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APPLICATI� FOR CONSTRUC7 .ON PERMIT <br />CITY OF EVERETT • BUIIDING DMSION � <br />3200 CEDAR STAEET • EVERETT, WA 98201 •(425) 257-8810 ����t <br />❑ OEMOLITION ❑ COMBNIATION � BUILDINf: ❑ MECHAlNCAL ❑ PLUMBINfi O 8WN <br />PROJECTADDRESS�20/S N�yblawd AvE EvsnlF� Nil� 9i201 <br />owr�en �+n.owess nn nr vrror�c <br />Ti�/OM�S i. n/AcK J[ �0/7 /(;6M�M�0 ArE ftiE,tE7t 91201 �y 2S'� 258— 9LS9 <br />1FM�Nl 11N�Ib1K55 GiY ]IV p�ryf � <br />YF.CNnxC4'.ON1R�Gip1 MMl �bJnE55 f.ilV )�P p�qN[ i�eiF I�CEHSE � <br />P1111lMGCON1R1f,1d1 MYI�q}I(55 CIlY lIC ��ryQ SI�IFIKEN$FI <br />ior c� •�w uaa <br />NVOIVFD <br />' ��.5— ���'% <br />�OME55. IEIFAqNE MNSFR <br />FOR OFFlCE USE ONLY: <br />fMlNitiiP�LR RiW! <br />2a <br />IIA[!WL �'� 101/.( <br />NFIiNt11M1AIlUY NO Q <br />� IINit$ <br />HEATINO SYSTEM: O GAS ❑ ELECTRIC ❑ <br />H3 -t3�3 <br />I HEREBY CERTIFY iN�T I MI1VE AE�D AND E%11MINED THIS <br />APPLICATION M!D NNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF UWS AND ORDtNANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIEO WITH WMETHER SPECIFIED HEHEIN OR <br />NOT. THE GRANTING OP � PERMIT DOES NOT PRESUME TO OIVE <br />�UTHORITV TO VIOI�TE OR C�NCEL THE PROVISION OF 11NY <br />OTHER ST�TE OR LOCK L�W RE6UUTIN6 CONSTRUCTqN OR ME <br />PERFORMMICE OF CONSTFUCTION. THl1i 1 AM AUiHONIZED BY TME <br />OWNER OF TMIS PROPERTY TO PERFORM TNE YVORK FOR WNICM <br />AFPLIC�TION IS MADE �ND I COMPIY WITH TME STATE <br />CONTH�CiORSIAW 1827 RCW �ND 296200 W�C. <br />x._�.- � �%C.%� 8-2c-9'] <br />s�cw�nnc o.�c <br />GTvlUSxE55l2FrKtrq <br />IIECM�IM_�L <br />TOTAIFEE S <br />i���2- r/!(�l�- s <br />IMCK SOEY�lKM MUIC�iE <br />o' S _� <br />,J �K,�,� s��� <br />f v0 OvFS ��WJ R���Ixxf. <br />NfIIIHG SIZfMND3'1 <br />pY[5 RJNn <br />%V41uN0 <br />4ffu�MK4 <br />�on�i�w.i n•r uwc. <br />onpn <br />suir emm��+s sarcn.m:c <br />nmuc won.x <br />TOTAL <br />FEE <br />