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APPLICATI� FOR CONSTRUCT�N PERMIT� <br />CITV OF EVERETT • auwaru3 omabN <br />3200 CEDAR STREET • EVERETT, WA 0l201 • 259-lS10 <br />❑ pEqpUiION ❑ COMBINIITION �BWLDNIO ❑ MECMANICAL ❑ PLUM9NKi ❑ SbM <br />PROJECT ADORE8S: <br />/ � <br />.Jp-'�� tIS :� bo(l� I . <br />reww� u.K�m4ss utr rro o��oHt <br />�r SGn,F Ct5 G.�JGY/C <br />�rcrrtcrdircwrtn u�+.ou�ss an �m narf <br />��� P G< 11i7a r' SC`l� <br />w.tnucowtwGton uu�mn[ss o�r !M' nq�t s��ttiittME• <br />' � ��r� G 5 hr-�r Se�{. <br />�rtcw..acucd'm�crou uu�an[ss nrr rm i+�wr �r.�ruc[rrs[• <br />' r r � C �Vf' S(� � — <br />IYUNMOCP1fP.Y.IOR Y.VlI.W11F59 L1tt Ib 1Y61E S��IELSfMSF• <br />uxaeE <br />IL�3 <br />NEIITING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />„ �:k,,:.,� r�w_ G., Y� � �>as ZS�E-GS �� <br />` � ���Q ,� NEHEBY CERTIFY TMAT I H�VE PE�D MiU E%�MINEO iM3 <br />"� /� �` ��� � �"' '�'� APPLIC�TKKI M!U MNOW THE S�ME TO BE TRUE �ND CORNECT �ll <br />movaxo �s[ ar euia+u " pppNSIONS OF LAWS hND ORDIN�NCES 60VEfMIM![i MS iYPE OF <br />S, F WOfq( WILL BE CQMPIIED WITN W1IETHER SPEpF1ED NEREM OR <br />iEy,�p[yqsnwospmrcmr�s1rora��vww�n�twomrts� rypT. TNE ORiVITIN6 OF A PERMIT DOES NOT FRESINE TO 61VE <br />ip� � �� a" �t' ,--F P i G AUTHORITV TO VIOIATE OR C�NCEL THE PqOVI$ION OF NIY <br />OTMER STATE OR LOLK UW REGULATN(1 CONSTRl1GT10p ON iNE <br />� Y nd 1�+-� .n t Vk fh- Ou �� � iv� N PERFORMANCE OF CONSTRUCTION. TIUT I NA �UTMOR�ZEO BV TIIE <br />OYMER OF TMIS PROPERTY TO PERFORM T1E W011K WM MMCN <br />�. �j r7 I_� - d �iPUCA�ION IS M�DE �ND 1 C061PLY WITH TME ST�TE <br />CONTMCTORS LAW 1B 21 RCW ANO RY6200 WAC. <br />MI1LElT11F10 MIIEP <br />Cq,SipUL11O110MIlEM�FN.MCI1F55.R1F1'1Y}EMI�M[P l/aJL[/ (' �� <br />x wr[ <br />s�ru� <br />wrs.Ess�c[xur.o <br />� <br />FOR OFFlCE USE ONLV: 1- -G =�'D"'' �"'� �' � <br />rnwrYrn' � u[/.nVtl.Kx, voFs[isKx , nu�i�rcnrw n r�r�^�) nrc. <br />iei Ki ��� -OAQ �. <br />uscta[ �o��uc� v�c�.��v�[ FEES V�LU��WN <br />a.�s o.«, w,.��� 33 3— <br />�rtK.xtien�r.wus / inaowu�w vicaxocni3L� S.tC �or� <br />��(N� / Wf11�ML4 <br />❑LLS V�M1 <br />11MYIMM�1 �11NCW CF <br />O��Nn <br />Sl�lf MFlUMtS�MK����1Cf <br />CITYOFEVERETT M+�+'�' <br />LOC�L SALES — - — <br />TA% CODE IS 7105 TOTAL <br />