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APPLICATI� FOR CONSTRUC�ON PrRMIT <br />CITY OF EVERETT • BUILDING DIVIS�ON � <br />9200 CEDAR STREET • EVERETT, WA 98201 •(425j 257-GfS10 <br />❑ DEMOLITION ❑ COMBINAnTION ❑ BUILDING � �MECHIINICAL fj�{'PIUMBING ❑ SION <br />PROJEGTADUR�SS: 81`1 1"iY1C � FJl'lf�f _�.✓� GfS7f�% <br />1lN�NI YN�fIPi55 f.11� /IV 1`�rt1Yf <br />51;c�cncv�U,.�o�+v Q.�..:wa q�� uksbr.. A��L� ����. 98ioL �o�c33_[t2'L _. <br />.nc,..,c o�—r Mi���—.x.rv,ms, ui. ,�r ,�n., <br />Malk Ce •,l.�,.�1.e�Tnc.!o`/UP L-. Ql�ei57cle� . 60+ e1l—���_rszs_�� •vor.v .aa�KL-ccde6SU <br />ffNUl4 CONIO�CIM1 4u1 �M�155 [�I• l�l' P��rv� 51�II IKtNO � <br />P'1�1�� C�+ci„�,:.w.r., /ov F�, Qe A(�i4e1� 9ao�� vzs-ro�-n�vv ,et�[t�c.toG�r►� <br />�.rc�ur«u�rcwm�r.mn uuuoontss an m. r�wr.r sinnK[esE. <br />Lr5 Plur..�OCHy �Ze_ 5.��_ze3.(1�. p�, ue� 9xoz3 zr3�93v•szo� esPlKMboGLLG <br />ia� <br />NO. <br />�OWER <br />e�a.� <br />�[N�1LLSi If l(h�ONF MWRF�I <br />FON OFFICE USE ONLY: <br />i�U(>�IIon1�tNN I40'bOwf11�M <br />Ii�l�ll1r4P1UI1 ��1ry��ny <br />. _. _ '._ . . _.I 1_"__. _ <br />MEATING SYSTEM: �9 GAS ❑ EIECTRIC ❑ <br />can�r.� n nsaw uwi nnm rq <br />I IIEREOY CER7IFY IIIAT I HAVE AEAU AND E%�MINEO TMIS <br />APPIIC�TION �N� 1cNOW TNE S�ME TO OE TPUE �ND CONRELi AL� <br />�ROVISIONS OF ��WS AND OROINANCES GOVERNING iN15 TYPE OF <br />WORN WIIL BE LOMPLIEO WI7N WHETNER SPECIFIED HEREIN OR <br />NO7. TME G�7ANiING OF A PERAIR UOES NOI PRESUME TO GWE <br />AUTMORITY TO VIOLATE OR CANCEL THE PqOV15lON OF �NY <br />OTIIER STATE OR LOC 4 LAW REGUUTING CONSTRUCTION OR TNE <br />PERFORMANCE OI WNSTRUCTION TN�T I AM AUTMORREO BY TNE <br />OWN[R OF THIS oqOPEAfY TO PERFORM THE WORM FOR WNICM <br />�.��PLICATION IS MADE AND I COMPLY WITII TNE Si�fE <br />:.JNiq�CTORSIAYIP2) �ND �6700W/C <br />. -L- 9a <br />:rN.� a � ��.�� <br />f,11Y MI:�M 551M:1 riy Np <br />AECN�NICIIL � <br />NOT iYVEOFEWIPMENT FEE <br />Nl� � NHf�ll <br />fORLED AIF <br />NE�TPUMP <br />S <br />S�aSfISK� n�Mp�lC�mi�ln rtf <br />l�a� � <br />vuwisn FEES V�lWT10 <br />Ort5 O rn) nvinrr <br />w emcm _' _ _" <br />M1IIV11�Mf . .. . . -... <br />11�tININ� V11����.M'�1 <br />O.es O �.n ___' _— ".—'_ <br />— u�nixwun•eorc+ <br />(II�Mn <br />V�IIRm11wf.YNMLnp� —••.- <br />CITYOFEVERETT ���a����+�' �« <br />LOCAL S�lES - � � ---- - — -- <br />TA% CODE IS �105 TOTAL _ � <br />f <br />nrtnr� rro <br />