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APPLICATIOR FOR CONSTRUCTI� PERMIT <br />CIN OF EVERETT • BUILOING DIVISION � <br />3200 CEOAR STREET • EVEREiT, WA 98201 •(425) 257-BB70 <br />❑ OEMOLITION I� COMBINATION Q BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />oon.�ccrennrccc`�� a �IC7� U,�✓o ,'�.r.S. �...P.lr+.77' <br />�lM�VI 4�x�Od�f55 [I�v (rv nrtn� <br />,�IN�MflC�O�f1E5�OM�� 4��IMIM1f55 CIR l� ��qNf <br />M1MI11µCOh111�LIL1 4�'I�Dltn[55 CIIY !�� ��KM t���111CfXi1• <br />1\ <br />Gv'l�, [ew. I•-7�7 1r I?r �) 5i ,j.���.�.,;•,t� 9Y�?�i(, <br />vro�winl rCvin+c' )� V�4 �MN�f55 brv t��' r��9:r £r��r 12rMS[ � <br />�(Iti �i/Q � ^%% <br />f:1�4pIVGCO41R��1U1� 4��11IX1�[5$ CItY IIV CWJYf � $1��f11CfM5f � <br />ru�cu �u in �nrwnt� <br />;� ,.�, .-(,- i .'.9/ " --, <br />cav��nirc�rtnio���rNnfn rmrts� it�rn��Eu�unrn <br />_—�_-=!� t <br />PLUMBING <br />FOR OFFICE USE ONLY: <br />�1�1�41'.Iln��t Il�nntflP�tr <br />�l�) � ��� / <br />6�,i:o�c-) _ �__ _1i������_ <br />��!-•..��1 I'Vil�l.�.�\ 4U �Y 1'NIl11NG <br />-� .e�y ' <br />L <br />. • � � ��� Ilil'�411[1�1� <br />���li I <br />. �:� .�. nin�iriuo'—_ mTs(w — <br />n � [-- - f��nv <br />��� ..:. -� �V[I.1'fMnYlt1�Y <br />I <br />�—,c/ .,JL�9L91 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />ran.c�n�¢or.vnr�rovr�ro <br />I NERE�Y CER7IFY 7HRT I lIAVE REnD AND EXAMINE� THIS <br />RPPUCATION pND NNOW iMB SAME TO OE TRUE AND COARECT ALL <br />PROVISION$ OF UWS RND ORDINANCES GOVERNING TIII$ TYPE OF <br />WORK W�IL BE COMPLIEO WITN WHETHER SPEGIFlED HEREIN OR <br />NOT. tHE GRANTING OF A PERMI7 DOES NOi PRESVME f0 GIVE <br />AUTMORITY TO VIOLA7E OR CANCEL TNE PNJVISION OF ANY <br />O7NER STRTE OR LOCAL L/ W REGVLhTING CONSTRUCTION OR TI!F. <br />PERlORMANCE OF CONSTRUCTION TMAT I 11M FUiNORIZEO �V THE <br />OWNEfi OF THIS PROPERTY TO PERFORM iHE WORN FOR WHICH <br />APFLICATION IS MRDE RND I GOMPIY WITN TML STRTE <br />GON1RRCi0R5 LnW IB Y] FLW ANp Y96 200 WPC <br />x .� \ ✓vi �� r /d -Lf ^ � % <br />SiGM�\Ulq ��If <br />LI1Y011VM5511�{NSf NO <br />ryW <br />..7 � I � _ � � � . � <br />v�r��.�sn� � __ FEES <br />❑.ts nu�mw'. _ <br />N R�W�� <br />�O .S� F _—_ rv�iunwr. ..'" ___ <br />fl�i! 41 �I �( 411�w��X.�1 <br />❑�f5 qN7 <br />♦oaeowu n�wortc. <br />GI��fP <br />: II P �11!: C I.�unGF <br />GTY OF EVERETT � � � �'�� <br />LOCALSRLES - -- <br />TA% COOE IS JI05 TOTAI <br />fff// � <br />