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APPLICATI� FOR CONSTRUC�N PERMIT///��� <br />CITY OF EVERETT • BUILDING DIVISION j�/��� <br />3200 CEDAR STAEEf • EVERETT, WA 98201 •(425) 257-8810 �A�✓iRl1s <br />�� <br />❑ DEMOLITION ❑ COMBINATION j�BUILDING O MECHANICAL [I PIUMBINO ❑ 516N <br />PROJECTADDRESS: 20'3 �aRJ✓ .{��E <br />J�t'('-�. �v��n �.J.Qa�( 16Y3 h1��c:��r.� W%�- QS27i I42Ti H�7�-'%7D � <br />liH1Nl YYI �fIMRS$ C.I�Y !IV h�pYf <br />\', n�. T����� — <br />•R:�eRLlpl�bE4f.Nln 4u1�MMf35 CiIY )m rv�prf � <br />yy 3-ti7c 1 <br />���„cteA,ro.�.�4- P.o.3.�1c (64 S /�4.,k` 1-1�-0 �v� (vL� L[r_ nso�.2� <br />crMrnu�lrrm �(M 41�qN�f55 C:L �i Prv)N c411 PCEN 1 <br />INC1�1NiC�lfnYlll�f,�U� 41il�fiG�F$5 (:IfV :il' 141DV( i111(IICENtI • <br />PIUUBmfCO'��N�CIM VuIRMI�(55 b�v l�� 1'✓JYf S��IFI�CINSf• <br />MEATING SYSTEM: ❑ GAS <br />fMl�LivIn50N�vf���Ylv! W <br />`.'�9Go � /�v�c(�� N�7f�� ,?�A2�A/t, <br />�-� �/ I NERE�Y LERTIFV THAT I NAVE READ AND EXAMINED THIS <br />APPLICRTIO�! AND NNOW TNF. SRME TO BE TPUE I1ND CORRECT �Ll <br />�"�b������� p1 PO11pM� PROVISIONS OF ��WS RND OFDINANC[5 GOVERNING THIS TYPE OF <br />. A p<v�i �'-�-� WORK WiIL BE COMPLIED WIiH WMETNER SPECIFIEO MEREIN OR <br />¢G��ntscmnLwp r�EnrviSM+veuowon�n�curnotd+t5� NOT. TNE GR�NTING OF A PERMI7 DOES NOT PRESUME TO GNE <br />�ot,�tl� eiocn p �UTMORIIY TO VIOLATE OP CANCEL THE PROVISiON OF �NY <br />q OTHER STATE OR LOCAL LAW REGUUTING CONSTPUCTION OR THE <br />�o T��I ��T �I�.�L-4 J4 Lo t' /l , o{' QAs.I� �•��-) PENFORMANCE Of CONSiRVCTION TH�T I �M AUTNORRED BV TME <br />OWNER O! TNIS PfiOPERiY TO PERFORM THE WORK FOR WHICH <br />j�u����, ��- � i. UC � �� Cf ��`�S �•a 36 �(�n J`PPLICATION IS 'dADE 4ND 1 GOMPLY WITII TNE ST�TE <br />r�ucn ie� i o uiwp� n —' �CON1 RCTOP51 W IP 2; RCW pN0 29fi 200 WRC <br />3 47.5-coo�ow-0000 <br />�owswi�ci�n�w.r�irwnumnrssi���nwr[r�wnEn x . p-3pS-(_� <br />_ -�o. i:c-i ac..�c 4ZS '514-079'L ix.v�� �w u��t <br />�ut�c-4k M.-1� W� one vrwcsiz:iH�i no <br />�AVATORV <br />D�SHWqSNER <br />FOR OFFICE USE ONLY: <br />111f1Nf Vl�l\f1 / <br />�� <br />usc ro�r <br />-3 <br />1�(ICII� 11 V�r1�Y I <br />a�u� � �� <br />R ; , .:� <br />�._. <br />f IN� �UP4 Nl0'D <br />Y� j <br />nvt or q�ya <br />V � �� R <br />S <br />� <br />FEE <br />UNIT <br />,�,,,,,,, ..�.�,�,� .«, <br />❑v[5 ❑ rv� Ri��PiM: <br />;O p��IWIIIIM illf M la'II <br />w` < 39� nuuniwr, <br />L`I�CIi�4vllU�l1 R\i(V1� yF1'M�\N'�1 � <br />f.i�� ❑�IS � <br />m �ptw •DV IiOv4 n�v prt(.n <br />�i!-�. f � ri L nn�rn <br />nT�nr � <br />oi s� i°� ��- 9z ,.,� A„�,�,�.�„�,��,,.��,� <br />n•Ns ��rnrnm CITYOFEYERETT <br />�)1 LOCALSALES r��p,���.��1,� <br />.�� 1_.0 oa TA%CODE IS J105 To7�L <br />SUB TOTAL f <br />PERMIT S �— <br />TOTA�FEE f <br />/� <br />' � � ,1 rrf�rtr�o <br />IV�TION FEE <br />��0 jI,2 /7(�� <br />/ <br />�+� <br />- --125';�0 <br />- - ---�G u� <br />