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APPLICA'FI� �AR CQNSTRUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAF STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION � COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBING ❑ SION <br />PROJECTADDRESS: 1n0� S'i-'�' S'�' SW �v<r��Jf{ . <br />IY�nss��'. �nc . S`iu7 i5� "� 51' S W Ec1rvi��,�i3 ulA 9soa6 C4a,� 74d-1377 <br />OMIFR ue���ppnf.5s Orv tir NqNt <br />IiN1N� 4Y1 MID11F5$ f.l\Y lIV %�IH1F <br />atrc}���cL� N1ni 145`115 1�J�`� �V� NG Sv,lf� toU M� <br />���.�rc�on�sa�sn �.n.00nvss nn n� .— ��nv��1�YJA.%4'JS��fSg=�a <br />5907 �5G"' tsw �,�n�� _. <br />�nsxv co�,sl'. Z„� . �.,�_F�r.wYls�y,VA. _�,1AS5FCZ�Zt�_ <br />GfNf��l NID�CIM 44� �ppnF55 Cilv )i� wu)yf 54t11 CENSV • <br />PIIIMBI4CrCD�llp�f.1(NI <br />-� l :' ✓ - / <br />orscn�nF vnn. ��.0 w��u�t .00��cE wvmvEo <br />Cr, n Sl"� V.Zi' <� n<..J 5�.i �C J <br />� �+ -F/o.,✓ = 765 Sq.Ft. <br />3-"`f fI��Y = '��7 s,.r-+' <br />l[mL oescniaupv w rnqy <br />lO� � BLOCM <br />nS U�•U O;i <br />r��[rvorr[ Muux[n <br />$UB TOTAL f <br />PERMIi S <br />TOTRIFEE S <br />FOR OFFICE USE ONLV: <br />rnowissia.rn7 � nr�nsnnec. <br />I�SE I0Y( � �p� �p� <br />�[w�iiwi�� v � noauncuiw <br />occun�v:.�..,�a�. w-.aa�ea�m�o <br />��AE AIAPM fV(O p <br />G1 <br />FEE <br />ruonr cu�vt¢E�.sF. <br />-- GARYPPI 1�K� <br />t'110N! $t/.IFIKFM1SF/ <br />HEATING SYSTEM; ❑ GAS ❑ ELECTRIC.�' <br />covnc� r� nsa+.rm rrurvr r.o <br />_ Ch�SJ 74� - 13�7 <br />1 HERE9Y CERTIFY TNAT I HAyE FEAf1 �ND E%AMINED THIS <br />AYPIICATION AN� NNOW THE SAME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LqWS AND ORDINANCES GOVEflNING THIS TVPE OF <br />WORK WIIL BE COMPLIED WIiN WHETHER SPECIFIED HEREIN OR <br />NOT THE GFANTING OF A PEPMR DOES NOT PqESUME TO GIVE <br />AUTNORITY TO VIOUTE OR CANCEL THE PROVISION OF �NY <br />OTMER STATE OR IOCAL LA1Y REGULATING CONSTRUCTION OR THE <br />PERFORMANLE OF CONSTRUCTION THAT I AM AUTMORI2ED BY iHE <br />OWNER OF THIS Pi10PERiY TU PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRRCTOfiS LAW IP 2] RG W pND 296 200 WAC <br />.���i'� �� ala�J�9 <br />••<.rv E uul <br />Cli� 0U4MESSIK[NSL FO <br />IECIi�NICAL <br />N�, iYVEOFEOUIPMENT ccc <br />� i'��ESC�BK`y/.� f'1NCIIECMM1IINNlR <br />�� � I <br />U �f /_/' �./' <br />vue�snc fEES <br />e.es ❑ w nin��xwr. <br />sitE a eiocni <br />SF. ����uw�� — -- <br />R.i4EN1 VifluM¢4 <br />❑r[S � -- <br />•Dplip�a�i ry �R CMI [K <br />UL¢n <br />S��q a�o�u.v6 snnuunC.r <br />CRYOFEVEHETT ���nnr.won+s <br />LOCALSALES -- <br />j TAX LODE IS 7105 TOTAL <br />�•���• <br />rf� J� nffFlmqO <br />J �.� <br />VALU�TION FEE <br />`To v v_� 2 �-ry7'� <br />____' _ .'_ [�{__ <br />�LT� _" <br />