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;�Ulo�l-OIU <br />A4�PLICATIrN FOR CONSTRUC'�N PERMIT�� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98207 • 257-8870 " <br />17 DEMOLITIUN !-'. COMBINATION �. i BUILDING ❑ MECHANICAL � PLUMBING f-� SIGN <br />iPROJECTADDRESS ,��'7Ocr �V(2q�CCl�% Wwy <br />/ ) <br />ie Q.'�C ' <br />rci.a}�i <br />`u, �;.vf <br />n:�an�tcr a� ocs� .r�cu <br />crcc oc vonKer: „cwr.crwu;.¢u+vcioeo � <br />� �-�.QGom ,a�i����s ;�J� `b <br />z},,. t� F, z La�s z Ft...,< d�..�s <br />GrCI u �OI MnI/< a..,L (L ,Ll� <br />�.o�o�Eo ov�wmwI.. <br />�G 4�1 <br />u��.+: ocsrnwnor� or rao� crav �suo�nri uuoa on eiuo� rno ;orrt;� <br />�o, aioc, cr <br />iPrStNGiioH laPru[No[2 �'Jcn[5s. <br />WATER <br />�RAIN <br />TOTALFEE � <br />FOR OFFICE USE ONLY: <br />n�.cnsne�cK aunse�o.cK <br />u:�:CVE IOMf[A <br />� ..;��r inaiuuor� rio nF ow¢urra <br />m:rts <br />i.� <br />M�anE su1EL�ctliiE• <br />HEATING SYSTEM: ❑ GAS f� ELECTRIC fi <br />coi�ucr r'casou e�io r�rouc ria <br />I HERE�Y CERTIFY THAT I HAVE READ AND EXAl.71NED THIS <br />APPUCATION AND KNOLY THE SAIdE TO OE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAVJS AN� OR�INANCES GOVERNING TH�S TYPE OF <br />Y�ORK \41LL �E COIdPLIE� INITH WHETHER SPECIFILD NEFEIN OR <br />NOL THE GAAMING OF A PERIdIT DOES NOT PRESUtdE TO GNG <br />AUTHORITV TO VIOLATE OR CANCEI THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAY! REGULATING CONSTRUCTION OP THE <br />PERFORIdANCE OF CONSTRUCTION. THAT I AtA AUTHORIZED DY THE <br />OWVEfl OF THIS PRUPERTY TO PERFOR1d THE P10RK FOR WHICM <br />APPLICATION IS 61A0 I COGIPLV YIITH THE STATE <br />CO.Y7 ORS LA4Y 18 RCYlA 296200 WAC. <br />�/ � D IA1 . ��-2 �— G � <br />CIIY Ull$�Illii lICC11�C 1!0 <br />A'C — A M�DLG <br />HOOD <br />ldETAL FIREPLALE <br />GASRANGE <br />SUB70TAL 5 <br />XOI G`!-rJrJ <br />s.ocscm:cn rwinrtcKrvuuecn rce <br />v+c4rusrt[ FEES VALI <br />r,v6 orio nm�oew <br />sitc oc oioc* i <br />rwuou�c <br />O�iE4LNi MEG11lIiCA <br />.^.VES ❑ 110 <br />IOb11101:4L FUII G�CCN <br />on¢n <br />SfAE OO�lDitq SUPCHtPLE <br />ICITY OF EVERETT i�uoucrronKs <br />LOCALSALES <br />TA% CODE IS 9105 TOTAL <br />n<<nana <br />