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APPLICATI� FOR CONSTRUCT�N PERMIT� <br />CITV OF EVERETT • BUILDING DIVIS:ON <br />3200 CEDAR STREET • C•VER[TT, WA 90201 ^ 259-8810 <br />❑ DEMOl1StON ❑ COMB�N�TION � BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SION <br />PROJECTAODRESS: 97u F/�v A/clil ^/J1' {A�1L/- 19'S� Qu7�QE,9LL� <br />S <br />�..E uu�wtnEss urv r�r r.o�rt <br />�[x�vt uu�uonrss un +'� ��ory� <br />•11L��1(CiCPOESiGHfN YMYId�f55 C�M1 )�� ��F <br />"_.' __ _ — __ "_"_'—_ ..._ ..nn..� _-.,/.7n1/l� <br />MECeI.wGtCM1�4tOn MuteWnE55v f.rtY A� FnOwE SVdflKfwSE� <br />RV40MGCp:1P�f,�Of1 4�RACORfS$ 11IY "� PIqHF S1A�ElK(MS[� <br />__.. __..._� _. .._ _. <br />�%�' �, Gb0 <br />oEscwa[ wvuR.rro sw�nr rroircE MvaT <br />wi _ eioc� <br />FOR OFFICE USE ONLY: <br />fPp1lNlll��tl nEnI1t1RKR <br />OSFIWE 101�nf� <br />�ICICrN� L1Yll�ilOY MO O� VMIIING <br />UNIIG <br />CCCV��Nb M(KSII'c��5 0.CV��NIl0�0 <br />GfKKrt I �iO <br />�;��- �,;5%. <br />unuaroo uf.srn <br />(yl'h• <br />xcoris� �i�rserrnov[ner <br />'i ( , i ` ..... � �`� <br />MM11F11 <br />FEE S <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />cov��c� rrnzwuei rHbrt rq <br />�un.a irov _ cd,iimae 7� <br />1 NEREDY CERTIFY TH�T I H�VE READ AND E%AMINED T1115 <br />AAFLIC�TION �ND NNOW TNE SAME TO BE TRUE ANO CONRECT ALl <br />PROVIS�ONS OF UWS AND ORDINANCES GOVERNING TNIS TVPE OF <br />WORK Wlll BE COMPLIED WITH WIIETHER SPECIFIED HEREIN OF <br />NOT. THE OF�NTIN6 OF � PERMIT DOES NOT PRESUME TO GIVE <br />RUTHORITY TO ��OUTE ON CANLEL TNE PROVISION OF �NY <br />OTHEF STA7E OR LOC/�L lAW RE6UlATING CON57RUCTION OR THE <br />PERFORMIINCE OF CONSTRUCT104. THAT I �M AUTNORIZED BY THE <br />OWNER OF TNIS PROPERTY TO PERFORM TNE WOPK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH TME STATE <br />CONTR�LTORS'. AW IB27 PCW ANU Q96200 WRC. <br />// � �� <br />SiGMI,11p1F D�I[ <br />crtr euvw[ss ictxs[ uo <br />S�Of Sf �BK6 I h�x nRP <br />V�GN� Y�F <br />���s a 1O outnvr. <br />w eiwn i <br />� � I Q�1 �11140M(1 <br />P�AMFMI 4ICII�NICI1 <br />❑Yi5 ❑ NII <br />•ou�nowi nuinrtte <br />��.,�� <br />s�ert nurm�re s�mcn+rot <br />CITYOFEVERETT runi¢wnn.s <br />LOCALSALES <br />TR%CODE15J105 7o7�L <br />� <br />