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APPLICATI�1 FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />!� DEMOLITION �-i COMBINATION BUILDING ❑ MECHANICAL ❑ PLUMBING .�. SIGN <br />PROJECT AODRESS <br />z.! 3 S� i`� ST S. e<J. '� �c �etT Lcl.� _ €-1 d <br />OWNER <br />�� <br />n�au� <br />GENERn�CONIHnLiC� N>RPpJRE55 Crtv lin u�un� eu¢yurvau <br />�U�—��GLT' �LliNL� . . <br />MCfup�..:ciCOtilPnGiOP A>iUU�RCfS Cifv 211' PnOhC `���CUCR6C� <br />PLU�.fUiI.�CG�III�T,�',iON IA�ILAppfiC55 LIiV Z�V �IIONE $!il[IILl�t15E• <br />re <br />icc+incsc <br />�J� _ <br />nr�o <br />s <br />oiocK <br />n,vou m <br />fJC � <br />�oer� icr�oen..00ncss. �novar�vmr.mEn <br />CLOSET <br />IAUNDRVTR4V <br />CLOTHES WASF <br />URINAL <br />DRINNING FOUD <br />FLOOfl ORAIN <br />BACKFLOV7 PRE <br />$INK �SERVICE � <br />� <br />m <br />FOR OFFICE USE ONLY: <br />u�omsem>c. nuns��o<cn <br />7i� � �i% <br />11.CIGi.E lOtAf1[< <br />�' � <br />nC�.G�1iLIlAl1411GN / l�00�01\CLL�NC <br />Z� ur+irs <br />HEATING SYSTEM: ri GAS ,}(ELECTRIC :-� <br />comurr�.r�5orr,riorvn��� uo , . _ . . _ <br />I MEREDV CEFiIFV THAT I HAVE flEAU AND E%AIdINED THIS <br />APPLICATION AND NPIOW THE SAh7E TO �E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOfiK VlILL DE COMPLIED WITH VlHETHER SPEQFIED HEREIN OR <br />NOT THE GflANTING OF A PERMIT DOES NOT PRESUME TO GNE <br />AUTMORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL U1W REGULATING CONSTRUCTION OR THE <br />PERFORIdANCE OF WNSTRUCTION. THAT I Ah1 AUTHORIZED �Y THE <br />OWNER OF TMIS PflOPERTV TO PEPFOR�d TME WORN FOR WNICH <br />APPUCATION IS 1.1ADE AND I COIdPLY WITM TME STATF <br />CONTRACTORS LAW 1827 RCW AN� 2h6200 V!A(,. <br />%/ii/1�� �/Y�/ � ^ � ' fJ i <br />sic�urunc o��E <br />an �usuicss uc[usc uo <br />MEAT PUA1P <br />UNIT HEATE <br />CLOTHESD <br />RANGE HO( <br />GAS <br />fFN <br />RlIOTAL S �� <br />iALFEE 5 <br />sioescm>cv rurv uccn�iu�m�a <br />/ � / ��1.Q��QQc <br />;>cu�rsrte FEES <br />-��cs nno ouimi�:c <br />s¢E or a�u:�O� <br />l`i23 O'�! SF. cw�.�o�vc — <br />OASLAIENI �� IACCIIANICAI <br />ilYES L�110 <br />POJ�I�ON>L VLAN CPFCI. <br />OII�EIi <br />sra�e sunmuc san: H<ncs <br />�P CITY OF EVEflETT Puau�rioans <br />LOCALSALES <br />! TAX CODE IS 3105 TOTAL <br />ra <br />BURNING� <br />PEFild1T S <br />TOTALFEE 5 <br />��� Lf� <br />