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APPLICATIOR FOR CONSTRUCT�N PERMIT <br />CIN OP EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ UMBIN6 O 516N <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDINa ❑ MECMANICAI PL <br />PROJECTADDRESS: '' �' � L"•�'^iO QVE <br />_. _ � .t[ onena Oi,a_nn.... <br />iFe�v� uen�naKss .rtr !m nroNF <br />Z•fpres��rN � a, `M <br />�ICwIIc10�—��� MAG�ii.n —��T4��MmtSs cnv tm rn(nF <br />� �ONST __ �6Co.v++l7Jdl <br />crNtmi<ov�mc�ca ou�r.oc��ss cn. nr r�xrvr sunucrNsv. <br />uic�uMCNG[riln�fi(M vPlM;b+F55 C�n tir r�qvt c1�41K[HSE• <br />PIIIMIIMGCONIN/LI(M1 4�ilR%Y�f55 Pry IIV 1'MOYF Sf��fIK(NSF• <br />oFscn�nr w�n�.ro sar�n�..00..�.ywy� u <br />d� <br />���aa�sFouu or mmarr. <br />�Fr.��crc�����•�rcr� pr r'wrtnn isravm ntian w ��n'pl.cr� <br />�o� �xix� a�iL <br />r.ncn ��r i n wiuxn <br />S'�1 / 039 Oo7 Ood <br />ctr+<�nw��a��ar�ir.xxu u+mtss rnc�[w�wFn <br />FOR OFFICE USE ONLY: <br />1110N1Q�Pq� PI�O[f^�Rqn� <br />IrtFl � IO����flw <br />`'i�-Z i <br />urinanmu�� woanwrt� <br />� <br />rcr�rr�+...r x r�.I,We\ IX:C1�14N�1U <br />—�_N. _—�,,..� t � 9n <br />sa srie.ca <br />V�C�'�' Si�[ <br />.�.�, o �, <br />SitE M &OG'f � <br />M�41 <br />0�[5 ��] <br />SYSTEM: ❑ GAS I& EIECTRIC ❑ <br />cw,.cr <br />I NEREBY CERTIFY TH�T I HAVE READ �NO E%�MINED THIS <br />APPUCATION AND NNOW TME SAME TO BE TRUE AND CORRECT �Ll <br />PPOVISIONS OF L�WS AND ORDINANCE$ GOVERNING THIS TYPE OF <br />WORK Wil L BE COMPLIEO WITH WNETMER SPECIFIEO HEREiN OR <br />NOT. THE GR�NTING OF � PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITv TO VIOLATE OR C�NCEL TME PPOVISiON OF I1NY <br />OTIIER STATE OR LOCAL LAW REODUTING CONSTRUCTION OR THE <br />7ERFORMANCE OF CONSTRUCTION THAT I �M AUTMORIZED NY THE <br />OWNER OF TMIS PROPERTY TO PERFORM TNE WORK FOR WNICH <br />APPLICATION IS MAOE �ND I COMPLY WITH THE STATE <br />CONTRACTORS UW IB 27 RCW �ND t96 200 WRC. <br />x 'V v-f S S ' �� <br />.mru wrt <br />p}YNIVM[SlSIN51 NO <br />SYSTEMS <br />SUB TOL1L f <br />7EAMIT f <br />TOTAL FEE f <br />43b <br />MeHb�Etty} i�rn r�f nrrFl�lnJ <br />��d �S (� �! �� <br />iEES VAlU�T10N F_�� E���'�c_,�_ <br />RuiMw'. _ _ �i,� � _— U/l`C! L-S ' � <br />rman�vr "' '_ ' _...._�J�; <br />41C���M1M[q __— . �'�_"�__ <br />•OplmV�l 1YANC11fCa 4 !0 / <br />plrH� <br />5u�1 PimU�M:Sn�CUNG! <br />CRYOFEVENETT ^'"'��^""` <br />LOCALSALES -' <br />TAX CODE IS J705 70T�L <br />