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APPLICATI� FOR CONSTRUCT�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ CO�ATIONn �BUILDING / � O(� �j1ECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT A�DRESS: X �Dl /)lJ 1.� U-� <br />��a.��il 1 E G� <br />IF�ON� Mu141pPE55 <br />'�c���%_�w_�f_�%_2oL't `u� <br />.nr� �� nEs��e�� uui nnuntss — <br />C . '��9C� <br />i.rmm�i coainnani u.n �ouness <br />uFcu�aiUlCovrnec�oa o�rt�MaE55 <br />flvuBirvGCONIP�f.1M 1I��lI.IXMF55 � <br />�o„��,������«a,��. �6s8 �mo � <br />urscn�nrv.�nxnvoso�o�vr.s o— <br />_Fi�IS ��I%({RO �lrsYGEAJ jSli <br />LtMt� FtJJGa,APG �`L�i <br />�Ltit�R.�--to4L I?�Pf��EJ�t k?-�'I <br />• oros�oasn�nmmiur. � <br />Mu�%L_.F9�''iiLY iSY_ST_rL <br />tm v otsunmia� or rnor[nrv buowN oaaw on �n+P <br />�o� nioca �] ar�11�i <br />�R:-„"'�bJ���.J 6k9�S_�VJ' L . <br />P�_9GE 7`L��4G t9F__SW�,u <br />�S�Z- �O f - 000 -mom A <br />CfYIS�fIVCllql IO�N 1!�lflf II. /.(%M�C55.1[l[MIOYf �IV4PFI <br />TRAY <br />OACNFLOW <br />�rcrrsr. <br />F I�LENSE • <br />F 16ENSf � <br />❑ ELECTRIC ❑ <br />I HERE�Y CEN7IFY TNqT I HAVE READ AND EXAMWED fHIS <br />APP�ICATION ANO M,NOW THE SAME W OE TRUE AND CORPECT /lL <br />PFOVISIOflS OF �AWS ANU OFCINANGES GOVERNMG iH15 TYPE OF <br />WJRK WIIL BE COMPUED WITN WHETHER SPEGFlEO HEFE�N OR <br />NOT. TNE GRAIlTING OF A PERMIT OOES NOT PRESUME TO GIVE <br />AIITMORITY TO VIOIATE OR CANCEL iHE PROVISION OF ANY <br />OTIIER STAiE OR IOCFL LAW REGULATING CONSTPVCTION OA 1NE <br />�ERPORIdANCE OF CONSTRUCTION TNAT I AM AUiHOR2ED BY iME <br />OWNER OF TMIS PiiOPERTY TO PF.RFORM TME WORK FOP WMICM <br />APP�ILRTION IS MADE AND I COMPLV WITH THf STATE <br />WHiRPCTORSIAW 182] RCW AND 296 P�0 WnG <br />CIIY BI191rt5511tf NSC ��O <br />MEAT PUMP <br />UNIT HEATEf15 <br />GLOT11E5 DRVERS <br />_� TO7AL FEE S I I I .G <br />FOR OFFICE 115E ONLY: J�L <br />ino��.am+r nr. �nn•c+ s�o[se�e.0 neinacx�.ou� <br />n..t iovr im�f v�ceu�sne _ FEES <br />///� �� ❑rfs ❑Nu p�xiPiqu <br />nFu�dupviln�iUv �t1]bf�w[ll� S4[OipIWT <br />TY <br />� �� (/�/!U'e�'S _____"_ <br />o��in�n:r. � �....�� u�. .viiu�u nesvutn� vro�nm�.� <br />��Fi �� � oZ� ���'�' ❑ns �'+n �owuntinriu:aou <br />��i����:�/�,:�:.udr.mo nsrv. <br />J_90_--- - G?.� < S �n �15 Cl�fn� o�„E� <br />„�,� ��,..����, „F..�,� <br />n� o�z.0 < 300� ,(-2 3<,.,� ��,,�,..:..,,,�,,.��.� <br />�rrenrrona s+rrnovrnnr CITYOFEVEFE7T n'e��eh'^' ° <br />r�L LOCALSALES — —� <br />v'—� �,.�i ���'{�f TA% CODE IS J105 TOTAL __ <br />-- [Li . i�n� Hhrf' Z'.—�-.�1 r�.."5'l�Ant�71 <br />cu,1��� Jeti <br />i� i, <br />FEE <br />