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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />320J CEOAR STREET • EVERETT, WA 98201 •(A25) 257•8810 ���� <br />❑ OEMOLITION ❑ COMBINATION O BUILUINO � MECHANICAL ❑ PI.UMBIN6 ❑ SION <br />PROJECT AD�RESS: �Lav� _��.�� <br />�Prir..(c� fa Go �r�t; �Ij �LY�c{�� 1vd- <br />IF� vul4ip+fss • u�� rw nqNf � <br />.. . . -ce uoc pi/IiP <br />��ese^ fAdJ aak,���g s� aos �ti,.,., �s �rr�u_ v2.t ��o rc�f <br />GfN(lOICON�111(.IL 4u11pN/SS U�Y 8� P�IYQ 54t11KfN4� <br />4FCI��WC4C.d�111f1U� VYl�M1�i55 flM1 l�� r'�KW� tt�ffl�C[NSfI <br />PIVMlAGCONIPK�(M1 W��4�RF55 COv jiv �r�ONF SI�fFICMSf• <br />Drsc�xK wJnR �nn sou�n� �oo�u;1 nvavFn <br />�o� ua. <br />rxru �n�ss rti[r+ror[ruunrn <br />FOR OFFICE USE ONLY: <br />imw�uin�r.- nr�nsn <br />us� tovr io��nr• <br />�NIf���I�VI��I�{Y� <br />� wT.uin� nw�o <br />/� <br />SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />M)r.Nnr�.wr uo� <br />I NEPEBY CEA7'FV 7H�T I H�VE RE�U AN� E%AMINEO TNIS <br />APPUCQION NID NNOW THE S�AIE TO OE TRUE �NO CORREC� ALL <br />PROVISIONS OF tAWS AND ORDINANCE$ GOVERNING THI$ iVPE OF <br />WORN WIIL OE CA7dPlIEO WITH WHETHER SPELIFIEO HEREIN OH <br />NOT. TNE GRANTING OF A PERMIT pOES NOT PIlESVME TO GIVE <br />AUTHORITY TO VIOUTE OR CANCEL THE PPOVISION OF ANY <br />OTNER STATE OR LOC�L l�W RE�U�ATINO CONSTRUCTION OR TNE <br />PERFURMANCE Of CONSTRUCTION TNAT I AM AUTMORIZEU BY THE <br />OWNER OF THIS PqOPEHTV TO PERFORM THE WORK FOR WHICH <br />RPPUC�TIOH IS MRDE AND I COMPLY WITM TME $T�TE <br />CO/�/'T CITOR UW^IB2IAFGW�ND196200WAC <br />, I l.. � Y U-�. %/n .. 7 i') --ri C <br />�c�rn� rro <br />HERT <br />MfN Iflf I1�fffN�Np <br />- �io � <br />O.[s O Nu �����,N <br />MO O! I�WIt11NO SIIf d M��11 <br />Ilvil� M111M�Nfi <br />VI'.l'I11'1MIl(11p E�YWA1 VfINY��f11 � <br />OvfS ❑N> <br />m�s�r. �oa�+wu n�v orc. <br />OI�H11 <br />m••m <br />5��11 dml�M�:5irt1C��aM'.1 <br />n�rs.rrmvvnm CITVOF[VERETT mm�r.wnr�.•. --�� <br />%� LOGALSALES ---- <br />,,,, /r��,-.� 2 TR% CODE IS 0105 TOT�I <br />