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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 58201 • 257•BB10 <br />ZE1'P? 1R�1Lle� <br />❑ DEMOLITION ❑ COMBINATION � 9UILDIN6 G MECHANICAL C PLUMBIN6 ❑ SIGN <br />PROJECTADDRESS - - - -' - - - . . . �_._.� nwn � I � � <br />OwNER 4enefX.nE55 cir�� S�a v�qxE <br />r�.nra.�rx t�✓�rrr�c�u�u�r.TO� ��r+t�i�a qa5.�.�izn�epF) <br />iEH4lT N4L1ppPC55 CITY IP %q1.E <br />1�sru . nlAua i��j sl.c - �--,'f�1�S ?AI�� N@n/ITT AVIE. 4?l - 2�.OAl6S <br />NILN11CLi011M54 FN M�R� E55 CI1Y IW PMJ11E <br />bltOE2 ✓ . <br />VLUMOiIqCp11P1L10R M4L�OJ�L55 CItY IIP pNpN( SL�IELKCNSE� <br />CONl1UCiVfIC[O�WG1Y � <br />oEua�ocwonK•Ho�.:owai oo*�ccwvavco <br />�'.�4T6 A '1'�M_ pet�..412�C <br />�ii e. rble �JSIn►C-Cr= <br />�/S/j{i b g 11G. �S )�`i� <br />vnorosco uaE or ew�omc �j� <br />IEG�L CESCaw1��T' I/S���O�W�N BLIOW. �OR'1r`1�'C1N <br />LO� � &OGM _(r/Y _ My�y.L. <br />�, p��rr -n �NVddJM11E <br />ON rA6alE 6�p. <br />reatEi tex i— o rrtiT.iece <br />r.er�sraucrion �o�r� iErmcn. �ooncss. tn[�wri[ rauecn <br />URINAL <br />FOR OFFICE USE ONLY: <br />fPON15El0�CM PGRSRO�Lx <br />USEZON[ 101AllE♦ <br />BEIGNLLI411�iCn NOOFbN[lliM <br />u� <br />hC <br />5 <br />5 <br />5 <br />JE SEiB�LR <br />C41t S�IE <br />nvu nrro <br />}�a�i <br />✓ <br />CN1 <br />nra �wb <br />HEATI4G SYSTEM: ❑ GAS ❑ EIECTRIC ❑ <br />haf�-�'L NMNe} l4�+.�-N�Ftt�tte(s <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT. ALL <br />PPOVISIONS OF LAWS AND OFDINANCES GOVERNING TMIS TVPE OF <br />WORK WILL BE COMPLIED VlITH WMETMER SVECIFI°D MEREIN OR <br />NOT. iME GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br />AUTHOi11TY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />JTNER STATE OR LOCAL UW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSiRUCTION. THAT � AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM 7XE WORK FOR WMICH <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTPACTORS lAW 182� FCW ANO 296100 WAC. <br />x �J.�iiss/Y�L4f . 3��9,/�h <br />S�GN� ~F o�� � <br />\ l% oi���z <br />CIiY OUSMCSS lKCNSE 1q <br />MECH�NIC�L <br />A�C — NHNDLG <br />��k7, 46 � AE�E�o�� <br />eunoi�+c. Q �Ij1�Q <br />xuuaixG <br />MCCNANCµ <br />•Op111CN4PlANCRECF <br />omcn <br />Si�tE B'JRD�MISU�CM�pGE <br />vreovcoHsi ri�Hs.m eoav CITVOFEVERETT �ue�cwaus <br />V _� LOCAL SALES <br />,,,,� -_ j�� TAX CODE IS 7105 7o7AL <br />