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APPLICATIIS FOR CONSTRUCTON PERMIT Z,�f <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />HEATINGSYSTEM JGAS JELECTRIC J___�_.------ <br />BUILDING DEPARTMENT - <br />259-8810 <br />DEMOLITION COMBINATION BUILDING .MECHANICAL _PLUMBING _— SIuN <br />--- <br />q5/ryt Yµ 4i(>Af SA <br />>M:19i[fT 4N Uf yIf•F\ 1M4 h^!Wt SS •_•.-- W. <br />FK#W ,(NIA TIT wKN S!I �.. <br />K. �7$d11 28ie NA f5C RC C7�ZSa <br />:nM1YN LU11N4C 1!)Y VAt f:t%Y4S � <br />VIIHb OA6UC,� Y{Af tlss <br />IIN.4',14RSt iVFFlv // <br />Clbe(yl/4Y. MUipiAllY 1(r1.K!/LFr✓'(I(1.fU [R 'IIYN'.nA+{j.a_1i(V' �Y <br />`.1'iAI IK:I'll'.VIYJII (11 GI4p'l(11(I'.IMM41111!:Yi.��fll/�frl�'./.+.ti�_I.PF+�I <br />I L9.INN4KN D o o <br />opt-o� y- <br />r noDREss 1 <br />FOR OFFICE USE ONLY <br />-N <br />l <br />I HEREBY CERTIFY THAT I HAVE READ AND EAAMINED THIS <br />APPLICATION Af/0 KNOW THE SAME 'OBE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TH5 TYPE OF <br />WORN WILL BE COMPLETED VRTH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 10 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MALE AND I COMPLY WITH THE STATE <br />CONTRACT09S LAW tC 27 RCW AND MBE-% WAC <br />t - A Irt:cnG UNRS-H P <br />�urrn uR nR1Fll5-.8.1. /... %.1 E A <br />--_._--TnTAL F <br />.. FEES i <br />R - - <br />J 4i4HMI1G•-. _ _ _—_._ <br />'7 AMTiCYUY PLANCK CA <br />:: AtC BLADED SLMKMAIKLE <br />CITY OF EVERETT .. _ <br />LOCAL SALES <br />TAX CODEIS 3105 TotAL <br />s 1 _.. <br />AT1011 FEE — <br />sa ecc <br />