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APPLICATIOR FOR CONSTRUCT� PERMIT <br />CIIY OF EVERETT • BUILDING DNISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLRION ❑ COMBIN�TION ISBUILDING ❑ MECMANIC�L p PLUMISINfi ❑ SN:H <br />PROJECTADDRESS: G�/ sg.P�yQyQ�e/�y . �i/r.'�CTT `1B��j <br />i J . .... „ / _ i-,, ... .�v�r,ct i ,�vJ ,..</�rl, � � �_— .- i �_rrT 9A11>'l� <br />2 7. Ji <br />1[NI.MI YM �PJM55 tlT llG <br />Qri.c.trY �Z'j' .i7'%M— C%D'% Cs,c_� <br />�ncr«nc�anocvwrtn w.r..0 s� orr nr n�art <br />/O•=tU�X' <br />G(M�INCONt�1�Cfp11 MYI 5� �Il� }M f��RM c��f[ lK(NV • <br />4[LM�YKAL LGY{WCip1 Y�illppES$ dtt I4' M1NYR tlllf IKINi[ I <br />RVU�NGCON1N��i0R MLL�OPR65 PT' IN PM'J�iF 51111i11C(N$!• <br />i j <br />MSCA9f YRY1M �M Shc�u[ <br />�L�� � � % <br />f <br />ll�lllp�q <br />�r.rt�rn �nmtss rcirnqucwu.w=� <br />FOR OFFICE USE ONLY: <br />fM1NiSfip�fR I ufM51'1P�^Ct / <br />�� w <br />V[f ]OY! I OI �1�f I. <br />�—� <br />IICIC11111411I.\K1V � WiRIWRlLIM3 <br />� <br />occivew:r rn�n.��w�.�s o[:�un�v�ia�o <br />HEIITIN6 SYSTEM: ❑ GAS ❑ ELECTRIC <br />COM�L� ITIISO4I.M J JNf Np � <br />1 HEREOY GERTIFY TN�T 1 NRVE RERD �N� E%AMINED THIS <br />�PPLICATIpN �ND kNOW THE SPME TO BE TRUE ANO CORREGT �LL <br />PROVISIOHS OF UWS �ND OADIN�NCES GOVERNING THIS TYPE OF <br />WORK Vl�LI BE COMPI'EU WIiN WHETN[R SPECIH[� HENEIN OR <br />NpT. THE GRANTING OF A PERMIT DOES NOT PRESVME TO GNE <br />AUTHORIiV TO VIOLATE OP CANCEI. THE PROVIS�ON OF �NY <br />OTHER 57�TE OR LOCAL UW REGULATINQ CONSTRUCTION OR THE <br />PEAfORMANCE OF CONSTRUCTION. TNAT 1 AM AUTHORIZEO BY TME <br />OWNER OF THIS YROPEFiY TO PERFORM TME WORK FOR WHICH <br />RPP�ICATION IS MADL RND I COMPLY WITH THE STATE <br />CONTRACTOPSUWIB27R WAND2962DDWRC. <br />x <br />�/-��L�� z -z s-y� <br />saN•*u� ' o•�t <br />�itY pU4M 55 LK[NVC 1q <br />1��.3 <br />WATER <br />METAL <br />� ly/.N[II[[�NV4�fR <br />�/�� /P:?;7 <br />v.c�Y�Aq/ <br />❑\I$ ❑ MI <br />S�If P BtOG9� <br />45'Z /F. <br />❑r[s <br />pTY OF EVEHE7T <br />LOCALSALES <br />TAX CODE IS 7f05 <br />GERMIT f <br />TOTALFEE f <br />�rr _ � mr <br />r � <br />fl1�lll�� . ��� <br />wurmrvn ____ _"__ <br />wrcH�hw+i <br />�Mv I R14/.I I`I �M C�If CM <br />Ull�F11 <br />su� em�twn s�mcwmz <br />mm�rwon.c '�_ <br />TOTAL <br />