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d <br />� APPLICATI� FOR CONSTRUCT�N PERMIT�}�► <br />' CITY OF EVEF� TT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 �.�""' <br />❑ DEMOLITION ❑ COMBINATION fXl BUILOING ❑ MECHANICAL ❑ PLUMBING G SIGN <br />PROJECT AODRESS 500 <br />•GB& SE Everett Mall Way EWerett, 41A <br />OWNEH MEIlA00PE55 GiT ZIP PNONE <br />Rill Robinson 500 SE Everett Mall Wav F tt 98208 (425) 353-840Q <br />tErvu�i MAILAP�PE55 CrtY 2�P P�qNE <br />Tolryn House Restaurant 4824 66th Ave NE Narysville 98270 i425) 397-3897 <br />pPCBii �LOROCSNIMEH IA�ILApOPE55 CIiY ZIP PNONE <br />GarY Parkinson Architects 2812 Colbv Avenue Et�erett 98201 (G25) 252-2153 <br />cELEMlcorvtaAcron M�itMOP[ss c�iY br PMNC sUrE•JCEuS[• <br />Gaffn r � r'on 10511 19[h A�e SE c r ut rt 98708 (4751 7'i8-9114 C.AFFNCThGIL� <br />1AECNANICAL�CyOtRPACiC� A1AIL�UORESi LILY ZIV INONE $tA11:LICEf1$[• <br />GLUTA9WOC��l1MLLOA �PiLP�.^,HC55 Cliv 21P PIIONE SiPf[lICE1RE� <br />oeswme �•�oax �r�o souanc reo*+ce urvacnu <br />L �8 S.f. [ePBllt 1f�IPTOVtl0et1 <br />separation and rectroom T.I. <br />ano�oseo use or ov:�o�i+a <br />Restaurant <br />�ecu ocunivnor+a racacarv is�owr+oeww oa � <br />ior eioce o�— <br />SW1/4 Sec 18 T 28N RSE W.M. <br />a�ncci*exio rvw.men <br />1A2805-9—p51 <br />cais*nuc*ior� �o<N icnoen..00Aess. r[�[P�oric N <br />SINK <br />FOR OFFICE USE ONLY: <br />n�oviSE¢n[x nGPSFfo+Cn SOESErB�cN <br />VSf20��E LOtRREA <br />��EicH.uunniron riooro.vcwuc. <br />VNII$ <br />CCCVG�ACY I �i0 S Si0AF5 CCLUf4Ni LO�D <br />HEATING SYSTEM: fy7 GAS ❑ ELECTRIC ❑ <br />coxuct rwwrv exo vNmre iro <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINEO THIS <br />APPLICATION AND KNOW THE SA�dE TO BE TRUE AND CORRECT. ALL <br />PPOVISION> OF LAVlS AND ORDINANCES GOVERNING THIS T'PE OF <br />WORK WILL BE COh7PL1ED WITH WHETMER SPECIFIED NcREIN OR <br />NOT. THE GRANTING OF .. PEfiMIT �OES NOT PRESUME TO GIVE <br />AUTHOFITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW HEGULATING CONSTRUCTION OR THE <br />PERFORPdANCE OF CONSTRl1CT10N. THAT I AM AUTHORIZE� BY THE <br />OWNEFl OF TMIS PflOPERTV TO PERFORM THE WORK FOR WMICH <br />�PLICATION IS MADE AND I COMPLY WITH THE STATE <br />�d4TRACTORS LAW 1&27,fiCW;AND296.[00 WAC. <br />ac — <br />RANGE <br />�] <br />YAUfI15iff tCCS <br />❑rEs � ��o ew�m�+c <br />c� a�oc�� <br />PWMpiNG <br />BRSE1AE111 IAECIIANII:AL <br />C]YES f ND <br />ACOIOUNp PUN CNECK <br />rvve6�co�+sr wnus�vveyvruov CITYOFEVERETT <br />J�—N �v�jo��I01 TA%CODE15305 <br />oa�[ <br />OiPEP <br />SiAiE 9UiL0iNG SUPCeMGE <br />Pu94G woPrcs <br />TOTPI <br />