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APPLICATIf� FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETf, WA 982C7 • 257-8810 <br />❑ DEMOLITiON ❑ COMBINATION ❑ EUILDING ❑ MECHANICAL ❑ PLUM6ING ❑ SIGN <br />AROJECTADDRESS n- <br />��� L'UW E( 1� I � L'.Y� R-� �✓ C.e F_ t� . <br />OWNER MAR�OOPf$$ �ILY $N pryq�E <br />Fti.r.�.r a�wa, LhG Z L I f 144C s+. �E w-.�,•.,f��..�� w�- ye,�-, Ct+�)s�e-�.,c <br />TENrVlT NAILpDppE55 �iry qp p��E <br />�RCNRECTOROESA'+NE(1 MA'LAOOIIE55 QiY ZIG yrypryp <br />T�.,,.,t c.-.�� p�iG,J }4s� Bc� s�.,�D, e�c.-c��, wh- 9rt-,.a (1�i.c�tr.vt3G <br />GEN[R�LCONiPALTOP MAIL�D01iE55 CIIV�-rZIP pHdIF <br />F(���TO� RRYW�i��G �I� ��i'�wS�•/�E /+� �{' I Si/.iElKENSE• <br />�'1SYI�F W� /Hi��' fKw/S7L021G (� <br />.�IICALCONiPPCiOP MAIL <br />� �� <br />RIGCONiflK.TOP p1IAIL <br />�C/\L�� (�4 <br />Z ( U c� <br />LOL � OIOCK <br />cor+s*�?�.� 6_�F{�ocn,wonEss.r� PIIONE ue n <br />�TI� .�,.s• �'e�-src¢ <br />`i I:` ' �T(L7'�'�— �wS'�..C� <br />� <br />FOUNTAIN <br />OACKFLOW <br />FOR OFFICE USE ONLY: <br />LPONTSETBACR PEARSETOACN <br />Zd � 7�' <br />VSE ZOtlE � J / I LOiAflEA <br />v <br />Iq O[ pY/[LLING SIZEO <br />% UNItS <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑_ <br />I HEHttlY GERTIFY TH/'.T I HAVE READ AND E%AMINED THIS <br />APPLICATIOM AND NNOW THE SAME TO OE TRUE ANO CORREGL ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING TMIS TVPE OF <br />WORK WILL BE C(1MPLIEO WITM WHETHER SPECIFIED HEREIN OR <br />NOT. Ti/E GRANTING OF A PERMIT OOES NOT PflESU�AE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TME <br />PERFORMANCE OF CONSTf1UCTION. THAT I AM AUTHOPIZEO BV THE <br />OWNER OF THIS PROPEPTV TO PEHFORM THE WOHK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITM THE STATE <br />CONTRACT� LAW 192] RC�. AND296200 WAC. <br />X ,,.� � ��L e%,�,�, <br />SiGN�tUflE DFtE <br />CIiYBO5ME55Ll E115ENU. <br />UNIT <br />1 CNNUN� <br />�� <br />ores ❑ No omiomc <br />i6LW I <br />' � I s PLUMBING <br />A MENi �� IAECIIA:IIC0. <br />❑VES Gf10 <br />AL0IIIOItLL PIAN C11ECN <br />oirvcn <br />SiAiE BU�IDiI# SUPCNMGE <br />CITY OF EVEflETT rueicnoaxs <br />LOCALSALES <br />TAx COOE IS 3105 7oTAL <br />� <br />