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I itive J-OO IUt UI, I r1I tVCRCII YCRI'III dcSv IUCO run IlU, NCJ CJI UU, <br />to <br />APPLICATION FOR CONSTRUC•ON PERMIT <br />CITY OF EVERETT •BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • (425) 257•8810 <br />❑ DEMOLITION ClCOMBINATION lS BUILDING ❑ MECHANICAL ❑ PLUMBING F1 SIGN <br />PROJECTADDRESS: 15Z5 "IZTH S� Cu/ L'..—.— vv FA <br />PECY•••[4 fpIPYKip1' Y•I AMYt{{ Bh !P 4" JCI�YJS"'-• <br />HYMn6 CDN1N✓,IM Y•A •DPA{{f Gr! rY <br />�I.Jm. EvrN., rY� "fuiF[ctw[II - <br />�1f2Bo4-1-co5-oor <br />MAtn [u l"P�MIYIwH <br />1]l�urwMC <br />'JIM1t11Cln.- �MMI[MNP IgM1!! TlLr .SIN Fn <br />'LI%MB190 <br />u IT—rrP�Tirr <br />FOR OFFICE USE ONLY: <br />.rorlrarnuA <br />nr.n [rre•c{ 1fA <br />va[mrF <br />mono- VK <br />Yr YJIr I�Mr.11q{ <br />rprf DM[1YM <br />R[tw% <br />So <br />Q� <br />MwYvv.c. nniKW[ <br />off';wYr (u.o <br />I KA[Vli-- <br />II <br />L'S <br />AN a —• <br />�itlS 1/Nt- <br />IB, <br />V -rf <br />HEATING SYSTEM: WGAS 0 ELECTRIC U <br />c r r.mlo+worYo+r +e <br />I HEREOY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND ANJW INE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WII L BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO 31VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TIRE PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTO LAW 101? W AND 296 100 WAc y <br />1 r t <br />DJl <br />Clh {YYxr{{ ICIY{[ rl0 - <br />Ig 's-— ao-/ _ <br />_ FEES _ V L ATION _ <br />YY /` • <br />h IIWM19 <br />'—• Y(CMNfY ' <br />•tlDll[MN ry•Y OKCA ._ <br />PnI FMp•{I [IMIY411 <br />FS �Ti M:IM•YF <br />ES <br />3I05 TOTAL — <br />H <br />y�sas-3,A•3 <br />