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APPLICATI� FOR CONSTRUC7�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CE�AR STREET • EVERETT, WA 98201 � 257�8810 <br />i� DEMOLITION Si COMBINATION fl BUILDING ❑ MECHANICAL fl PLUMBING i,. SIGN <br />PROJECT ADORESS ��� S /" v�S / � <br />��.cn uuieooncss � an :iv ruar�c <br />Gr! � ��—.� c�r S c� <br />nr��rn u.n.00upss cnr z�r pr�w+E <br />.ncr�n¢ronocsc��cn u+ueoonEss arv ziP m�enc <br />G[NEP�LWNIHI.CIOP Y4l��M�155 CI�V IiV RIONC St�IEIILCNSE� <br />1,1[C111111C�LCONfMCiOR 11�Il�W�FS$ CIiV Z� ���0�2 $lAll�A `ISE• <br />sco.oe <br />w� <br />HEATING SYSTEM: ❑ GAS �l ELECTRIC fl <br />coni.ci rcnwr� u�o rrror�c rro <br />I HEREOY GERTIFY THAT I HAVE READ AN� EXAh11NE0 TNIS <br />APPLICATION FND NNOW TH8 SAME 10 DE TRUE AND CORPECT ALl <br />PROV!SIONS OF LAWS AND OHDINANCES GOVERNING THIS TYFE OF <br />WORK WILL OE COIdPLIEO WITN WHETHER SPEGIFIED MEREIN OFl <br />NOT. THE GPANTING OF A PERLIIT DOES NOT PRESU�dE TO GIVE <br />AUiHORITY i0 VIOLATE Ufl CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LA1Y REGULATIM1G CONSTRUCTION OP iHE <br />PERFOR`dANCE OF CONSTRUCTION. THAi I AM AUTHORIZED �Y fHE <br />OWNER OF THIS PflOPERN TO PERFORh7 TME \VOPK FOR 1YMICM <br />APPLICATION I$ 1.IADE AND I COh1PLY WITH THE STATE <br />CONTRACTORS lA1'J 1827 RC\YAN� 2962001YAC. <br />c�ns<<���+�o���a.xicr1oca.�ooaess.tu[vrw��crwuacn � x S S'� <br />sn.u+tmie oart <br />� FLOOR ORAM <br />PACKPLOW PREVENTERS <br />SINK �SBRVICE — OAR. ETG J <br />SUOTOTAL S <br />� PERA7IT S <br />�— TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />Iv..iLLIpC�x IiUBSCIDnCK S:O[ <br />��cusc �io <br />MEAT <br />ORVERS <br />P �5-a� <br />NUM9EP fEC <br />bSC:i!:F LOi�PC� Il1L.WfSiIE <br />.:�ES flNO �i��i,�� <br />I�fi!���ilM1�leali'v11 u01M01�(L1.•x: SI.CUtOLIXitI <br />RW10'.NG <br />(x;cuGUKr w] W S*:F(5 OCCUP�NI LO�n p/.Au[NI 4Ep�aN'.GL <br />fHUJn <br />r,r[s n uo <br />[WESPB..vnitflPEOD PE�SON �Wp10NKPV�NG11[CF <br />OM[P <br />lIII[1LAP�111[OD 1�USIH1 <br />SI�IE OWLMM6 SVnGunGE <br />iwccrcorist ruwsewaovcoor CITYOFEVERETT woi�cwa++5 <br />i LOCALSALES - <br />i�,,,� TAX CODE IS 9105 TO7AL <br />TOTALFEE <br />