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APPLICATI�b FOR CONSTRUC�N PERMIT/w� <br />l:,'Y OF EVERETT • BUILDING OIVISION f� <br />3200 CEGnP. STR ET • EVEHETT, WA 98201 • 259�BB10 <br />i.j DEMOLITION ❑/ COMBINAT(��ON �BUILDING ❑ MECH�NICAL ❑ PWMBING ❑ SI6N <br />PROJECTADDRESS: C���� �t•.u�� LnaG <br />__ �..___ <br />. _ _ _.__—__ __—'_— <br />�� <br />n "� �" � �t �o��_F,�±+�� . 9�a�3-v�y;�"Cy�2s)3s5-s�Yl <br />�lcf ��is;q �- .e� _ <br />r't.nnd s. �c �--e (� 1915 P1./�k», Sl. 1 <br />f.Itifn4C t�1Ci(T Yu1.�Rn155 CII\ <br />�\ � <br />ufCw�M CfM1u�Cirn Y�µ�Cf{�F55 LIh <br />�� 4 <br />11UYI1M.E ONIPKI(Y1 Yu1�IX111f55 f.1�1 <br />/ <br />— r� <br /><<..r � mcaa.vm <br />n.c ,3G,7d — <br />ascne ww.�wsw�rcromw�.��ano <br />U 7'>l f�f. �.�f�'�%,:..� � ,rr.fh <br />f_IN � h�.�� i11 �C�A!'rc., f�i.hn.� Mi <br />woroxovsc or nno-rr <br />� �Cnr .q�trAQQ <br />iEcu �.v��avupoinn1�x � .c�rr.oconT a "'"� <br />w� aocR C o� u �� � <br />���C.�,. _r E�...�4 L„L l .f �n#1 �, � <br />��� �F �#lGoGGGSooI ' <br />o�nc[ � �wne[n <br />� � , Goc cl 3 - �,o= <br />CWSIpKIK,1lOIM1[K(P IlUIff55 IIIEi'NS4MNY11� <br />n rci <br />URINAI <br />DRVMIHG FOUNTIIN <br />FLOOq �RAIN <br />BA�NPIOW PREVENiERS <br />SVIK �SERVICE —��R. ETG <br />�_._— —_—_iC <br />FOR OFFICE USE ONLY: <br />rwwrvte�c. � u��ussrn�c. <br />uvro.�� �,7 � ioi.a. <br />---r=-`- �b I <br />r6�f�11��n111Nn �qbOVIf�UNG <br />7 � �„�� NA <br />Si�� _ � � _ <br />.l' �r�r�1��1�ItlU ��flt�I� ...... <br />r��...���.i,�;:_. _7�r:.�w __ <br />..]I. �J _— <br />�y �, <br />� <br />hCNE <br />3-OS3/ <br />IT MSINf Stl1ElKFMY� <br />NEATIHG SYSTEM: ❑ GAS ❑ ELECTRIC ❑ _ <br />rnrnu:� iYnvw�w�rwnF wo <br />�(r�,re A.��s�., 3ss-s�vl <br />I HEREDY CERTIFY TH�T I HAVE READ AND E%AI/INEO THIS <br />APPLIC�TION AND NNOW THE SAME TO DE TRl1E �ND CORRECT ALL <br />PROVISIUNS OF LAWS ANU OfiOINANCES GOVERNING THIS TYPE OF <br />WORN WILL OE COMPLIEO WITH WMETMER SPEQFIED NEREIN OR <br />NOT TNE OPANTIN6 OF A PERMIT OOES NOT PRESUME TO OIVE <br />�UTNONI7Y TO VIOLATE OH CANCEL THE PflOV1510N OF �NY <br />OiNFR STAIE OR LOGLL L�W REGUUTINO CONSTRUCiION ON THE <br />PEIifORMANCE OF CONSiRUCTION. THAT I AM �UiHORIZED BY THE <br />OWNEI7 OF TNIS PROPEFtY TO PERFORM THE WORK FOfl WMICH <br />APPLICATION IS MAUE ANO � COMPLY WITN TNE ST�TE <br />CON�R�CTOHS U1V IB I7 RGW AND 29fi 200 W�C <br />x ���C��� �-�3-�7 <br />sra�nmr o+n <br />an wv.hssi�c�nx �o <br />�ECN�NICAI <br />N0. T-7YPE OF EOUIPMENT FEE <br />vorsne.c. � r�.r�nx�vuwnrn nr/�L <br />wr.� �n O �'��� VALUl11 <br />❑.�s Mi n�,aine:_-- _ 13 (a� <br />SltfpAM�t� — JT� <br />"73i So �_ M,,.�.«: — - ---- -- <br />n•u•�"� . / wu�u�ru <br />.._ fl.�•; M'4n ____- _'_._—_—"__.— .�_ _._._. <br />.__.__ —.____._— u4�Iwp�fIWUxCe � -- <br />..___._.. __ l).'1�111 <br />t1111 Illnllx�li'� \IIeN.���M.! <br />CITY OF EVEHETT n��i+ ���•', <br />LOLALSALES —'-- —'---'--' ----' <br />TA% CODE IS 7105 �mnl <br />`—__. __.. --_. ._____ __._._ —____— . _. . ... <br />S <br />ra <br />__2� <br />Cl <br />