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APPLICATIO� FOR CONSTRUCT�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA BB201 • 259�BB10 <br />p DEMOLITION '� COMBINIITION �' BUILDING � MECHANICAL QI PLUMBINQ ❑ SHiN <br />PROJECT ADDAES <br />,��:: . �� �. <br />1FHI.N1 YIJllpqq55 �n. ... _. _._ <br />•7. <br />MfbUMC4CONinqlpl uul/.ppqQ55 hM1 !O' C�qN( S1uElCExSF• <br />RuuBiNGLOxm4tDn uulepDN[SS Gtv I'�' MqvE SM�ElCEMSF• <br />CWIqI.L�nqCEWWJI111 / � � <br />� � �/— ' -` . � � �+ - � � � NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />uscmn¢honK�r.osowncroouccr�vavco nwu�������,.,...,��.,�.r.� - <br />— � r. <br />t[c�iaEscmmw� or nqvcnrv �varm nc�ow p� �n�tM rwn cp-cs� <br />�o* � e�aee or�Y�•�i,� P7 SH e <br />PN1CfliAY�0.M14RfP <br />$111ULIION 14�N l[NM11, �qX1F55. iElEhqNE MNIIf I1 <br />� r' / ,) �` � � ' � <br />PLUMSIN6 <br />FOR OFFICE USE ONLY: <br />��ONISRp�LR �G�SFiP1[x <br />2o Zo <br />us[rovr�7 �p�q�q�}p <br />✓J�� <br />11EiC�ItIINIt�1�ON� M'JO�pW[IIING <br />']bl oans , <br />i n r.�nnMI1f0O PF�S <br />��� or �rovn niiy� <br />-�- u __ �._� <br />I HEREBV CERTIFY TH�T I HAVE READ AND E%�MINED TNIS <br />APPUCATION ANU NNOW THE SAME TC 8E TRUE AND CORRECT All <br />PROVISIONS OF L�WS AND ORDINANCES GOVERNING THIS iVPE Of <br />WORK WILL BE CAMPLIED WITH NMETNER SPECIFlED HEREIN OR <br />NOT. THE GRANi1N0 OF A PERMIT OOES NOT PflESUME TO GIVE <br />AUTNORITY TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTNEP ST�TE OF LOC/�L LAW REGUUTINO CONSTNUCTION OR THE <br />PERFORAI�NCE OF CONSTHUCTION. THAT I AM AUTHORIZED BV TME <br />OWNEfi OF TMIS ROPEFTY TQ'pERFORM THE VIORK FOR WNICH <br />APPLICATION M11DE A)Ib� I COMPLY WITH TME ST�TE <br />CONTRACTO W 1827 L` AND 296.200 WAC. <br />_ /� x 9� <br />sic . c oei <br />cmeuv ssinc Mo <br />S�MSFIP4M ryeMCli[CNMMal11 <br />S �r�=.i <br />v�uursnc FEES <br />CrFS ❑ W OV�IOirv,: <br />or eixn � <br />L�I 45'lt S rivuniv� <br />BI.Y4EM1 � / 4IC11\IIK�1 <br />❑vC5 �O <br />—� �M�IpN4�1eNCulCX <br />Olu[11 <br />suq nun o�vc surcnenr[ <br />pTYOPEVEPETT runucwnn.s <br />LOCAlSALES <br />TAX CODE IS 7105 TOTAL _ __ <br />:"�. . <br />rir arcrmi�w <br />���—./ ; <br />e� <br />