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APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CI7Y OF EVERETT • BUIIDING DNISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(42� 257•8810 <br />O bEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS: ��� ��"'� No. �'� - �6�0 B�oa��-�✓�^"� ' <br />�' �y e� f✓ta+i l�i./�.� Il�CiKl Ofj�.� 31oU L.ii'. Sf+�itJ" fvr���' N/�f /rP11/ 42f']S�L�980o <br />pyy�rt YN�OO�FSs On � �K� �— .� <br />lfNw� rM �OpRSS tln !ro n�aR <br />�',{y ep f�.�Td � ik W��ks ��rpl'y 32a0 Ce�.� SM�-� E✓ra� uM SFi� , 4l f-3Sj-Rpon --.- <br />• f OMMLG�T� YN�dTi54 b�� lT nRM <br />T 8e DsaEe...uM -. <br />arncnucarm¢�rn w•n•dmas cn. —n� � �,vrrt �unirr.iv. <br />MFCM�L4C ��LiW Y�M1IJd455 bM1 )�: �— 1^If'R s1�fflKfMCE� <br />M11YlMOCWInKfO� YM�OIMN55 G�Y tM _�-iwYR SI�If�1f.fFX� -----� <br />%O BE DlTLC�u/e/EIJ__ " <br />— %? -��5� wVlfw.�tt �iff s7�i°'1 <br />t uMxnnrwMarnp'Fnn�srwn1ecloww <br />ioi eia. a_ <br />PMCCI \M 1 b MN�I� <br />COMiIRF�IiMIIWNIf ��1�.NM1�(Si.iLIEn�OMEI <br />N /� <br />FOR OFFICE USE ONLY: <br />�nflMittip�fK Rf�PSilp/LS <br />IRFlW[ IOIu+F� <br />HF�C���1'M11�qV MaDWLU1W 5 <br />��n��:'.� V`r��l�nlf 111111'I.MIlW1� <br />fmLS�wMI[VINOV M�� <br />In[�UM1ulVD m��M <br />nr:rv�.mT—' nn�a.��n �nnr <br />/n� <br />I � 1 'i 5 <br />ri- _' ' _- _ -_ <br />S <br />HEIITING SYSTEM: LI GAS ❑ ELECTRIC O <br />1 HER£BY CERi�FV !N�T 1 HAVE AE�D �N� EM�MINEO 1N15 <br />APPIIC�T�ONl1N0 kNOW lri: S�ME 10 BE iRVE �NO COANEC� �Ll <br />PROVISIONS OF LAWS AND OPG�i'�NCES f,OVERNING iH151YnE OF <br />VYpRI( Wilt BE COMPIIED WITH W�'9THER SPEQFlEU NF.RE�N OA <br />NGT. TIIE GRANTING OF 11 PERMIi 0.�C5 Ni4 PRESIME TO GIVE <br />�UTHORIiV TO ViOLATE OR C�NCEL THE PpOVI510N Of qNY <br />O1HER ST�TE OR LOC�I. L�W AECtR�T�A'6 CANSTRUGTION OR 1HE <br />PERFORMR�G[ Of CONSTf1UCTION 711�T 111M �UINONI2E� flv fHE <br />OWNER OF THIS PROO@qiY tU PERFUAM TNE WORK �ON WHiCN <br />�PPI.ICATION IS M�DE �ND I COMPIY WI1H iHE ST�TE <br />CONTRACTOR51 �W 18 d7 PCW �ND 796 2W W�L <br />X 1��11 <br />cwM.,u�c <br />U�Y MI!� SS lit'1 ��'�f MI <br />NE�i <br />IRNING�"'-- -'-� "�__ <br />URNIN6) __ <br />_'�—�— <br />_ _ . �__ <br />J <br />$UO'07PL S _�_ <br />PE�MIT S _ <br />fOTRLFEE S _�__ <br />SroFS[Il�CM AWC!jf���f^ ry, _ <br />B e'C�-vlb ���EE <br />v4�M19rt ____fEES'_"_' V1W11t10N _.._- _'�"' <br />o.�s n.., e����: - � - � � <br />----•.. ....-- --._.. ..-- <br />a noc+� --- -------� -- - j-- -�- <br />M1�14lINO _..._ . f ._ � . <br />11�RMW VPw�w�u•.•.... __ ._ - - I <br />o.�. o m �—� — <br />qM91MWyM1�y��l1_.... .. '__ - .. <br />nPYn • . - <br />_ . Lt .. .. ._ _. <br />41�IIf�iMl+l�i�.�M�1�I1{J -1 �•... ...... <br />EVERETT �,+.:,.�.,.. __' "..'_'I__'. . 1_' <br />6111ES _ .. _____-_.... I .- -. <br />)EISJ105 Tot�L _.�_._ __ .�.. _.._ _ <br />