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APPLICATI� FOR CONSTRUCI�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8870 <br />❑ DEMOUTION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING I'i SIGN <br />PROJECTADDRESS / <br />QJ � OO d� <br />OWN[N / Y�ILAOpPFS$ CIiV <br />�ZF n10NE <br />n9Ff/�lc(v�v jy�l�I,l��e.CO�- ��<<-�, l• [..i�f, `i�7�� 3G`'2z/n'9i5r <br />�E' /� 44U/%�55 � LITr � / I4' ftlONE <br />= �•�_� :cntif�., , f/��c�i��r� (.: !; 7Jf� C'��� 4 <br />•ac�nccrbnocswr�en u�n�ooucss cirr iw rr�o,vc <br />�'Sc�-i, TecP<<� : af �Pn.,.�i��c V�1u���9��'a (�• �F�.�k�CC �f Il � % <br />f. N[R4 NiR�C1pR M�M1�Lb1K5 CIfY 2iV VIN)xq Si1t[\CENSE• <br />� <br />i� s<��, �J.-c.� i ���—ii �� ��C 71 � 6�1 �� <br />EC rCOM L L W C55 Cirv ��In�+ 1`nOVE 5t4[IICCNSE• <br />F:1141011.()CQYIfl/.LION YAIL�DDflE55 LIfY $p M1ONE SfAiCIICLNS[� <br />CONiRIr^,i VPtE OF NJlin <br />HEATING SYSTEM: � GAS ❑ ELECTRIC ❑ <br />ocscnieEw�Kumsou.ncroo.�cErtN v[o coHr.cr�cnm•iuuw,o��cra <br />i '3� <br />�'� �� ��� yoo C�.,.�'� <br />PPCVOSlO USE OF LU�lO� <br />f, � 1 �n; �s <br />lCG0. pEX�RN1<I�QN CG PfqVCPM1 �SIW WN BELOW ON Ail�G11 ry\0 COPiES� <br />ior.--�LB�t.K tx <br />�> -•f %/.; nnn 'r ���'r��• ;i �,�. <br />venceu�no Hv�.mcn <br />%`/7 S� Cl� c' C^�F`/ C n c' <br />:ON9nucuoN Lo�N IENMn. �ppptss. Rl[MqM1E MIMOEn <br />FOR OFFICE USE ONLY: <br />iPJNIStiB1L/ pCN5C106N 9p[£E <br />—1-(� �ob� FI <br />�sctor:t _, � i�,�nua /,I,..c.—H� <br />� �n <br />U�zh�-- 3z� -17�2 <br />I HEREBV CERTIFY THAT I HAVE REAO AND E%AMINED TFIIS <br />APPLICATION AND NNOW THE SAME TO OE TflUE AND CORHECL ALL <br />PROVISIONS OF LAW$ AND ORDINANCES GOVERNING THIS TYP° OF <br />WORK W�LL BE COIdPLIED WITH WMETMER SPECIFIED NEAEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PR[SUME 'IO GIVE <br />AUTMORITY TO VIOLATE OR CANCE� THE PROVISION qF ANV <br />OTMER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTflUCT10N. THAT I Ah7 AUTHOPIZED BY THE <br />OWNER OF THIS PROPEflTV TO PERFORIA TME WORK FOR WHICM <br />APPLICATION IS IdADE AND 1 COh1PLY WITH TME STATE <br />CON � RnCTORS LASV 1B2] RCW AND 296200 WAC. <br />x � C/I;c��Gl*� � -/G - Ol7 <br />SM� fif / OAiE <br />GAS <br />Tvve oF <br />oareas <br />�--uya Isla�� <br />!(E �' 1 <br />��� �/n.��/ I <br />� % 0 J(t�s n vo euno�rxi <br />��s�crrti�.Mnnr. noocowcunx: s¢co�oiocn <br />, , ���,� � 2308 Sf a�ua�� <br />{%:[OCqICY �pCi541J15 CLCUCeNIl0�0 B15E CNt M(CIIANiC0. <br />C�NOV� <br />3 J- � ❑ Ho <br />iIF Si`NiNl4C11p[p0 PUSpN AWpqN4PUNLM1CCN <br />f If�( �LIPM N OIN[fl <br />E0� PE/.SON <br />SItlE OU�I�ING SUPCNNfE <br />rrreoFconsr n�Hsevv�2oar GTYOFEVEflETT niaienronns <br />LOCALSALES <br />�—I� rm 3/S�oO TAXCOOE153105 TOTAL <br />