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APPLICATI�1 FOR CO�ISTRUC7bN PERMIT� <br />CITI' OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETi, WA 98201 • 257�8810 <br />❑ DEMOUTION �'�, COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMBING �-� SIGN <br />PROJECT ADDRESS ��// /. / ' , A�n � /�_ � <br />�j �.t' /O� <br />rcn i war.con�s urv r.o r+�a.e <br />�.,n, n r� �n�.s /19oan� �D f��x 3r G�•�/�� �rA. ��zs2 ��S-;ris-o ss�s <br />San�£ <br />rwu�oiHOcor�tn�ciOH uen�DOn[55 C�ir Iin MpNE 541[L4tNiE• <br />CnN�eeG� YnqL P vrtNm <br />- "j� � <br />CCSLPi�E VARIt ANO SOUME iOhiAGE '.�'lK� <br />-llAll.J[` i ilnl�� :'1 ., <br />rao�osco use n� eunona <br />. �� <br />uc+i ocuaw�uH a cncv[e,`rv/�i <br />IOi I S I�i'aV plp�K � <br />,v•roFror s.corro <br />ki <br />� <br />� <br />FOR OFFICE USE ONLY: <br />n�c�rtscro+c. ��uns[macc <br />ZO � Z o � <br />,.�:.,4� ,�..��. <br />�� �"osZ`� <br />Pf.�GT u�i�q�Urv � UN�IB RH WA, <br />LV <br />_nn�u�cr •ar.s:=is ncc�r.mww <br />n �OVo � <br />L.J� <br />Ix:f F��..uUinF00 PEASNI <br />!!I�L�LAIIIIP[QI) �NSJN <br />[11Y ll'.:1 I'I�M<�Cplq�LpB�G <br />�_.1 ,�.:, .S�/H�/ <br />HEATING SYSTEM: �GAS fl ELECTRIC �,�. <br />I CA�II�Q fEPSCtl nLG MW�B 1q <br />� <br />'t�� <br />I HERE�Y CERTIFY THFT I HAYE READ AND EXAl.IINED THIS <br />APPLICATION AND NNOW THE SAME TO BE iRUE AND CORRECT ALL <br />PqOVISI0N5 OF L1YJ5 AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK 1YIll �E COMPLIED 1VI7N WHETHER SPECIFE� NERL�N OR <br />NOT TIIE GRANTWG OF A PER!dlT DOES NOT PNESWdL TO GIv[ <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF AYY <br />O7HER STATE OR LOCAL LAW REGULATING LONSTA�CIION OR THE <br />PERFORM1IANCE OF CONSTPUCTION. TMAT I Ald AUiNOPIZL� OY TME <br />OWNER OF TMIS PROPERN TO PERFOPM THE WORK FOfl WHICM <br />APPUCATION IS h1ADE AND I �OIAPLY WIiN THE STATE <br />CONTRACTOPS LA}\l \�B 2� RCW AN0:96200 WFC. <br />%_ S1[tG1' V"'�,fd.L' �3p'p� <br />SIGINIVIIC D�IC <br />CIiY p1�5.N:5� l�f.[NSC Iq <br />FORCED <br />Ga= <br />G�: <br />Gp3 <br />W <br />TOTAI S <br />',IIT 5 <br />�L FEE 5 <br />037 '�f7�f�� �^90 <br />�3� ��/d?�'7 n¢e�,rn.� <br />c�a nr+o �,i,�o•a <br />eiu:r�� <br />�/4b2 S.F. "°Ye'"' <br />�sEucNi �� ucc�ur�c.: <br />❑\Cc INJ <br />+co�+�Jnu�urvO�ttx <br />OfNFN <br />514[ FM�aq 5yp[MMGE <br />CITV OF EVERETT n�aicn.��s <br />LOCALSALES <br />TA% COOE153105 TaTp� <br />_� <br />,�� <br />—P C, <br />