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APPLICATAN FOR CONSTRUCOON PERMIT <br />�* <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETr, WA 98201 • (425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION H'BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />V� 'I= t�vl�n cT"T_ <br />PROJECT ADDRESS � � 11917-4 �' <br />.-12 ry dr, cevTR3=RP�1r:,r: 1l�a �rL�_3r - <br />OYME."1' L� 1�� �\N uuI ADWERS Clly IIP RM]N[ <br />tFNANr <br />•PLNiFLI pi MSIDNfY 4ul AFNKF55 <br />r1114RMG IDI.FPAI:Ip1 4A.1 FLUnE55 <br />Clix r,r ;roNF SFAIF IICENSF F <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CONTACT ✓F PSm AND rNON1 NO _ I— — <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />q�� __ APPLICATION AND KNOW THE '1ME TO BE TRUE AND CORRECT ALL <br />rPoroSFo use OF ZDnMNr, � / - �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />FETA WORK Wilt BE COMPLILO WITH WHETHER SPECIFIED HEREIN OFFUmt cnlrum or rPOrt Rtt lsNowN auow oR AnACN IwOCOREESI NHEOT. TGRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />tol SIOCA Or OTHFA STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />CWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND ' COMPLY WITH THE STATE <br />CONTRACTORS L W AND 296200 WAG <br />PARCEI IMIp MI4WP ���� <br />C��iIIosA �Cid z�l s�� <br />CONC1PlK11mLOAN IFNI%II AIM1RESi lEI[rNmEMU4RF11 "GNI E UAII <br />CITY 5UVNE55 LICE USE NO <br />6 <br />FOR OFFICE USE ONLY: <br />[gpNf yfRACx <br />l! <br />_ <br />PFAPj(7 SRK SF5[R <br />vv <br />RA,I CIIICR NUMB( O <br />FEES <br />ust-�c�,n <br />vRu I <br />Iol unA <br />❑ NII <br />V L_ <br />ITS <br />RUIM <br />HFLnf INUU01 <br />1 O OT D'�'4 cllf OF R 1�.", <br />p <br />nlV4Rwf• <br />KO I <br />N <br />-_—_— <br />OClIMA41lx NO FN FIMI] <br />UfCITAN110A BAff41 N1 <br />.11'NAYK:AI <br />cnolm <br />_Z AA <br />.V%I ❑FFs NO <br />— <br />AIKRFK1NA1 nAN alrc <br />— <br />FIRE SMnA¢RREO'0— <br />ni,Zm <br />N� <br />OLDER <br />FIRE AURM -to'0 <br />Rf Af ON <br />clAl[ BW1Dwli 5111'CnARFt <br />�j1 <br />I xvc OF r.ONNT <br />Pt ANSA lY►•FOR, CRYOFEVERETT <br />rnRllr.wones <br />�9 LOCAL SALES <br />TAX CODE IS 3105 <br />TOTAL <br />-7 i <br />nftF•rFFa <br />VALUATION FEE <br />%07/ <br />