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APPLICATIO� FOR CONSTi%UCT�N PERMIT <br />CITY OF EV[REff • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-881D <br />❑ DEMOLITION ❑ COMBINAT.I/ON ❑ B.yU�I�LDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS:��S �IY t ✓-tV'/! �hqll W�ti/ <br />owNEn u�ilappnEss trtr I�r vXONc <br />')iinnt St-r�^lr�i Si-�,iw� � %Y.2��2 3G0- G5.2-Q�9�/ <br />rtr+evr � _ uu� r.ss cnr r�e vuovc <br />1'1U49�NGC0111n�C1M 44L��0r1E55 Lltt IIP pHONF SiA�EIILENSF� <br />rn¢c <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />Cor�uc* prp5oruxn rnrnle uo <br />� 1 HEi7EBY CERTIFY 7HAT I MAVE READ ANO EXAMINED THIS <br />��roroswusc or runnwa APPUCATION AND NNOW 7HE SAME TO BE TRUE AN� CORRECT R�L <br />PROVISIONS OF LAWS AND OFOIAANCES GOVEHNING iH15 TYPE OF <br />R�.I r�r I S��'Y< Sf II SP°l S WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />icce�oescmm�pnorrnorenn�s�armeaow ertncuiwo n[s1 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />im s °% oiotKQO�Q�o�'r� i"C �Lr�q Ci Y'" AUTHORITY TO VIOLATE OP CANC'eL THE PROVISIDN OF ANY <br />pp �p OTHER STATE OR LOCnI LAW REGULATING CONSTPUCTION OR TME <br />I_ ±5 f��/�d�� �� I\ // G ly. P� F^Y�VY f�' PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOP WHICH <br />I/ �vG 1 0 2 0� /OL• APP��CATION IS MAOE ANO I COMPIY WITH THE STATE <br />pencn �ex io rluue[n CONTiiACTORSIAW IB.27 RGW AND 2P6200 WAG. <br />CONS�f11611p1 <br />BATHTUB <br />WASHER <br />TOTAL <br />amwn�urm oac <br />LIfV B�SNE55 UCENSC IIO <br />S <br />FOR OFFICE USE ONLY: <br />rnaursrm�cK nrr.nsr�o.<a sio¢se�e•cK r�eueu[cKHuunr / rec necem�Ho <br />VS[IOMF IloIAnEA IWc�N1511E <br />O�ES ❑ HU <br />r�eic���uMiuuov r:oanwcwrp sizEoreiowi <br />uvn� <br />D�ES ❑ N7 <br />nwiowr. <br />Pl11MBIN(1 <br />MFf.N�MC.I.I <br />�oauovu. ruv cu[c. <br />on�cn <br />surt nmio�nr si�ncu�nr.c <br />CITY OF EVEAETT ruxur.wnn�s <br />LOCALSALES — <br />TAX CODE IS �105 To7nL <br />