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APPLICAT�N FOR CONS'rRUC�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREl7, WA 98201 •(425) 257•8810 <br />❑ DF.�AOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SION <br />PHOJECTADDqE55: <br />t[-�.r�.r�.... i- ���-r��_prt�i� w-i {d 1 8\ /}SI�SN/S <br />1FN�M� 4Y1 �MIIE55 G\Y 8V p��pryF — <br />ii`[l�UAr a��a ?A�': Ci'&i �/7'��`PGe._er��FA�rCE l.,,c__�g/d� (zo6) 767- 66G� l <br />u¢u*cc�onots�r.vrn uu���nnfss �irv i�r n�n��r <br />fFNFA�lC04111�LIC(1 45i1'uY.M�F55 /L Cllv !�� �ilr)Yf t1�1Il�CENiF��'�G <br />,lfrir�rL .�D.�n�G rf'�'32 /7Fi!/e.e�� �FR�7t � �A•�/�.Q.G (Zo6% 7676647 0411=OS <br />' uEC����+�GlG0v1��C10A u�'t�t,0uE55 Lirv ):P pu0tif 51uFUCENSE• <br />PIIIMB"�Gf.0�11P�[IW MnI�IXME55 CIIY I�✓ %�p�F SMIFIKENSf• <br />lE W L OESCmvVp� 01 P�ql`I <br />ioi eia. <br />LAVATORY <br />DISHWASHER <br />FOR OFF�CE USE ONLY: <br />rnaHrvmec+ nr�nsvin•<a <br />use �ovr ia •nF+ � <br />11[If.��f1�VI��11ON NOO�pW[ILIMG <br />IINiI[ <br />ocam�er.r x�ri.irn�� p:cur�r��mm <br />HEATING S �TEM: ❑ GqS ❑ ELECTRIC ; ] <br />cwn�cnvnsox�r�nn�nvr...o — <br />-#-��N--CkfA{d--L29 � � � � � 4 7 <br />(206) 76�?- �,63; <br />I MEPEDV CER7IFY THAT I HAyE REAl1 AND E%AMINEU THIS <br />APP�ICATION AN� NNOW TNE SRME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINpNCES GOVERNING THIS TYPE OF <br />WORN WiIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PHOVISION OF pNV <br />OTMEH STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAT I AM AUTHORIZED BY THE <br />OWNER OF TMIS PROPERTY TO PERFOpM 1HE WORN FOH WHICH <br />FPPLICATION IS MqDE AND I COMP�Y WITN THE STATE <br />GO^ITqfjCTORS LAW 102I RCW AN� 296200 WAC. <br />citr <br />HEnr <br />SNCS[19eQ rterq��IcxNu u <br />�v%/ <br />v�Cswv�E FEES <br />❑rE5 ❑ MO PiniMe� <br />SIIE M BIOL�II <br />I'111VPWf <br />B�SF4C�:1 Vf1:11�M1if�l � <br />❑rt5 ❑ar] —�— <br />—_ euaurwinwnrtcw <br />nwEn <br />sun nunu.ui: snnuuncr <br />CITYOFEVEHETT ruxncwnn.s <br />LOCALSALES -- <br />� TA% CODE IS 3105 TOT�L <br />/� <br />PEFMIT f <br />TOTAL FEE f <br />FEE <br />