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APPLICATI� FOR CONSTRUC�N PERMIT//��� <br />CIN OF EVERETf • BUILDING DIVISION �/ <br />3200 CEDAR STREEi • EVERETT, WA 98201 •(425) 257-8810 <br />C DEMOLf�iON ❑ COMBINATION � BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDflESS: SOO 5.6. �j�cte-r, Ms.��� .✓� ��_5.�.+e A-! <br />Qna,.�....� oa.n_o-n�i _o�..�� i.--' ..._�. .._ �.__. r. _ . _ . .,..- ^(QZS�-'- <br />•ncni*rcronn[sir.nen u�n�nnnrss o�r --'�n�---- <br />GAf'Fw4:-i �....�sTll�cnr..w. �aie ioo�`Ot e t i..._.' ...,. ac <br />G.9 F�N'7"1'oyK3 <br />MFCN�HiUIfONIO�f,IUP iI4lI.f2`uF55 frry )rt' M�Olf it��Fl6FN5E• <br />P1114BMGCOIIIR�f,lp1 N��I�MNifiS [iIi JIG ���7i1F SI�If11CFNSf• <br />,� 7��p 8_p a �EATING SYSTEM: Qd GAS ❑ ELECTRIC ❑ <br />orscniB� wonK �rn snwn� �tpucr �vvorvm mvun v� nsnw �.rn n.ovr ao <br />J�C�C1�(jr'1 SHC<c r 1iMr�{�N C1__�iAFF1.lEy. C42f1;�}-2114 <br />l01 9lOCR <br />1 KZ f3US— �ro•,`I <br />clnSlnUcn(n�o�MRu(Yp 4y�PE55 r[LEfwoMEebuPEn <br />N/n _ _ <br />NO. <br />LAVAIORY <br />SU�TOTAL b <br />FOR OFFICE USE ONLY: <br />rnnursnn�r. arwcnq—i,rv <br />u;r mvr _ _-_- .� n��—_ <br />ui imu oonnnun a n owmiw <br />Nil� <br />�,yl/N� <br />I/-N <br />SiU( <br />1 HEREOY CERTIFY iHqT 1 HAVE AEAO AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEHNING TNIS TVPE D' <br />WORN WII L BE COMPLIED WITH WMETHER SPECIFIED MEREIN (�R <br />NOT. THE GRANiING OF A PERMIT OOES NOi PRESUME TD GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TNE PROVISION OF ANV <br />OTHER STATE OR LOCAL LAW RECULATING CONSTPUCTION OR TNE <br />PERFORMANGE Of CONSTRULTION TMAT 1 AM AUTHORIZED BV TME <br />OWNER Oi THIS Fi1OPERiY TD PERFORM iHE WORK FOR WMICM <br />APPLICATION IS MAOE AND I COMF�Y WITN TME STATE <br />COHTRACTORS I.AW 1 B 2i RGW AND 396 2001VAC <br />c .�`�_ �zs�SR <br />���� <br />b1v0U9NCs5li: F��'I 60 <br />NEAT <br />LYOOD STOVE <br />❑r��:�, u��u�a. � <br />aRl .T <br />, , u�,.,,: <br />I.IVI�� � ���nr ' _. . .. ___ <br />❑.rs �'"n � ai_ .i � _...- —�-- <br />.uon�nv.i n�.n i ��r r. <br />u�,�r� <br />1�11 R�Ir1UMt.ci��[r��n(: <br />GTYOFEVERETT n•ei��,wn��.v <br />LOCALSALES -� — <br />TAX CODE IS 1105 TOTAL <br />IVI <br />PERMIT E <br />TOTALFEE S <br />�_. <br />FEE <br />6 <br />� <br />