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APPLICATION FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8870 <br />❑ DEMOLITIOW ❑ COMBINATION ❑ BUILDINfi ❑ MECHANICAL ❑ PWMBING ❑ SIGN <br />PROJECTADDRESS , _ .� _, <br />LIIY <br />MLN11ELfOROCSqNEP �AML�COPESS G1�Y <br />GENERµGIN111UC10P M�II�WPE55 CIiV IP P1WMF SIAIFIILFN$E• <br />J/v7ef..h.lJ CO/LS%- <br />NKIUHC�lCO'IiflACtO� M�IL�IXNIE55 CIIY ZIP R�ONE SI�IEIKGRE• <br />ELf71�iLt'DG S% S/.�"�'l /�/djjyG /6// �//1�.�.1� {�/yd!'.iQ �-7//i� E?/!f.{6 SSD,L�lL <br />RUM9i�qLON1I1�C10� M�IL�W11E5$ CIIY Zm 1'IqNE S1AIElKE115C• <br />6AS ,�/.�i•vG � rr.c�sc � <br />7 �X�sT/�!/G S�S"�-r <br />reorosm use or omiona <br />/.IF3i/ls.v37AL <br />�ec��oescnn�ro arnoremr�s�oweoeiowonerau� <br />io* oiac. or <br />pMCEI IAY 1 D. INNIIER <br />�rwa.a�r.vw � n.r�,:.mcn. nooness. itt[riariE Nuuocn <br />URINAL• <br />FOR OFFICE USE ONLY: <br />rnorrtscro>ce nun, <br />OSESONE <br />HEIGNi UMIIAtpll I tb Of 0 W tLlRtti <br />W�I15 <br />HEATING SYSTEM: �GAS ❑ ELECTRIC p <br />I MEREBV CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW TME SNME TO BE THUE ANU CORRECL ALL <br />PflOVISIONS OF LA\YS AND ORUINANCES GOVERNING 1MI5 TVPE OF <br />WORK WILL BE COMPLIED WITH WHEiHER SPECIFIE4 HEREIN OR <br />NOT. THE GRr1N71NG CF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANY <br />OTNER STATE OR LOCAL LAW REGULATING CONSTRUC710N OR THE <br />PEPFORMANCE OF CONSTRUCTION. THAT � AM AUTHORIZF.D BY THE <br />OWNER OF THIS PROPERTV TO PERFOiiM THE WORK FOP WHICN <br />APPLICATION IS MADE AN� � COMPLV WITH THE STATE <br />CONTRACiflR9-tiAW 7827 RCW AND 2962W WAC. <br />x �! {�f 'O � 6J' •1-$�4i <br />saH n� wre <br />CIiYOUSwESSLqLNSEIp. <br />TAL 5 � <br />5 <br />EE S <br />socscioecK r✓.ecm <br />WGIII SIIE <br />(lYES 11 NO p�ItDllq <br />SIIE O� BIOGrt l <br />nres ❑ rw <br />•�• <br />RU41UW(i <br />YECIILNILAL <br />•eenionu w+. c..cw <br />onrtn <br />SGIE BIIItOxJO SIIf1L11MC.E <br />CITY OF EVERETT nmicw«i+s <br />LOCALSALES <br />TAX CODE IS 71a5 To7AL <br />E <br />