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• <br />APPLICATIO� FOR CONSTRUCTI� PERMIT <br />CITY OF EVERETT • BUILDING DNISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8870 '��' <br />❑ DEMOLRION COMBINATION ❑ BUILDINa ❑ MECXANICAL ❑ PLUMBINU O 816N <br />PROJECTAODRESS: vEi'r I�Pwi��k o'FbVE�6Fe�iJ 1JqyA�o 4t1'A✓�� �1t� <br />r,cr <br />,_ . <br />—T� B� Sur.cTc=O _ <br />11ECN�NIC0.LQYIn�CiOP 4ul1WnE55 Cltt 1�� FIqNE Si��fLKFNSE� <br />11 <br />PIUYBOH'iCON1fLCiCH 441�CG1E55 CIh I�0 pM'YIE SGIEIICFNSFi <br />I . <br />iot xax <br />i'/ '�IQC-� <br />-000y�/318oy <br />Id1Eic. {ELfc��OME MNYP <br />FOR OFFICE USE ONLY: <br />rnqHrv�n+cK ar�nsrier.cK <br />�� � .r7�t01 <br />usczoHr^ I �at�nc+ <br />�i OvCS ❑ xo flU�arx. <br />«OO�Uw[WNG SiIEd& I <br />�'"�" — 368 6497 7T6 __ <br />%VVRIVfi <br />QN� NI10�0 �SFKNI 4Ff.NWN:Fl <br />1 _//3 �,E� �� — <br />nF�xav �opncwu. n �H c�rzc. <br />/�fS �1ii�(t6d7, w/�/P�NI a�u[n <br />q{ItOV <br />i � � � L 541t PIIRUiNC.511116�Mf.0 <br />Mnr�s�nmwcnar CRYQFEVERETT ��������"� <br />T� LOCALSALES <br />o.�E �/ -/p !� TAX CODE IS 31D9 To7AL <br />'� S9G'LaGe. $c�G� S1o�6d-CencPY � G12 <br />i <br />sioEsrie•^K � <br />MEATIN6 SYP.TEM: �(GAS ❑ ELECTRIC U <br />�Auc C000,�s �6o-3yi-}Qa� <br />I HEREBY CERTIFY TNAT I H�VE REA� I1ND E%AM�NED TMIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE ANU CORRECT �LL <br />PROVISIONS OF UWS AND ORDINANCES GOVERNING TlNS T'PE OF <br />WORN WILL BE COMPLIED 4/�7H WHETHER SPECIFIED HEREIN OR <br />NOT. TME GR�MING OF 11 PERMIT OOES NOT PRESIMIE TO 61VE <br />AUTFIOfiITY TO VIOLATE OR C�NCEL THE PROVISION OF ANV <br />OTNEH STATE OR LOCAL LAW RE6ULATINO CONSTRUCTqN OR THE <br />PERFORMMlCE OF CONSTHUCTION. TW1T I AM AU7NORIZED BY TME <br />OWNEH OF TH1S PROPERTY TO PERFOPM THE WORK FOR WHICM <br />�PPIICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTM ORSIAW iB27 CW NDY9820 W�C. <br />, � e7�S�98 <br />� wrF <br />Llh NISNESS IILE <br />`� d <br />11L1EfPUNM f1E <br />//� <br />IYPF. fN f.0�1!. <br />v -N <br />99 Inrt[mrHo <br />J� <br />.1 <br />