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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION O BUILDING,� ,, I❑ MECHANICAL ❑ PLUMBING �SIGN <br />PHOJECTADDRESS: SOO S�E �/N�y/IUuy S,'/�A-I_�,� A-3 A-Y <br />,. - ,. <br />.�..-... �.�i.�^^�a� CIIY !IV Pr�O1f� <br />♦I�LNRfGlOflflES�WfF�� 4u1��fInF55 CiIY tir �:rrt <br />.Ti•k .y.+w�r.w 131 oZ/� F.�w,..�k- t�...� 5'�0�6 77S�-19Cf��nuw*aaBAtb <br />GFN[�4� N41 �Dllp(SS Cilv •� w�p4C 51t1t 14fHSi • <br />MFCH�NIL�If.OV�f1�f,lU� 4�it�fA��E55 f.lrv ]I!' P�IO�f Si�tfIICINSE• <br />FIUYBINGCONIN�C�M 4u1/.q)nF55 CiIY IiG Pu9ip SI�fF1ifCNSF• <br />..................0 o. <br />�26 0 �o <br />ocsrn�nr r.oqy,.wu <ou.nt� roo�.cr� <br />�d�i�nrT�� a-�..r�, <br />� l�� <br /><a ) S� sws <br />rnorpsf o ost o� emqyqr. ,� <br />%le�. <br />tEc�l0E5cnivriOn Or pnprEnrv 6eow <br />io� eiOC+ __ <br />r�ncnuviorniunrn �,� q <br />/!' <br />/IL_ <br />[wS�m�cnt»I�o�rvirunpn.�p+�E55 1 <br />SUO <br />FOR OFFICE USE ONLY: <br />�nne�vin�rR arensne•ca S�D[SFIB4x <br />11[E IO4F <br />��Flf.11� I � W 4LON <br />m <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I HEFEOV CERTIFY TMAT I NAVE READ AND E%AMINED THIS <br />APP�ICATION AN� KNOW THE SAME TO BE TRUE ANO CORRECT A�L <br />CROVISIONS OF LAWS AND ORDINANCES GOVEFN�NG iH15 tYPE OF <br />WORN Wil� BE COMPLIED WITH WHETMER SPEQFIED HEREIN OR <br />NOT. Tf1E GRANTING OF A PERMIT DOES NO7 PRESVME TO GIVE <br />AUTHORITV TO VIOLATE OP CANCEL THE PPOVISION OF ANV <br />OTNER STATE OR LpCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTPUCTION THAT I AM AUTMORIZE� DV THE <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WMICH <br />APPUCATION IS MADE AND 1 COMPLY WITH THE SiATE <br />COH�RAC ��RS LFW 1P 2] RCW AN0 296 200 WnC. <br />x�,,.,,, ��---- Ytlzy/Ff'r <br />wrt <br />orr ausn�¢ss uc�rs� r:o <br />PUMP <br />WOOD <br />�o�'"�^ vuutsnc fEES <br />❑vF5 ❑ utl P:n�Pwf. <br />wo a nwEuv,G s4E o.9�ocvi �— <br />IINi�V <br />1`III4p��Nf <br />IX'.CIIV�N�LI1�0 91{(4Ih1 NFI��I.M1if11 <br />O�[s ❑HI] <br />nr+snu •ownn�+.r ri.w��nc+ <br />onrtn <br />�repov <br />[ull Ru�lU�4C.5ilfi[uRILt <br />•inas .� o+ CITVOFEVERETT �iiancwni�.a <br />/�i /yY LOCAL SRIES -- <br />,.�e � i/ 7AX CODE IS J705 707nL <br />TOTAL FEE f I <br />r�pn mcemuo <br />d <br />VALURTION FEE <br />�__ _�� / �h <br />. _ 9._:�.� <br />--- �4 _;75 <br />