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APPLICATI� FOR CONSTRUC�ON PERI�AIT <br />CIN OF EVEPETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETI; WA 98201 •(A25) 257-BB70 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL � PLUMBING ❑ SIGN <br />PROJECTAOORESS:�QD .Sd �fl�/t�� i �n�}f� W/{ �`�7C '4-/ <br />2e0�,�.t��+ �',Pc+••.-- 6`6o Sd �rK�c>,- p1a[[ cria y � yzr-avF -3��r <br />ptiVEq ool�ODnEsS On rir nwu[ <br />rani'_'_r.-,��(c� SOoSCrB'rxn�Y/.0%C/l4i�t�' '/f-/- Evek'cTT <br />+EN�.�� um.nw+�ss r.nr r�v v�mvs <br />�m:r�rraonofs�c•�a� -' Mui:ormrss cnr --___���__'---_n�oir <br />��rF"�Y c�� i�ir �aeP� �. c c��.��,-�,—���o a� 3 3 6'. 2 N v <br />G(NE114 CO4�III.C'(Y1 441 �DI1�fSi C�I� li� 1`r�l14! <br />4FCN�MiC4lI141f1�fIUA 4uL�frM`I.cS f.liY Jil' 1`i1:T.f GI�IFIICFN[C� <br />ma�n P,cGtN�Oina Z/A=l�S�N�d S� EvepeiT G�ll- SP2el� 39C-�kS'T_A///IPLk�d�Oz�eO <br />P111401NGf,O�11P�f1(M 4u11!%Mf55 CI�Y jlc �N']�li $IA�f11C[NSf• <br />orscn er.v�n. �vo sou•m <br />Ac�d �o <br />nm�rost o v�t er xmmme <br />�C %R�C <br />ifc�i nEsanvuorior rnon <br />io� oioc. <br />ru�eci��vio M�wxen <br />cOvsrn��Cr�Orv�o�M�fM1Fn u'M[s[ �[IFMONEMU4RFR <br />PLUMB�NG <br />8 DISP <br />�ACNFLOW PPEVENTERS <br />FOR OFFICE USE ONLY: <br />Il10NI5(ip�r� p��pcf�P4� <br />HEATING SYSTEM; ❑ GAS ❑ ELECTRIC <br />r.wn�cr v� nsov nm� n��ns no <br />I HEREOY LERTIFY tHaT I HqVE READ AND E%AMINED THIS <br />APPLICATION AN� KNOW THE SAME TO BE TRVE ANO CORqECT ALL <br />PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TYPE OF <br />WORN WIIL BE COMPLIED WITH Y/METHER SPECIFIED HEPE�N OR <br />NOT. THE GRANTING OF q PERMIT �OES N�T PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br />OTHER SiATE OR LOCAL LAW PEGULATING :ONSTRUCTION OR TME <br />PERFOf MANCE O: GONSTRUCTION THAT I nM AUTHOFIZED �Y THE <br />OWNER OF THIS PqOPERTY TO PERFOFM THE WORK FOR WHICM <br />APPLICATION IS MADE AND I COMGLY WITH THE STATE <br />GONTRnCTORS lAW 1B 2l RLW FND 296 200 WAC <br />z %/%��f � �r-a 9- r � <br />vcu��un[ wn <br />bIrBU4NESSl�LFN� 'i0 <br />$UB TOiAI S SUB TOTPL b <br />PERMIT E PERMIT E <br />IDTAL FEE S TOTAL FE'c 5 <br />9MSf�P4R �tnvORQmp4HlP f(( 11FC <br />I�GI It)YI 1(�1 ��11� <br />��flC.��l l'Vi1�11J� AO C/ l�wIl11NG <br />C%.11lf�\'v Y.� �. ��1 (NCI��'�N�I:1�11 <br />fl�0ilf <br />1 ila! '��N'.�I I P 4f : I: I�f lvryl <br />Irnf+IP1�� VI�::C �f1c�V <br />�winr�:o��c�� ruN��rrnnvro <br />tntE <br />❑vE5 ❑ v0 P�niO�v�. <br />TtfOrBlCL9� --- � ----- <br />1'IIiVP:Hf . .. . . . . <br />P1ii4f�1 Vi1����R�1'�I <br />��fS ❑N�l <br />�Up1iO4�1 f1 �N l���f.R <br />1)I��f� <br />sunmmm..csunoun;a —__— <br />CRY OF EVERETT �uxrn:wnnnc <br />LOCALSALES -- — ---- <br />TA%CODE I$ J705 TOTAL <br />