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APPLICATI� FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT � BUILDING DIVISION <br />3200 CE�AR STREET • EVERETT, WA 98201 • 259•8810 <br />fl DEMOLITION fl COMBINATION M'BUILDIN6 rl MECHANICAL �l PLUMBIN6 Il SKiN <br />PROJECTADDRESS S02/ Na/�Poa L��/r_ <br />awrn( u•nwm/[ss 33ZG PF_O✓FRECan �I� i�r roa�x <br />�/a(„16 � MAiIY r/ONNSYO�J L LG� '�7 !�L- Z S`� - Zj 4l Noiv� Z{2_��79 �FCILF <br />ttx�r�t 4+n r.nrncss cnr nr navE <br />GE No�3�,�;-� /ZbZq s/sz��•/J�Ha�vs✓�cc� GUe s�-�¢r4 <br />�uC�aAcrpn0E5�GN[n ulAlAf�MEsS urv ]�r MqFr <br />t/Ac�c tlourisrorF 332o FF_O�_� �'v 'narr CPIi ?S�_7za� f zSz-//74 _ <br />r.`rrrcuur.mun�cton u�ne[m�ss a�r ]m ror+r—� �urtucrvv. <br />uEcuvir,�ir.Own�rton uui�oo�css arv nr nwv[ su.n�amu• <br />niiunnwcox�n�npn u+n�mncss c��v siv nro�+r si��f�w[rvsr. <br />Ocscni�r�K�rmaqi�nircatK.Fmvav[n �uFINIY/EO 3JS� <br />A/GUJ /ZESIO"NGI= -/-��ts�Yl=luuPerEN! <br />Fins> F�c«. 3ub. <br />!F_Corin F[m..'L¢9_ <br />irarocf o �k a wmu�.a <br />S gQ�Q <br />IEG�l0E5Lnirt�P� M 41�C�'ENrc 13��OWM P[lOW O� �1t�cr� rNp c019ts1 <br />wt � eiocn prNANgow 2/OG.[ <br />Girr cr F_uri<c=r� <br />rux:Ei t�� i o mn.�ncn <br />i � F p 73 z S e�oo co.s o0 05 <br />covsimicna+iwH�r.mrn �onn[ss.n�rnroeknwxn <br />I -�R +� � - 9/_ <br />SINK 6 <br />11ER <br />TRAY <br />FOR OFFICE USE ONLY: <br />r�uia�n�c. � nrnncnnepck� � <br />IISf )flNf' � 101 M' O <br />�-S <br />ucioa uN�imv/ �i° a onuiiur. <br />ocCureucv w� n s�m�ia a:cun�w �a�o <br />c.rram 2 � <br />nne raem• mm� ��r+=ov <br />�� <br />nm'<rn�n.�rnnrnn m.�rn <br />A.'� �iAL^IF <br />�mrormvs� nnv rmmvrn� <br />� �,,,� �a1�/� <br />S <br />HEA?ING SYSTEM: I 1 GAS f 1 EIECTRIC I 1 FUE�(�L ' <br />crnuir.ct rrnsou um n�a+r rro <br />/ / �L.ri.T'1 <br />I HEREOV CERiIFY iHAT 1 I/AVE REAO RND EXAMINEO TNIS <br />APPIICATION PNO NNOW TNE SAME TO BE TROE AND CORRECT RLL <br />PROVISIONS OF LAWS AND ORUINANCES GOVEHNING THIS TYPE OF <br />WORK WILL BE COMPLIEO WITIi WHETHER SPECIFIED NEREIN OR <br />NOT. iHE aRRNTINO OF A PERMIT DOES NOT PRESUTAE TO GIVE <br />AUiHORIiV TO l'IOLFTE OR CANCEL THE PROVISION OF ANY <br />OTNER STATE OR LOCAL L�W REGUUTINa CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TH�T I AM RUTMORIZE� BY THE <br />OWNER OF TMIS PROPERtY TO PERFORM THE W�R1c FOR WHICH <br />�PPLICATION IS MAOE 11ND I COMPLY WITN TNC STATE <br />LONTR�CTORS LAW 1�CW AND 2962D0 WAC. <br />f.IhBUVM551 <br />S�IIFCf1P�f�/ RI�NC1Rt�rv Ifl�� <br />� .) <br />.'-� <br />v�ue�atr FEES <br />� � rss i �. rrv awmnx: <br />�ircamnrn 7(A� q�byy� <br />1017C�'.��L U6.%fc h��!'A'�r <br />–F/7�siviNt vro�u�u� _ <br />�1(.�v ,�wn <br />AINMII04�I M1INCIIfC,N <br />ourtn <br />cuic nunorvr, su�x:ru�rc:c <br />CITYOFEVERETT n�a�r�'^� <br />LOCALSALES <br />TA% CODE IS 7105 iOTAL <br />� <br />S <br />FEE S <br />iG ">Z. <br />