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APPLICATI� FOR CONSTRUC'I�N PERMIT� <br />CITY OF EVERETT • BUILDING DI�ISION <br />3200 CEDAF STREET • EVERETT, WA 98201 • 257-8810 <br />!7 OEMOLITION i� COMBINATION ❑ BUILOING ❑ MECHAIJICAL f-1 PLUMBING �SIGN <br />PROJECTADDRBSS _ . . ._ ,c. ._ . _ . nn_ _�, <br />cnr <br />1F11/Jli MAiL�0�C55 Cliv I9 nM1lnc <br />SEWEIL-RS C1iJIC_c Snr�: A-, li9,o�� ' <br />.NCHiI[C10.��^ES41i[P Y�R�DM[55 CiIY tm RCJtl[ <br />� /t — <br />lK[NS[ • <br />NA _ -- <br />FlVY01NGLONif1I.Lldi M�il�'J���LiS LIIY li� RqllE SI�iCLILl115L• <br />o�suroE xa�n �r�u sov�n� ra�ucc nr,a u n <br />5 <br />--IA1STfl�.L �it-�UiOUS�Y OW. <br />rnorosm usc cr eu�.�onn <br />Q��rni� <br />1CGLL IX!.(RiViqllM Cf1q'i111v ISIq1411bCLOW pl � <br />�or ��_ o�ocn �_ w� <br />��� 11l1! �\LT <br />i <br />'vu+n.�t�nu Hvui�in <br />39390050�5�'n <br />cOr.sinuCt,q`N ^toui LLrroU�. wU�r[ 55. RltneCM[ in <br />N /l <br />PLUMBINO <br />Ntl. TYPE OF FI%7UPE OH ITEM <br />IG i <br />FOR OFFICE USE ONLY: <br />n+cr�tsEina�.-x nunsUu�cn <br />_� �_ <br />G�:.�n� mrnuu <br />� <br />u <br />HEATING SYSTEM: f-i GAS f7 ELECTRIC !"' <br />conuctntnun�ermn�or.�ra . <br />I MCFE�V CERTIFY TMA'f I NAVE READ AND E%AMINEO THIS <br />PPPLICAiION AN� NNOW THE $AME TO BE TRUE AND CURRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANGES GOVERNING TMIS TYPE OF <br />V�CPIf WILL DE COMPLIED WITH WHETNER SPECIFIED MEPEIN OR <br />NUT TNE GRANTING OF A PERMIT DOES NOT P(IESUME TO GNF. <br />AUTMORITY 10 VIOLATE OR CRNCEI THE PROVISION OF AN'f <br />OTMER STA7E OR IOCAL LAY! REGULATING CONSTRUCTION OR TH2 <br />PERFORMANGE Oi GONSTpUCT10N. THAT I AM AUTMORIZEO DY TNE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORN FOR YIHIGH <br />APPLICATION IS lAADE AND I COMPLY WITN THc 3TATE <br />CONTRACTON +1W-iBZrH W AND 296200'NAC. <br />x ^-'�-' 1.�,�� <br />SI�N�1 �[ O�Quo� ��IC <br />.RT/[) <br />��� <br />•�• <br />OF <br />�.�/� I..../; �)� I._...,....., <br />� n[s na nwio�n: <br />u.� r.� <br />:nu�.uur«t srcae�a:n <br />. oni`s � muumrvc <br />�.::Sr��M1c �:Il�•�rill0�� P�5[41N1 4CCII�NIG4 <br />�CS :: 110 <br />�HL�� IY�•.JII AMIIIpN1lPWIC1ICCR <br />UlnCf1 <br />So nusoN <br />SI��E BVRD�N] SIRILHANGF <br />rx�Hsrmuyyme. CITVOFEVERE7'f woi�cwa�+s <br />% Lj LOCAL SALES <br />,.,, /_ /J �-. O� TA% CODF IS 0105 TOTAL <br />S �% <br />