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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDINO DNISION � <br />3200 GEDAR STAEET • EVERETT, WA 98201 •(425) 257•BB10 <br />❑ DEMOLITION � COMSMIATION u% p SUILqNf: O MECXAN^ICAL ❑ PLUMlMIfi ❑ SNiN <br />PROJECTADDRESS� � 9 /�"�-t- /'�A�/L'JN H'liv . <br />r� <br />yi <br />1fN�M� NM.YipF55 ./ f�lv hP nqxF <br />C.A//�ltFlC_ 332Y C. 2/'�tT. Ya++tew�v gYGG/ 3�0 !o �/L- i/i� <br />�Kwttc�OnUFVGMn uN�OMF55 c��v !in rrRnf <br />Rfu�,sc�,f�a, is�s s.,c s��F ' _9Pzaa �� yl�-rryy �P6�YAiB�a�H7 <br />GfNf114COMip�tlOf1 M41KO�E55 CI'� )rP MMh[ <I�fLlCMSf� <br />MFC111MCNLWIN�CIW 4.N1�p11F.55 Gh IM %p1( $GIflCFM5E1 <br />%1.'411MGCd11PqIM 4M�LV1E[5 Clb jIV NqNF SG�FlSFhSF• <br />p9P�ood•ev 7� �i3 <br />�FSCMilf W�11R 1140 [W1PF iQQI/Q{ NWIYiq <br />/320 � Twe StdR�RnD."hir✓ <br />? /" �. <br />ruarouo u�c w mn�d.Ri <br />iEcu otumrnw or inonnn iyowM xaoww �naw nw c� <br />�ot p�OG� �1L_ a 7�I�[.% <br />QLi4� Or' ./.vfNlt'{� /71 ✓� iie✓ � <br />AYSFI �V IO M11R11 <br />4 �42 -O/D -O// -L{'JO� <br />Cd<�u�KIqN10W IfxpfP.MM55.iFlERqMFMMfP <br />Lr�la.� M�in.rr_ � '1 fTLw/O <br />FOR OFFICE USE ONLY: <br />IPONiSfip�Ct Pf�NSfIPKM <br />Zo �_6 <br />IlftfOV( �p1APf� <br />_�-� r(e <br />��f�f.11�1�V11�IqV NOOlfIWfl111ti <br />�� a IlMilf A <br />!iu[ <br />1 inf /.UPP P!O D <br />"� <br />NEATINO SYSTEM: ❑ GAS `��IECTRIC ❑ <br />l�wl T�O—.7 J 7�{ <br />1 HEREBY CERTIFY TN�T I H11VE NE�D AND E%AMINED TMIS <br />�PPLIGTqN NID KNOW THE S�ME TO BE TRUE AND CORRECT �LL <br />PROVISIONS OF UWS AND ORDINANLES GOVERNNq THIS TYPE OF <br />WOfM WIIL BE COMPLIED WIM N7IETHER SPECIflEO NEREIN Ofi <br />NOT. THE ORANTINfi OF A PERMIT OOES NOT PRESUAIE TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEI TlIE PROVISION OF �NV <br />OTHER STATE OR LOCAL LAW REWIAiINO CONSTqlICT10N Oq THE <br />PENiONMANCE OF CONSTRUCTION. TN�T I AM �UTIqpREO BY T11E <br />OWNER OF TNIS PROPERTY TO PERFORM THE WOIV( FOR WMICII <br />APPLIC�TION IS M�DE �ND I COMPLY WITH THE STATE <br />CONTR�CTORS LAW IB Y7 RCW �HD 79l200 WAC. <br />l � %!, dd'W��u�.�' 7�i�i^�' <br />�IGYI� 0�1[ <br />unwvwcssic�xsc rro <br />�11a. b � <br />�i M�wC��E����� �Ff ^O�� PFfFP�H( <br />� <br />�m vrt FEES V�LUIITION <br />o.[s u a.in.�r. ('(Z r./'�-- _ 7G 433 <br />OG�11 <br />� S.F. /JOO.J. nv�nwc ____ __.__ <br />INNI � / Vi1:I1�Hf,N <br />❑�f5 �O ' <br />— �MMIi(1YMM1IVCIIfC.� <br />ObRn <br />il�lf flII�IUWl:51111C11�T'.I <br />TYOFEVERETT �+����r.vmn�s <br />LOCALSAIES - --� — <br />i% CODE IS 7105 To711L , <br />