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APPLICATION FOR CONSTRUCTION PERMIT <br />the Evrrgrrpn <br />CIly PaA1r n <br />eerett B�� BUILDING DEPARTMENT i <br />259-8810 <br />TO BE COMPLETED IN INK -PLEASE <br />PRINT <br />I I DEMOLITION <br />I I COMBINATION I I BUILDING <br />owN n <br />�ON <br />MAN. AD N E55 <br />Si <br />- <br />❑Tr <br />I I MECHANICAL <br />___-- <br />PLUMBING I I SIGN <br />N <br />1 n 'Ti% <br />1-135 lilo�v(� <br />f <br />nr PHONE <br />- <br />TENANT <br />MAN. ADINIE55 <br />CT <br />CIiY <br />ARCHITECT OR DESKINER <br />MAN. ADDRESS <br />N?,'R, I <br />I , , — .1. _ - _ <br />.. cnY <br />I'll rnoNE <br />r'..Ivo YY L I ADDITION N ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I TENNIIMrnMNTEmonn'.00ELMY UILDING REL_O—CAT`IOUN <br />--(- .,,.1 nNu r1uNlE No CONmeor nnvc r.c.......... -- <br />APPLICATION AND KNOW TITE SAME rll I ETO 13C TRUE AND CORRECT. ALL <br />LOT READ AND EXAMINED THIS <br />IEGmTI <br />DEScnON OE pnorERTY ISNOWN nEI ow On ADACII rNmcor¢sl PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />LOT nLocK of WORK WILL RE COMPLETED WITH W14ETIIER SPECIFIED HEREIN OR <br />NOT. TIIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE On LOCAL LAW REGULAIING CONSTRUCTION OR IHE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTIIORIZF.D BY THE <br />OWNER OF TIIIS PROPERTY TO PERFORM TIIE WORK FOR WIIICII <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB 27 RCW AND 296.200 WAC. <br />I <br />T / SIGNATURE Of COr�FACi(InWI%IN1onIZEOAGENT DATE <br />1'— <br />FRONT SEIDACK <br />lISE ZONE <br />IrTY Or CONST AIIMAnIr <br />517E Dr nLoa. <br />OCCUPANCY LOAD FlnE srnNKI.ERsnEoo 1IEgNLL1MIMT" OTHER I— <br />L I YES I I NO _ <br />REASON I'on SPaKIKI E nS STATE BUILDING S1111CI IARGE <br />STATE ENHIGY SULICIIARGE _--i <br />ArrIR:ATpN Acc nr rl u(s nrrnovennr CITY OF EVERETT — '-- <br />- PunnC wnnKc I <br />