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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREff, WA 98201 •(425) 257-8810 <br />� DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: I Z S. i� 1. F_ l/er.-H VYl A 1I n t A �/ .�ii�rP�l6. /.�A , . <br />!1 on � <br />�u�eur uui enw+css eirv na ruoe�r <br />PEOuuiUl<OYIMC1011 Wil�D0�E55 GRY )iv PuO�:[ [I�fFI�CENSE• <br />�1111ABIbGCOxIR�f,iC(l Mu�ACOPE55 CIIY 71� p1�pHE SiA�EIICENSF• <br />iRFMIpIE NU4qFP <br />_1 PERMIT f <br />� TOTALFEE f <br />FOR OFFICE S15E ONLY: <br />rrnrrtecrn�cx nrenscisece socs¢ie�ce <br />usotovv imnn[e veuursne <br />❑res ❑ xo <br />ucicn umunox I va a uwnuue sae or eiocrri <br />urws <br />❑YFS O NO <br />CI7Y OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC <br />I HEREBV CERTIFY THAT I HAVE PEAD AN� EXAMINED THIS <br />APPLICATION AN01(NOW THE SAME TO BE TRUE AND CORRECT ALL <br />PFOVISIONS OF lAWS AND OROINANCES GOVEFNING THIS TYPE Of <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT, THE G�ANTING OF A PERMIT UOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGUTATING CONSTHUCTION OR THE <br />PERFORlAANCE OF CONSTRUCTION. THAT 1 AM.OUTHORIZED BV TME <br />OWNEfl OF THIS PROPEflTY TO PERFORM TIIE WORK FOR WHICH <br />APPL!CATION IS MAOE AND I COMPLV WITH TME SiATE <br />CONTR�CTORS �AW 1B2] RCW ANO 296200 WAC. <br />x n�i S�a,a /�l%/�97 <br />SIGN�t�A1IE A- pel[ � <br />V U <br />CIIY BULNESS IICENSC x0 <br />OF <br />1 TOTAL FEE E � <br />r��xc�icc�r�uwnm r[r nrcrmir�o <br />FEES VALUAT�ON <br />numvm <br />riounwr, <br />4ff,11�NiCA. <br />A00111(1N11.1'I �I� CII[CX <br />on�cn <br />su�� oumm�r. sunc�uncc <br />P1191if.WOf�x$ � <br />TOTAL <br />