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� _'PLICATION FO�- ' (;l� ��� ..e <br /> ,^.`�,°'"° CONSTRUCTION �/ <br /> cmor zZU � �JP/?Tf�/f!Q <br /> everett PERMIT <br /> BUILDING DEPARTM[NT <br /> zSq.R;qg TO BE COMPLETED IN INK• PLEASE PRINT <br /> ❑OEMOLITION ❑COMBINATION 17 BUILDING ❑MECHANICAL ❑PLUMBING �SIGN <br /> ow�iu� r..ni nnnutss rn. xm n�nnr <br /> � 7-�- a�iz nac po���,,� _F� -r 531�� asr-�irv� <br /> .n�.���nc�uumsiamn u.�nrmrtss urv r�r v�mn[ <br /> �:tnt�l�lL„r�InnLl(�11 4��I�I��IIf<[ Cil� u I�1` I4�ONE IiCFNSF• <br /> /1C E Na 1✓ 3 )SIl S ) / � .IJ �/�Z:.1 ]�y.3-1�35' RClseJl Il�OL <br /> e�iouv,c�icarnucron uui�omrtcs � <br /> fGiSE�tt'SI�NSiNC—E[EOTR icense7iICEFIE5�7i7Q '�"'s`. <br /> �,,°"":`°..��.`�°" a,�2sr,uti� �p�g�na��rw��ACElESI136B8 <br /> �.�<<,�.,�,��. <br /> EVFRHT,-WA-98201 <br /> �, vew ❑ noonioN ❑ niTenenoN ❑ nernw ❑ oen�o�nioN ❑ w000sroveiFnri.iNseer nwioina ne�ucnuou <br /> wi. ��.�u � .iros�o�u�nmu.v�iuvi.m�m <br /> ,�J Oo n� - — <br /> nrscn�ni ,.,,��. <br /> �a�Yue��'���p-� SX �4 S/F S,.y..t' [ilti [✓NL�- <br /> �"^'��Y","" � I IIEf1EBV CERfI�V IIIAT 1 II�VE REAI)AND ERAA7INED IHIS nP� <br /> i � PLICNION�N!)KNO1V111ESAMETOOETRUE4NDCORf7ECT.ALI <br /> ��i;.ip�, �nr �nnrcnninunw�nuow^""����"rrew�.n�nm PROVISIONSOFLA\VSANOORDIN�NCFSGOVERNMGTIIISTYPE <br /> � Of WORK Wlll.fl!--COAIPLE IED 1V1711 WIIE1NEf1 SPLCIFIE�HERE- <br /> ����_�����.,`_�� IN Ofl NOI I HF GRAN7M(�O�A PFRMII 00[S NOI PfiGSUM[TO <br /> C:IVE AUIIIONII' fO VIOIN[OR C�NCEL i11E PROVISIONS O� <br /> ANV OI11[R 5���[OR LOGAL lAW REGULAT W G CONSIRUGTION <br /> OR TIIF PERfOfiMANCE Of-CONSfRUC110N <br /> s��u�nwnrn�rarnnnnrntnncawnrannni:uu narz <br /> X� —�� ,5��7/�Y <br /> uio�rc�.rontca �� �r�v�nyf,nn n�eucviano <br /> l <br /> /7/'/ � /(' ,I'.'j��l��f� MECIIANICAL _�— . - <br /> PLUM91N0 - -- _" "__ . - ' - - __--- <br /> tYPEOFFI%TUPE �EE NO. n�EOFE0UIPMENT __ FEE <br /> NO -- _ _ _-__-_- <br /> N'n1E8CLO5E11IORED _ >��COND NU15._�(P Ea_ __ _ <br /> --- '— -- (I[(NGClIRIIONIPIIIS �P EA <br /> pA�11IlIB OOIIf05 'll' fA <br /> �-�- I UV�IOfIY1W�511 B�SINI _' ___ :�qS I IIICII AC UNIIS-11 IIHAOE Er�- - -- _ <br /> - I �IONEO _ "_. . _ . . _ _. . -_._ <br /> �' � - � IpI1CCUN1i5�5ICA6-01U MG <br /> inI1G�CN5�NN6OI5P -- - - -- �� <br /> U�511\VTSHEfi _ _ YULLIIEPIC�$_p1U M <br /> _ i�lauNt)nriMr _ _ __ uN�inEn�Pis-0rU nl <br /> I CLOIIICS\WSIIER __ _VAV0f1AtIVCCUOLER$_ <br /> _ I wMEq uE�lE11 _ CLO11�E5 Uf1rEf15 __ <br /> _ 1UniNel vENfiUtiON fnry — <br /> pPi��niN0�0UNMIN _ _ ��NOEnW" __ - � <br /> ROURDMrt1_ _ �1411UNp1�NGUN❑ C�.M _ <br /> _. .. v�WOMP�_�KE114 S1DVC _. .. _- _ --�- <br /> kf100�OPA1N5=PAINLE�0EN9 _______ -- ._ �IE1�11111EP1�C[AUIIIANEY. ___ _. ,__ _ _ <br /> -iNfli:lnv�CF��qE1L ___ WUOUSIO�6fIH[IlnLE1N5ElU'_'__� __ _ <br /> _ �� _ " �__-____--__-_ _ - . <br /> I -_' __---___� .. <br /> _ _ _'_-.__--.. <br /> �� — —_ --_ . . <br /> __ . I_ __ _____- _- _- -""__--_._.--_ -__ <br /> "_ �- __-_--_-_.�� _- -____-"-...._ ".__-_ <br /> .._ �_.- BUBiOT�L ___ _ — — � PEpMOT�L __= - <br /> PEPMIT..."'____f _ __ --_ _-"_-_'_'____ "_' <br /> I ' TOT�LFEE __ _ - <br /> ._ I_ _--- iOT11LiEE_____� --- <br /> THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br /> ��—.r�w�. nunsnn.r. s�ncv��n.c. <br /> r��rionrvrw��orn ---�nneanurtt <br /> ' r�[ nrcurrqo <br /> ��•.r ron� ` ' ier.nre v.cernsnr. __rics_ vewenox ree <br /> i.rc n�n <br /> . �T-•�n� nccuru�r.rcnnur vna�vwnuauuens __ 'ry—��- <br /> , . . omio�Hn �._7.("/'� -� __ 4lJ_ <br /> . ��il!t NI�!)111[Illiff N��MI:11\All -- �� <br /> � MUMNN(1 __ ._ <br /> M[CII�N�GL _ <br /> i INI `Iv'11iNNLCRS fiEOUIREO 11 YES ❑NO _ �����Fr� <br /> PlN�LIY <br /> .�—C..�.._ -•� ._._ 1��-�-rnrr.rum wir;tivua�v=-__ .._._.-_ "_' _ _._ _-_ � �� <br /> � � � toret � <br /> � �'/� <br />