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APPLICATIORFOR CONSTRUCT�N PERMIT <br />Qp /, CITY OF EVERETT • BUILDING DIVISION � <br />�L.D �� U17 �� �,G � 3200 CEDAR STREET • EVERETT, WA 98207 • 259•8870 <br />fl DEMOLITION �C MBINATION fl BUILOINO fl MECHANICAI tl PLUMBINO fl SIGN <br />P IOJECT ADORESS � �_ �. 1 � � <br />� � .�, /ao� °� s� su� C9/�� <br />OWNEF M�ItA0�11E55 �11Y Z�1� PIq11E <br />(�c�cn14nmeS LI.,C'. Ik91"'� k�n�l�e11-C^l�iei-�- �4,�,���kL,r�11.u�A 9koi� �aoJ,,; 316-t,abl <br />1ENANi MNLAbpfIf.55 f.liY S�C � %pNt <br />Ih <br />ia� �_ eiacK <br />cor�s*nucnoH i o�H i cxn[n. �rxmEss, �ri cri�a+c nuuxcn <br />b <br />FOR OFFICE USE ONLY: <br />�OONi5F1MCN OG115FIR�f,h <br />��n. .�,, <br />IISEIOY[ Ill��flf� <br />i/ <br />—�-�J .__.. <br />SU� TOTAL S <br />TOTALFEE E <br />] <br />HEATING SYSTEM: �QGAS f I ELECTRIC fl <br />f.MlUCIPfI�50Y.ANOPIbNfN(1 _ <br />I HEREBY CERTIFV TMAT I HAVE REFD AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PHOVISIONS OF LAWS AND ORDINAt:.;ES GOVERNING TMIS TYPE OF <br />WORN WILL BE COMPLIED WITH WHETHEfl SPECIFIED HEREIN OR <br />NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF RNV <br />OTHER STATE OR LOCFL LpW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE Of CONSTRUCTION. THAT I AM AUTNOflIZE� BY THE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WMICH <br />APPLICATION IS NROE AND I COMPLY WITH TME STATE <br />CONTRAf,iORS LAW IB27 RCW AND 296200 WAC. <br />x lr�(Cc«-+ `�1�Z1 ���t a�.,.,,- <br />s :v.*�me o�*e <br />�„tF-�c c c, �4 �K'�- <br />f.liY BU9NESS I ICG6C NO <br />CLOTHES <br />GAS <br />Slp(.SFlp�fk PI�NCIIIftlbUM101'0 <br />� _�i»� 9 <br />v�cuumr FEES <br />IIYES � H(I Illlllflllll� <br />)f IIIINi 1 ' <br />5L ��F. �IV//J4 { 1`IIIV111�11: <br />y S.F GanAG _.___—__ <br />fl�S[MfNI �� 4ff.11��11L�1 <br />II\�f5 1�11l1 � <br />- IINNIION�IIyVILII(CR <br />nwrn <br />surt nnn nir.r. � unr,�unr.c <br />CITY OF EVERETT �'��in,r.vmn�s <br />LOCALSALES ----- <br />TAX COOE IS ]105 TOTaL _ __ <br />TOTAL FEE <br />Pf CFln� NO <br />�� - ' i� <br />