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APP'LOCAT�N FOR COPlSTRUC'�1(i�l PERMIT///�� <br />CITY OF EVERETT • BUILDING DIVISION �J <br />3200 CEDAR STREET • EVEREl7, WA 982D7 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING C MECHANICAL ❑ PLUMBING ❑ SIGN <br />PRQJECTADDRESS: . . <br />r�roNr <br />♦�unrctonocs�c•in� uuimn�rzst p�� ,,� <br />!t/o�t�.sa�w� �os-lY�oS/ eS',,, o%v Or K�J9—mm�y.w,u� Zs�Z S�,Ui�,��3 b ic �f <br />ufOuwUlCOvin.clun uvVf%x�F55 Orv pP 4'irovr Su�fUCENSE• <br />PIUYOMGCONIR�f.�pn 4nl�DM�F55 OIY ]ip nwp4F SGIFtICFNSF• <br />CONffUCI f'f11CF U[ YAPK q — <br />� JIO¢ HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />wsc wone.nusw�nr� �eewvavm eaiue �rnsov.Mn ��o'nxu <br />�k,ca-ee Sml�tsc ��J2 �ofl.i /fi�r.g�.s_ 36v-lrS3-z iiz <br />LOl BICCR <br />m�uirxnen.urntss <br />I TOTALFEE <br />FOR OFFICE USE 01!LY: <br />�nou�snp�� � n �nsnn�cv <br />LG-f , <br />IiSElOV( 1(111Pf� <br />new�n nM�� �� uo a� ownutie see <br />�J �vns G7 <br />Aov��,�.:• x�i.inuu a�.a�r�wm�n <br />U�1��.� Z <br />f ifl[ 11pN!A I��p p <br />_1L'/�% luut <br />5 <br />� <br />I HEPE�Y CERTIFY T11AT I MAVE READ AND E%AMiNED TMIS <br />RPP�ICATIOR AND NNOW TNE SAME TO pE TRUE RNO CORREGT ALL <br />PROVISIONS OF �qWS AND OROINAFlGE$ GOVERNING iNIS TYPE OF <br />WORN WIIL BE COMPLIED WITH WMETMER SPECIFIED HEPEIN OR <br />NOT. THE GA4NTING OF A PERMIT �OES NOT PqESVME TO GIVE <br />AUiHORIiV TO VIOLATE OR CANCEI THE PROVISION OF ANV <br />OTHER STATE OR LOCCI LAW REGULATING CONSTRUCTION OR TME <br />PERFORMANLE GF CONSTRUCTION TNqT 1 Ab! AUTMORIZED BY TNE <br />OWNER OF TNIS PqOVEFTY TO PERFOPM THE WpqK FOF WNICH <br />4PPLICATION IS MAOE AND I COMPLY WITq TNE STATF <br />T C10 �1AW19 �RCWAID296200WRC <br />z �.. � .� � �7 8 <br />s .v unc o rt <br />birev4NE55lrFNs[no <br />NEAT <br />❑rss ❑ vu n�nini�ir. <br />e`or.ni <br />s.F. C9RAGi >mun.vr. <br />��� _.__. ___ <br />I�SfV[M1'1 / NFf.11/.Alf�l <br />nns �n -- <br />—_ �owi�owi n�vurtcv <br />nu�¢n <br />(11�t RIIiI��x1:5�TC����(:! <br />CRYOFEI'ERETT r��m�cwr�.= <br />LOCALSAI.ES --- <br />TAX CODE IS 3105 iOiaL <br />�rr 3� nrrfm�xo <br />VALUATI011 FEE <br />-� — <br />_ u —��t .i(o/ 1 Oc7 <br />_—_—_ _ _.__"____�_ <br />- - --- -�`�3�- <br />_ aD <br />