISI 1Y) <br />5l1PnLM A�N �l[LRtNYOL� fCC <br />Gb � -a0.i_ <br />w� s�rt FEES <br />irts nrm eiiaomo <br />mii <br />IYVVBM <br />MtHI M[LI��NKN <br />IlYCS IIIq <br />CITY <br />M[H110H4f'l.Wt�ifCx <br />O�uC� <br />SI�IF PU�MG SIXX:u��f•[ <br />IV BIIC M'fll\ni <br />TOT�L <br />