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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />� 3200 CEDAR STAEET • EVERETT, WA g8201 •(425) 257•8870 <br />� DEMOLITION ❑ COMBINATi7l1 O BUILDING ❑ MECHANICAL A� �❑, CLUMBIN6 ❑ SIQN <br />PROJECT ADDRESS: _�5,rhnL �+/ � O� D02�� _.V+�"� E�"�`^�� t� h� <br />.�OFI^N �/._Lu{✓ %U�2/ �..r..V..�. f. - - — �ier ?ii9 ti_.-� <br />,P��� _ .. �.. <br />�/F�M�vt J • uu� �IWY55 � p�r DP�/ /� n�Ovf <br />[j�'�VIIi�eG�(L4C �{ �JG N 222 � rGl n�// /O'll•.! ��"10% <br />FCHifCIp1M5�GNU� u���qMp55 � Ulv <br />!�� r��(*�f <br />GfN1�U\COYIMLIlY1 41i1�qN�F55 C�IY l�� 1,iNNf i1�11110EN5{� <br />J'rGF <br />uv[v�r.iuirn+m�non uu�uq�+F55 rn nr nqvf surt�K[HS[. <br />PIIIMlMf CONIH�Gpi N�tt RIf1R55 Orv li� Mt 54�f IK[FSf • <br />covrn.ct r�[ a wrn+ <br />io� <br />SNOWER <br />eioc. <br />TR�Y <br />Nwivco <br />t[�[nqr�E rhNpf�� <br />FOR OFFICE USE ONLY: <br />InilNlVlp�f.R I�f�fl$flp�[�l <br />narorr ro�u�ie <br />ufi[A�II�Vi4��UV YO V tM'1111MG <br />v��� <br />OC�rKY �R��V�I.41) pC111.�M11U1(1 <br />fiPCSM1UNKI(HpETO M�tCM <br />IIRL�UPMRLO�p PI�t7V <br />�.rr a rova rinw��rrnrnrn <br />. --_— _ uut _ <br />HEATING SYSTEM: CJ GAS ❑ ELECTRIC ❑ <br />cw+�r.r ri nso'� �vn r�.n .q <br />I HEREBY CERTIFY 7NqT 1 HpyE READ AND E%�MIN[0 THIS <br />APPIIC�TION �ND NNOW THE 511ME TO BE TRUE AND CORRECT ALL <br />PPOVISIONS OF �AWS AND ORDINANCES GOVERNING T1115 TYPE OF <br />WORN WIIL BE COMPLIED WITH WHETHER SPEpFIEO NEREIN OR <br />NOT. THE GR�NTMG OF 11 PERMIT DOES NOT PqESVME TO GNE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF �NY <br />OTHER SiATE OR LOCAL UW REGUUTING CONSTRUCTION OR TME <br />PERFORMANLE Of CONSTRUCTION TMAT I �M �UTHORRED BY THE <br />OWNER OF TMIS PROPERTV TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS MADE RND I COMPLY WITH TNE STATE <br />CONTRACTORS lFW 1 p 2] RCW AND I96 200 WAC <br />,-�,- P/L�--. 9 � <br />'•LN 1 L Il 1 <br />OivPUVMS51KiMtt n0 <br />AIR <br />1'1 �N (Ir[C4 NV VMf R <br />C/i% � <br />❑Yf5 O MI PP�MW. <br />eioc�� <br />rivan�r. <br />♦[f1T�1 Mf1��14i(.�1 <br />OrIS ❑NO -- <br />- �Op1iPWl h�40NC� <br />(11�M� <br />cl��l Ri1.lUiYllcil�lfr��llt:f <br />CITYOFEVERETT M�a,��:wo�,.c <br />LOCAL511LE5 ---- <br />TAX LODE IS 7105 TO7�L <br />rtr <br />