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APPLICATIO� FOR CONSTRU�TI�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STflEET • EVEREff, WA 98201 •(425) 257-8810 ��9�'� <br />❑ DEMOLITION ❑ COMBINATION `�,BUILUING ❑ MECHANICAL ❑ PLUMBING ❑ SI�N <br />PROJECTADDRESS: 10�o SC- E�eKN Mall W� —�j(r/ 3 S�"�'fo0 <br />_ tfp�,.�[s (�(1wQr� �/o CaltiCrs „cao6 7,tnA /Fvc 5. �r.,t' WA '78U32 ��:3�37i-Y6X0 <br />ovn�[n u�nopiess an nr viroHc <br />Q �Oinf /hi�,� �090o NL-� �1��� $1-, �Iu.��{t/C.QU �Lie//�v�cC��CUN 9yd0'l <br />i[NANI MMI AfNM[55 GtY llp V1qNF � // <br />Lonl�tl/ hr5�9v. G�vU.n 9�nnll L4N, /i-VL i,J �9F ,.G(o�eniNrtlr[ 7e�itialf, lllj 9SC5'3'( /�+�'670- <br />uu�wooeess env rm <br />u � won�� ci�v !ir <br />� �1,.��co �?m� � 12Z1� <br />u+�uco�ess r.m .� tm <br />ID � n I r <br />M�ilAW1if55 ^/^ C/n�� IIP <br />L <o � %S <br />y� �a o, o 0 0 <br />o[scnmc wonK �r�n sou�nE roor��� niwiv�o <br />7en:i., t ln,nZteinen f—:700o sp <br />/7rw- wa(/s � bn.11'walls <br />nnorosf o use or nmmiNn <br />IEG�L 06LNiPIIpN C� P11pPCdIY �SqWN bROW CN M1I.IY1 iWp COR[51 <br />io� o¢icn or _ <br />r,wci�. uv o M�ancn <br />/'b2f'o4 - 3-J�-3 - CooG <br />CONS1R11Gf1(y1lO�N lENpfP. �INIBESS. �[1CM10NE NU�PEH <br />FOR OFFICE USE ONLY: <br />IIiF ZOYF <br />IIEIf11�I�411AIICN <br />OCCVCnNC♦ I1J(�511- <br />C.IIOUC / <br />iFE SPfliNxlEP pE0'� <br />�� <br />{ IP�E!A1IAflU p[O U <br />/W <br />�rr[ nr r,o�ivr ' <br />i �1��2 <br />TOTAI <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />corvOtr MnSaN eMI rIHM�F No <br />/���c„ ir�,..� �/as -� �o -67e� <br />N <br />I HEREBY CERTIFY THAT I HAVE READ AND [%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PPOVISIONS OF LAWS AND OROINANCES GOVERNING THIS TVPE OF <br />WOP:: WILL BE COMPUED WITH WHETMER SPECIfIED HEREIN OR <br />NC.f. THE GRRNTING OF A PERMIT DOES NOT PPESUME TO GIVE <br />A6THORITY TO VIOLATE OR CANCEL THE PROVISION OF 4�!Y <br />OTMER STATE OR LOCAL LAW REGUUTING CONSTPOCTION OR THE <br />P[RFORMANCE OF CONSTRUCT�ON TMqT I All AUTMORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPI.Y WITH THE STATE <br />CONTRACT RS lA 1827 RCW AND 2P6200 WAC. <br />x .2��3/98 <br />SiGNqN1E OI�C <br />Clb 004NESS l ICCNSC NO <br />❑v[5 ❑ HV q�ppiNf. <br />;OCrUW[llIN6 SIIEO�610�1� � <br />, �_ /IQ PIU4(IINf. <br />xi <br />IX:CIIV/.NIIU�D R�i(4EN1 MFf1l�lllfnl <br />� 6 o.�s �� — <br />�F���, O LpU�11pNq.%E4Q2f.t <br />� .�� ���-� on�en <br />FF�CnV �� <br />L` Sa� ✓d[.L(1� 54�[1111it1➢Hf.S'!1lfuapCl <br />rinvserrnov[nm CRVOFEVEflETT nwiicwauns <br />LOCAL SALES <br />�.,� � I� /9� TAX CODL 15 9i05 To7AL <br />FERMIT <br />