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APPLIC4T1� FOiii CONSTRUC�N PERMIT <br />CITY OF EVERETf • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION [� COMSINATION ❑ BUILDINO ❑ ME�CH�"ANICAL ❑ p�UM81N0 ❑ SION <br />PROJF.CT ADDRESS: __ �(Jrr�,�i� ,.4.• <br />�A��s,kq,c,r��L&rc ?vov ��,�Kl� y�'ac7 v�r_� »ab <br />rn uuiyun�cs �n rm >.,� <br />1EN1N1 4�1 YIORI'!S GtY !N %pIf <br />•4C1111([lQ11f1i51G��(� 4U114:'YIf55 CIIY t�� „w(Y�f - <br />�Q.��e���Irr k�'1. (�,: lY0✓ '�zr�r/% �1(!3 V1T719 ))�b j�EUi�}O1GTC- <br />OFM[SLLCON�Iuc� w�leqAFSs cnr I�r <br />AMY�[ (1�1� IKfNC{ � <br />�CII�WC�lCMI11\CI(IP V��IAi%1Pf$5 Clh I�� P�A'Yi( [I�IfI�CEN<f� <br />P1114BMGCONIP�f.1pf1 41�LI�C�.Af55 Cltv <br />!�P PHCNf 54111KFh5F • <br />ior <br />'wr 6�.d <br />syi u�R, <br />eiacR <br />HEATING SYSTEM: l� GAS ❑ ELECTRIC ❑ <br />cw�.c, �7 nsav. ..o <br />�(q ��r� Uar ?ctlP 7/ J�j <br />� I HEREBv CERTIFY TH�T 1 HqyE READ AND E%AMINED THIS <br />APPLICATION �ND KNOW TNE S�ME TO BE TRUE �NO CORRECT ALL <br />PROVi510NS OF LAWS M!D ORDINANCES GOVERMNG THIS TYPE OF <br />WORN W111 BE COMPLIED WITM WHETHER SPECIPIED HERE�N OA <br />neaowp��n.cwMp^q��si rqT. THE GRANTING OF A PERMI7 DpES NOT PRESUME TO GIVE <br />_p AUTHORITY TO VIOL�TE ON CANCEL TME PPOVISION OF RNY <br />OTNER STATE OR LOCQ L11W RECUUT6JG CONSTRUCiION OR THE <br />PERFORMANCE OF CONSTRUCTION. TNAT I �M AUTNORIZEO BY TME <br />OWNER OF TMIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />AGPLICATION IS MAOE AND � COMPLY WITN TNE ST�iE <br />CO TR�CT S IB27RCW�ND@96200W�C <br />L f^/ <br />[I�MM�Fn % /O/ / =r <br />IUPE 9Nl <br />f <br />FOR OFFICE USE ONLY: <br />innarvrn�r. nnn! <br />1�[[ 'OVf � Ifll \1� <br />�cs ❑.0 <br />IRIC��II�Vll�ly��� ;p�yl1W[llXK1 SIjEQ! <br />�,�, i .,...,. <br />y.ii <br />❑ h0 <br />�/� <br />nac a��:: r.ic n <br />C�1Y N14NC55llCf MS( NC <br />Rul MM: <br />rioun�rc _. _' '_— <br />411 w�nN'.N _ — <br />�pU1NN11 M1 �V C'If f� <br />nIN�11 <br />�,.,� �„,�M,:,,�.,.�: � <br />_. _...... <br />EVERETT rvTir.rnv�.c <br />p� I l. /Y'� LOCAL SALES ' <br />u.., V�•A7, TAX CODE IS ]105 TOT�L <br />SUB TOT�I f ' <br />PENMIT S <br />TO7ALFEE f <br />rFr � mfrm�W <br />V�LU�TION FEE <br />— �_ <br />-_ 1sf5� l'iv /25/ ,.�5 <br />- -..-- - -_ _�.-1���--- <br />_'__ _'_'_ -_Q V._-"_' <br />- ---4'SG <br />-- - --- _ ZQ �_. <br />