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APPLICATI01 FOR CONSTRUCTIMON PERMIT���✓�%M�yJf/7 <br />CITY OF EVERETT • BUILDING DIVISION <br />0200 CEDAR STREET • EVERETT, WA 98201 • (4251257-8810 <br />❑ MECHANICAL ❑ PLUMBING U SIGN <br />❑ DEMOLITION ❑ COMBINATION O BUILDING /Ya <br />- ---- ------ /f-'r �rSrs✓i•... AL 74 - a 5 H _ <br />� Nn• <br />�Y.rr tTM srt. <br />%! HP DiYL4vrulF7 '---- nF1M alµI IIFINµr -_.-_. <br />IXM.n4 CdINf.IT YN •U1rclf Of, •-- !'� <br />^ OIT !I NIM111 41Y110". <br />YfWµ•Lµ tAl111Ki(A YM µ%MSS <br />FIIIY{M tdl"If101 YY1 {OOR{! <br />Glr IT nKr" {t•IIISfMIr <br />'TA eL DLrssw rree <br />— — <br />ceN1p1p1^'c"Ir"�" <br />HEATINOSYSTEM: CIGAS ❑ELECTRIC ❑_�_. <br />Too 5F <br />_ - <br />IXItlIK N'JINI •MI {WrN IWt•w NWIVvF�yp <br />_. <br />Cd1It1 N n1d•MINI�nr xNpp <br />�7 S <br />jTrsfrL:� P to L5 TLSaO�t/ <br />v t*40- 4v a. ;fi:-- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />1y <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br />INIpp Duf%a w❑❑FrKI J. 1 L1 • <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING 1111S 1 YPE OF <br />HEREIN OR <br />TAR %s'{ft vh�NN WAAµI•w.�r M I S'IKTM <br />WORK VAII BE COMPLIED WITH WHETHER SPELIFIFO <br />to TVOLATEING OF AOR PERMITVE <br />INCEC THE PROVISION T PRESUME TO I PROVISION OF ANY <br />1(rylpf{�I•rtl{INIXIMIMnrr IYwT{fw1ld•n t N <br />LOT TAM or <br />AUTHORITY <br />OTHER STATE OR LOCAL LAW REOULATIND CONSTRUCTON OR THE <br />PERFORMANCE OF CONSTRUCTION THAT I AM AUTHOAIZCD BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH 111E STATE <br />CONTRACTORS LAW IS 27 RCW AND M 2110 WAC <br />IMK[l IM I O MIIIIIIn <br />Ad{INIGMINI MIA IAN[IT 1f11HIOIE H111F1M1 <br />•_ 1•II -- <br />onwnMalnrnfNo __----- <br />__----- <br />btl1►MCAL <br />FOR OFFICE USE ONLY: <br />rRNI M\n•rI <br />rcMwll <br />IMF roNr <br />lol w• <br />nIKYN Iw+I•�lN <br />INor.oa <br />(KA,I II'•w r � • �� V • <br />fr��Mlll{�~Ir <br />IY fI IMN <br />w11D'- <br />IR µ•KM N'!0 � <br />rc•YN <br />111•r"V <br />VTI A ION <br />q <br />fN1W TAW" <br />y1111Ni'N <br />j <br />In <br />{1VM41 <br />O 1IA D <br />Ij <br />� <br />•WIIrrM111I4 •'11• <br />'—� <br />• ••. <br />IIHI hw IM111M111MhI_ <br />v. <br />- . <br />_I <br />-.. i . _ <br />! •• <br />Kn"r CRY OF EVERETT <br />LOCAL SALES <br />_ <br />I <br />_��.•I TAXCODEIS3105 <br />TOTAL <br />I_. <br />.. L. . <br />