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APPLICATIO� FOR CONSTRUCT�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERE7T, WA 98201 •(425) 257•8810 <br />❑ DEMOLITON � COMBINATION � BUILOING ❑ MECHANICAL � PLUMBING ❑ SION <br />PROJECTADDRESS:��ciY /Ii� L�;aI <br />V.wFn wul�Wnfss c�rv 1�� nyr:� <br />-�1.qrkcffln `4„}�� '1 �,E�errb+ , n,�Fa58�3483 <br />�OL�xiRtO�MSiFvtn unI�O1N�f55 O�v /iv rv�(nt <br />�� <br />rx s�n��r vnaK ��u sznnt .00�.cE wvavro� <br />/-l1.N1� <br />I3��a-l. Yern2dP I f 5+ <br />idrornstnvstorn�mwen� I � <br />� r � <br />IfG4p[Sc�aPliplqPMNEf1i�Vp1�/ PllOwpUil <br />�oi � 9 �� oioc. _1127___ or� <br />1)n� 5 �, S <br />4379- zx4 — 010 - 000� <br />Ml�f.f I I�M 1 O MI4P1 �1 <br />BATMTUB <br />URINAL <br />5 <br />L <br />l�� MfJ'.I <br />(i� _—_ 1`nOvl <br />[P�FlRENSE• <br />MEATING SYSTEM: ,�i GAS ❑ ELECTRIC ❑ <br />I NEREBY LERTIFY TNRT I NAVE REPD AND E%AMINED THIS <br />RPPUCRTION AN� NNOW THE SAMG TO BE TRUE �NO CORREGT ALL <br />PROVISIONS OF L�WS AND ORUINANCES GOVERNING TNIS TVPE OF <br />WORN W�1 L DE COMPLIED WITH WMETHER SPECIFIED MGPEIN OR <br />NOT TNE GA�NTiNG OF q PEPMIT OOES NOT PRESVME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANV <br />OT/IER STaTE OR LOCAL L�W PEGUUTING CONSTRIICiION OR THE <br />PEFFORMAbCE Of CONSTPUG710N. TMAT 1 �M AUTNpRREO BY TME <br />OWNER OF THIS PROPERiV TO PERFORM TME WORe FOR WHICH <br />APPI.ILATION IS MRDE �ND I GOMPLY WITH THE 5TI1TE <br />CONTRn.Cn7ON/S UW �B 2] RCY! AND Y96 200 W/.0 <br />x :��'�f/J��-,�� S /O^q� <br />yurve�on:; nm <br />b611UVM55lT.lN[[ NO <br />FOR OFFICE USE ONLY: <br />�nrv�vtMrx nr�nSrlP¢� siaSflnKn ri�xp��r� rn <br />S���L <br />i,i;orr ioiu��n v�cw�s�[ FEES <br />❑�f5 O M) P���MM: <br />��1�':��I I'Vil��ill� 40 fH I�Wf111Mi Ci![ Of Bla'11 <br />I4ilti ��1� f'1114PNC <br />Ull 1 � �' <br />• ...�.i.nl l%f�in�Nllllt.) p�Sf4f41 4f1:1�1VN� <br />�3 ❑.�s ❑.� <br />�'��.:.Cun,�o'n.—_ m..<.+ .nauowin.wortc <br />nv.fn <br />�-.::D.I,:•i:�un — nr�qnv <br />41��1 flilitU�41:5111K11�fif.t <br />nFFi-'o•�c� '— rinys��rnnvtnm' CITYOFEVERETT ���nucwo��.c <br />LOCALSALES -�--- <br />n,n ,S�/6I�'i �i TA% CODE IS 7105 To7�L <br />iOTA� FEE f <br />�ff ��rrrmr <br />/�s. 3 3 <br />� <br />