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4PPLICATIO� FOR CONSTRUCTAN PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259-8810 <br />❑ DEMOLITION � COMBINATION � BUIl01N6 � MECH�NICAL Q� PLUMBINfi ❑ SIGN <br />PROJECTADOHESS: ✓//!' �.�7•.,�...:,r •/I.�> <br />1LN1Nl l YYl��p11ES$ )ip ew.e <br />Gl1 . <br />V[[NI.ML4Cp1I11�tlp1 u�M1.�pMF15 ryh }�P plqHf SGIFlCExSE• <br />nlWlMGCW�n�LIOn Yul�pq�($$ Glv jm PNONf SU�flCENSE• <br />C(Y�IP�C�1'RILf pI Wp1111 <br />- HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />xo sou� �c roouc¢ mvav�o counc� rcnsw �no rr�wh r.n <br />. r <br />,i <br />o�orouo�s� <br />iecu.ocumr <br />w� _� <br />ru�cfuuio. <br />COxSiPUC��On <br />I HEREBY CEPTIFV iN�T I HAVE READ �ND E%AMINED THIS <br />iq�p APPLIC�TION AND KNOW THE SAME TO BE TRUE �ND COpRECT �lL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILi DE COMPUED WITN WMETHER SPELIFIED HEREIN OH <br />�rnrncnttts�avme[iowon�rtecMtwocpn¢s� NOL TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />e�oca a��' �� AUTHOR�Tv TO ViOUTE OR CANCEL THE PROV�SION OF ANY <br />O7MER STATE OR IOCILL LAW REGULATINO CONSTRUCTION qi TME <br />PERFORMANLE OF CONSTqUCTION THAT I �M �UTNORIZED BY iME <br />OWNER OF THIS PROPERTY TO FORM THE YiORI( FOR VAIILN <br />RPPLICATION MAOE �N COMPLY WITN THE STATE <br />a CONTRACT�L� ' 1B2) RC 029¢200 WAC. <br />MESS.iflEHlpNE <br />L . /...' � <br />FOR OFFICE USE ONLV: <br />111�Nt[f111�CM 11E��ISFifl1CM <br />ods' Zo' <br />ur.t:orie (� im�nu <br />M� / <br />��i�G1ltUul�/.il(�N I NO b OW[LUIq <br />2 tJ uw�a <br />zc„ omcr rr� n s�ra::s occur.v� m.o <br />� "i/tJ�l 'L <br />�N _ <br />s�ocsrrs�Gn ri�Hnrtcx�uw�rn , <br />S . - <br />vncer�sre � � FEES <br />�Bxs CNa pmmwc <br />stcorniucni - <br />%$Z �/S7 S.f rivum.ur. <br />BAXYEI�II 4ICN�Mi(1l <br />O*ts ❑ vo <br />�MXIpN�I 11 �N C�I( f.� <br />ou�En <br />su�[ nimnrvr. snnuunr.� <br />qTY OF EVERETT rimncwnnxs <br />LOCALSAIES <br />TAX f.�^IlE IS J105 TOTAL __ <br />.,, 3 <br />U <br />