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APPLICAT�N FOR CONSTRUC•ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERE7l; WA 98201 •(425) 257-BB10 <br />❑ DEMOLRION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SI6N <br />�P�ROJECTADDRESS� /S17 Sly+ �iI i��.� <br />I:i-ii�r .v�„V✓ �.-i-1 Yr� �)� C.�i f..�..i ,.�d. OO]�> �.�i_i.�t� <br />�nOaifC�O��ES�PN� u�V�0�nF55 Olv /ip nKNif <br />ffNLl14CO��ip�f.lIX1 �qp�ppnf55 Cil� pl' IVOkf C�R[pCENSF� <br />4fC1iINIL�I(nV��1�f�UP Illil�f%N�ESS CItY )if ..�i)r�f 5I11{IICFNSF• <br />1 <br />I)�nn,e�i,�b�l ��•;��nta U�iL i✓/! /•�n J 7 i....c�Ji� •19)t�.i �)S .0>`)45�5 �f�CA//iHd 41� <br />ry��UB�•.f.torUu�f,lpn u� aqW[ss � cl6 }ir PpOtiF 514FI�L[NSr. �— <br />�ot aiocn <br />CD45�PIIC�1(IN I O�N 1 fN!)Ffl yNM1[$5 ![IfAIONE NU4Pf11 <br />BATHTUB <br />FOR OFFICE USE ONLY: <br />�nnu�[rtP�r.v ppn5F1P4K <br />lii!lD4f IOl�nf• <br />nER'n��INiG�iOv 40lYOwIII�MG <br />avq5 <br />nr.Enuuvntno � <br />o.�t <br />TOTp� E <br />N1T f <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />Cqrt4+rrnso+�MnrnOvr uo <br />I HEP[�Y CERTIFY 7HAT I HAVE READ AND EI(AMINED THIS <br />APPUCAnJN �ND 1lNOW THE SAME TO BE TqUE �ND CORRELT A�L <br />PAOVISIONS OF LAWS FNO ORDINANCES GOVERNING THIS TYPE OF <br />`MOHK WIIL BE COMPLIEO WITH WHETMER SPEGFIED HEREIN OR <br />�. T. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTNOFIIY TO VIOLATE OR CANCEL THE PROVISION OF 4NY <br />OTMER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUC710N THAT I �M AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS lAW I8 27 RGW AND 296 200 WAC <br />x �✓ ! c.,,.['�' `%/l4 �4 > <br />E:GNEI p( � 4�If <br />biYfl9ANF55lIL[NSC ��O <br />NC — <br />1�1/.N [I�(L� Nl14NfN <br />vccuu 4rt FEES <br />❑vF5 ❑ MO Pin�hnif. <br />SitF 0� BIOL�i <br />f 1114p Y( <br />fl�Sf4f11 Nil:l�lMil'�1 <br />❑�ES ❑Hp -- <br />�UD�11(1N�I 1'I �Y C��ff.� <br />ou�m <br />G1111 flll�lf)iti(:S�lil[�I�f1f:! <br />CRY OF EVERETT r�inur, vmn.c <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />FEE <br />PERMIT S � <br />TOTAI.FEE f �f�! <br />rFF nHFlrrNo <br />V�IU�TION FEE <br />— �_ <br />_� <br />