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„„�,,,o„,� A�PLICATION FOF a�;,d;"� �� ���,�„ <br />�TM°F CONSTRUCTION 16pUn6ts e <br />everett PERMIT Z story <br />TO BE COMPLETED IN BLACK INK — PLEASE PRINT <br />BUILDING DEP7. <br />259•87�5 ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ pLUMBING ❑ SION <br />°"'"En Crow-Wester�n N501 f"U'fC4R9°� Crossing Limited P�A'rtnership Z1P P����E _ <br />1300 - 114th Ave.. S E it� ]06 Bellevue 4!A 98004 453-9030 <br />�RCNIIEGIOIIOESIGNEII M�It�OUliCQ9 f,ITV ZIP PMONE <br />tern Const�''U�tYiifi59Comoanv ��TM Z�P PI�ONE tICENSE• <br />M�IIAU�RE53 ��ry Zip <br />FLUMBINOCONTR��TpR MAILGf1�RES9 CIIY ilP PNONE UCENSE• <br />lOf WOFN <br />NEW ❑ AD�ITION <br />?�7, '.� O�- <br />❑ AITERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL.INSERT ❑ 6UILDING RELOCATION <br />�NSS rws ueoa� <br />Construct apartmenC building - 16 wiits <br />OF BUILDINO <br />Rental <br />Parcel A/14 Intercity addition, Div. H1 <br />�BLOCK�OF <br />as per plot recorded in Vol. II of plats, pg <br />9 records of Snohomish Co., WA; Parcel "4” E <br />o quar r , , , <br />R4 Snohomish, Washington <br />ECTADORE55 <br />120 S.E. Everett I•fall Way <br />TRAV <br />. <br />-.� �.r.. , 1 <br />i HEREBY C�RTIFY THAT I HAVE READ AND EXAMINED THIS AP• <br />PLICATION AND KNOW THE SAME TO BE TRUEANDCORRECT. ALL <br />PROVISIONSOF LAWSAND ORDINANCESGOVEqNING THISTYPE <br />OF WORK WILL BE COIdPLETED WITH WHETHER SPECIFIED HERE- <br />IN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO <br />GIVE AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF' <br />ANY OiHER STATE OR LOCAL LAW REGULATING CONSTRUCTIQN <br />OR THE PERFORMANCE OF COPJSTRUCTION. <br />SIGNATUPyOF�� 70 'ORA H �pEDAGENT DATE / �,���I <br />x /A�„/ // „/a'..��' <br />AIR <br />P. E0. <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />.c�encR RE�RSETB�CN <br />�E �OiARE� <br />� CONST. OCCl1PRNCY GPOIIP <br />'-�J R-I <br />B100. NO.OFS10111E9 <br />�, xR,� s� z <br />MPLIC�710NACC.BY IPLAN9GNEG1(EDBY <br />JEt� <br />VAC/�NTSRE <br />LlYfs allo <br />1 �- <br />MAK OCC. IO�U <br />'LFNGMEC NUMBEH'l./2a' PIANCMEGK�EE <br />�0 7 <br />Vc� �.�.ca.� rcc��t-/ � �%j�ncc� <br />o r � r•y • y'> <br />FEES V�LU�TION FEE <br />BUIlDINO L� � '� � <br />PLUMBINO 2i <br />MECHANICAL <br />OTHER <br />PENALTY <br />TOTAL <br />/3 <br />