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APi�LICATIOI�OR CONSTRUCTI+1 PERMIT� <br />CITV OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STFEET • tVERETT, WA 98201 • 257-8810 � <br />DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />zw rr�orve <br />C�' <br />��T•fYE <br />�RUMOINGCONtMC10P NFfA��FE55 CItY ZIP pHd1E Si.1iELICEIlSEI <br />� ��r o�aK <br />4��o Oo q7 <br />BACKFLOVlPflEVENTERS <br />SINK ISFRVICF — PAR. ET <br />'FOR OFFICE USE ONLY: <br />f00Ni5Ei0A�N RFAq5E1 <br />U$[ZONE LOLMEA <br />NEIGIIiLIMIATqN Iq.OFpWE41NG <br />UNIiS <br />OLCVPANCY N1C{SfplES CCCUF�NiLOAp <br />'r1EATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEqEBY CEPTIFY THAT I HAVE REAO AND E%AMINED TMIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CARRECT. ALL <br />PPOVISIONS JF LAWS AND ORDINANCES GOVERNING THIS NPe OF <br />WORK WILL BE COMPLIED WITH WHETHER SPeCIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOflITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE Ofl LOCAL LAW HEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTflUCTION. THAT I AM AUTHORIZEC BY THE <br />OWNER OF THIS PROPERTY TO PERFORM TME WOFK FOR YMICH <br />PPPLICATION IS M DE ND I COMPLY WITH TNE STATE <br />CONTRAL/T/OR 82] W D 29fi200 WAC. <br />X— `fi"' � 2 /2.?/00 <br />SqN.�iUpE O�tE /� <br />LItY8U5wE55LKEN5Elq. <br />UNIT HEAi ERS <br />UO �.i <br />V/.GVIlSIfE FEE! <br />❑YES � NO OWlqtq <br />S�ZE OF elONf i. <br />OYES O NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CO�E IS 3105 <br />R114BWG <br />MECNNULI�L <br />AOOIiq1ULPUNCNEC1t <br />OT�EP <br />Si�TE BUM1pW6 SUnCINRGE <br />weic v.an.s <br />TOTAL <br />FEE <br />