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.,.. . <br />APPLICATI� FOR CONSTRUC ON pERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEfiETT, WA 98201 • 25�-8810 <br />❑ DEMOLITION ❑ COMBINATION �' BUILDING ❑ MECHANICAL ❑ PLJMBING ❑ SIGN <br />PROJECT ADDRESS \,� �I <br />6�ri1c� .W `1� I�7/�-C ��%�7 S� � <br />�, <br />�QC%���kec15 N.W 139�s l41"'' iwc.^�.1uu vwA:hv:lk 9do71 k;.s- 4es•• ti9oc <br />f.ENlnucoM�n.�[tOn pLneo0Pc55 trtr iin vnorR SLrEpccNSE� <br />5 ame .,� o��,�JL. FA�wi�4�c'i �..0. <br />uECNOnUICONiNALi011 ueit�COf1E55 CIiY jV PIIONF. SiA1EliCENSE• <br />A\�'Mvs P.1/�u..i�+� �SIT 6�-lti 4��:.� Sr Cw�...... 5&4�h iU� n�k�) �I4�.Ncrl <br />GWA121NGCONifi4CIOF Mu(RDJPE55 LITY 21p rb1iE $il.iLLICCNSE� <br />�wLMwl P\,...�'•�. ly��� CI�} A��.V�E 1k Ar\' �,„ eitiS 3a�-4zc-feue noqtNPCoSS k8 <br />corrtwcr vnK[ or �vonK <br />HEATING SYSTEM: I�GAS ❑ ELECTRIC ❑ <br />LS67 asa,�w 1-�-t- <br />rRonoSEDusE�Fav oiNc n � <br />Sn�lq �t`N � <br />lE WL OESC2.'iNN CF PPOFEFiY �SHOW�I BElO' <br />�or G a�«, � o� <br />3�'`�7 <br />V�IICCLtARIp 11VLILCfl <br />CONS11NCiIONlO�NLENOER.R00PE55.TiLEVN1 <br />Ku-u��.cnt, Ka�i.lun I <br />TFAV <br />O <br />FOR OFFICE USE ONLY: <br />rnoxisc�e.c1n^ ncenscioeee <br />_�v U <br />u5[zou[ �orppE• <br />— � <br />NCIGIILLIMIIAiqy� 1100lONElL11Ma <br />'Ip UNIiS <br />a <br />OCCIIPPNCY IqCiSIDPifS ICCLUGANLlOAO <br />FOu <br />3%u � Z <br />` c� <br />I HFREBV CERTIFY THAT I HAVE READ ANU EXAMIV[D THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE.VJD CORRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERIIING TMIS NPE OF <br />WOPK WILL BE COMPLIED WITH WHETHER SP'cCIFIED HEPEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUM17E TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTNEP STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORIAANCE OF CONSTRI i,;TION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PflOPEflTY TO PtRFORM THE WORK FOR WHICH <br />APFUCATION IS MADE�AND I COMPLV WITH THE STATE <br />CONTPACTOPS �82]RC�' ND27fi2�0YlAC. <br />r �� , %�_ <br />S�� D/1E <br />CIiY pUSiAE:' 14EN5E NO <br />RANGE <br />5 <br />smcscia.cn <br />S <br />O.� O <br />�ES ❑ n0 OULLDiMG <br />sae oe oiomr i <br />I S4>"J �t �p S vwueiHc <br />o.s_uEr+, �� YEC���1NiCK <br />❑vE5 Rh0 <br />wo� � iora.i au.r c��cc� <br />Oie�EN <br />SiAIE BUIIOiVG SIIRCNMGE <br />CITY OF EVC-RE7T �voic naans <br />LOCALSALES <br />TA%CODE159105 7o7AL <br />3 <br />AEC[minO <br />