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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUI�DING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257•8810 <br />fl DEMOLITION fl COMBINATION fl BUILDING r7 MECHANICAL f� PWMBING i-1 SIGN <br />PROJECT ADDRESS � <br />!05/4 OLYmPrL �YG vr� Ev6Pf� <✓A <br />OWVFn /�� ueR�00PEss L�Ir 1V ryq�{ <br />�irE /� mx.,J 2230 75'zS�SE fi/�7T 9�3 4Z5•_?43-9077 <br />KLaLlW (vnsm.�t,.� �23D75�'�Sc� Li�es'rG� 98?a3 47S•2'90��$P� RAfdec¥o32nr5 <br />4ECNAxILµ!�LON111�C1IX1 4�R�pM�C55 CI1Y jp Aql( 51/.�CI�,:fNS!• <br />TQ IJ <br />RVMB�NGL(Ni1R�C10� RtILApInL55 GIY IT 1�1(Ml SIMfIILVISi• <br />Wp1N <br />)� <br />ocscnmr <br />SA'L[L ia�+.%SI llf5..]�ur.E <br />¢r.0 u[scnrrrqu or n�arnrv �s�rowu utiow on ��u <br />iar��oia:K /I aLiEYBi <br />L%-O//' W1' <br />IO�NlC14%11.�IXMl[$c 1[ILIM1 <br />FIOOR <br />FOR OFFICE US[ ONLY: <br />nrornsue>cx , vu�sc+e.c+ <br />�Z <br />IICIG�11 lllAl1�11:1N <br />� ' <br />orcw.u.cv �n a s <br />r <br />I IIIE . �•11iNil(R PCOI <br />r urt �unra n[oo <br />in,� o� w��s* <br />�—!i <br />f <br />HEATING SYSTEM: I✓FAS fIELECTRIC fl <br />can.cr ruison ��o M.ws �q <br />S?arc OI/?lY,..1 47L. �w n. <br />I HEP[OY CCRTIF� THRT I NRVE READ AND E%RMINEO TNIS <br />APPLICATION ANO NNOW ?HE SAME TO OE THUF AND CORPECT ALL <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING TIIIS TYPL OF <br />WORK WILL OE COMPLIED WItN WNEtHER SPECIPIED HEREIN OR <br />NOT. TME GPANTING OF A PERMIT DOES NOT PRESUME i0 GWE <br />AUTl10RITY i0 VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL lAW REGUUTING CONSTRUGTION OR THF <br />PERFORMFNGE OF CONSTRUCTIUN. THRT I AM AUTNORIZLD OY TNE <br />OWNER OF THIS PROPERTV TO PERFORM THE WOPK FOR WHICH <br />APPIICATION IS MRUE AND I COMPLY WITH THE STA7E <br />CONTRACTORS LAW 1 RCW AND 296200 WAC. <br />r <br />�?� ��� 3•D/ <br />s��i0319Sfi aie <br />(.Ilv p11yM[551 K.f NSL Iq <br />c�aaruux�a Irtc <br />im�nu v�c�r�ts� ` FEES <br />� � i es n eo nwmxr. <br />bO p UWRU�q S�IE q OlW'll <br />IINI15 <br />S nuu�e�rvc <br />acor.ru mno B+ [utrv� urcruwcu <br />IIYC$ �i0 <br />�USpry �WRpNIlpUNG1ECM <br />IllllCll <br />nr�aH� <br />sure ounnnw sumrunce <br />�yu�vr�rrovronr qTYOFEVERETT rvxi�cwcm.s <br />LOCALSALES <br />n•�r 1�3�DI TA%CODE IS 3105 TOTAL ' <br />� <br />