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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIT'/ OF EVERETT • BUIIDING DNISION � <br />3200 CEDM STREET • EVEREIT, WA 98201 •(425) 257-8810 <br />p DEMOLRION ❑ COMMINAiION '� SIM�DIMG ❑ MECNANICAL ❑ PLUMISNM ❑ SNiN <br />PROJECT ADORESS: �V 1� l�c. � 4/ t��t- <br />_ ' � n1 (� e... . .P _ _ � fl ._ .� ._.. � //Y. . A�v..l �J.('J-PLa i <br />•wf.MRC� W IIESiG'M1�� u�h 4MMf55 C�Iv l�� �•KWf <br />�wne r <br />GFN[1UlCOM�M�L104 4UI�OMFSS C�h Ji� �Y�M 51�IIlCENG• <br />1KC111MC�1G0'11��C1W 4ulRb�i55 f.�tl Cn'Y.f t1�Rl2fNt[� <br />ry11M111NGCCMIM���C(1 41K�[RX1f55 C�i\ ll� f�q4! $f�Ii11C[h5�• <br />�o� <br />SW�Pf <br />xoc. <br />•(IMlS[ <br />FOR OFFICE USE ONLV: <br />vuimr <br />�YifJ�l UMI�INh <br />«� ��..::. ..•�� ., <br />c�r <br />liuf [�i+i•�nl(NPL'I'p <br />� W[ /yAN4 N!Q D <br />Lf[ <br />imew. vw:�v�wc <br />❑rFs ❑ M� <br />•O d �N[ItiNG SItF 0�lla'1� <br />11 �1[ <br />u�ro�.w�w.n e�sr��� <br />O�IS ❑�A <br />crtr oF ev[i <br />LOCAL SAI <br />TAII COOE IS <br />HEATINC SYSTEM: �IIGAS ❑ ELECTRIC ❑ _ <br />[dt�tt ry n5(n �M f`rNMl1 4p <br />f/ 11 1 • N��i_�I <br />1 NEREBY CEATIFY 7HAT I HAVE READ ANO E%AMINED iH15 <br />APPLICATIpN ANO NNOW THE S�ME TO BE TRUE �NO COPqECT �LL <br />PROVISIONS OF ��WS AND ORpIN�NCES GOVERNING THIS TYPE OF <br />WOfM( Wi1L BE COMP�IEO WITH WNETMER SPEGFIED MERE�N OR <br />NOT. TNE GA�NTING OF A PERMIT DOES NOT PRESVME TO GIVE <br />AUiHOR1TY TO VIOI�TE OR CANCEL THE PROVISION OF I1NY <br />0T11ER SiATE OR IOChL L�W REGULATING CONSTRIKTION OR TME <br />PERFORMMIGE Oi' CONSTRULTION TH�T I MI �UTIqR12ED BV TME <br />OWNER OF THIS PROVEAiV TO PERFORM THE WORM FOR WHILH <br />APPLICATION IS MAOE �ND 1 C MPIY WITH TNE ST�TE <br />CONTMCTORS lAW IP 2] RCW �ND Y00 W�C <br />,��Q � 3/�-/ss <br />'.KN��UY. O�R <br />O1�M14MSSIKfNq SO <br />$rovi <br />fff <br />nu�n�.a _ <br />M1INlhf <br />vrc�.�r.i <br />�ppI�M11 111\ I�MC� <br />ObMn <br />t1111 MFIU.�IiS�X�C1Utlf.(- <br />.� ��,:..,M,.� <br />TOTAL <br />MffM'�MO <br />fEE <br />- _ __ 0----� <br />�'� <br />- - —`�-oJ <br />�� <br />