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APR:.ICATIO� FOR COIdSTRUCT�N PERNIIT� <br />CITV OF EVERETT • BUILDING DIVISION <br />3200 CEDAP. STflEET • EVERETT, WA 88201 • 259-8810 <br />❑ DEMOLITION ❑ COUIBINATION � BUILDIN6 '� MECHAN�CAL � PLUMBING ❑ SKiN <br />PROJECTADDRESS: oi0�(e i� ra S(. <br />G�„� i�►,��„., �o r��x �id�4 F�u��H- aQ�o� �3�- r3r� _ <br />OM�FP Y�YMq1E55 GM1 IiP Vh�NC <br />�IXIWI uuLWR1E55 G�Y IIV 1'IIWF <br />MCNiELi0ROE51GxER YullDpf1E55 C�l� I�I' IhqH( <br />GENEII.LLCONtMC1011 MYVD011E55 G�v Irf PiqNE SUICtIC[x$f� <br />Lnrst�� ;,,r,,l. l5$oa d3''� s(. ,V[ S� n�t, �,�9v 33k-7��� �rtas�c y� io� DN <br />� NfCMµ1CAlC0lAReCIOP MMIAppR(55 btt }iP PII(M�E SGIE4CEMSF• <br />OESCMPE NMM 1M0 SOII�Pf iOpiKrF wVIXVEO <br />im 1'—� eioc. <br />G <br />FLOOR <br />��.qn s�F-tia3� AQTSDi <br />fiEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />c�vucr vrnsor� nno r�ar�E <br />1 HEflEBY CERTIF': THAT I HAVE READ �ND E%AMINED THIS <br />APPLICATION AND NNOW TME SAME TO BE TRUE AND COHRECT Ql <br />PROVISIONS OF LAWS AND ORDINRNCES GOVEHNING 4c5 TYPE OF <br />WOFN WILL BE COMPLIED WITH WHETMEH SPECIFIED hEREIN OR <br />NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIO�ATE OR CANCEL TNE PROVISION OF ANV <br />OTHER STATE OR LOC:Q LAW HEGULATING CONSTRUCTION OR THE <br />PERFOflM0.NCE OF CONSTRUCTION. T/UT I AM AUTHOflIZED BY YHE <br />OWNER OF THIS PRJPERTV TO PERFORM THE WORK FOR WHICH <br />APPUCATION IS MADE AND I COMPLY WRH THE STATE <br />CONTRACTORS LAYI fe.Y7 RCW ANO 2%. WAC. <br />, `�//G��s✓ �,_ 8'- �s-9 7 <br />sr.xuim[ oe¢ <br />CItY6U4MF5511C[NSL�q <br />IIEAT <br />TYPE OF EOUIPMENT <br />��� <br />FOR OFFICE USE ONLY: <br />f110N14CIfl�CM 11CM1[(Ifl�CR $1�($f1B�CY. �'I�NCII[[FN11W1�11 <br />`C�^i,(� <br />us[ta�r ro��i�re v�c�x�5ur FEES <br />❑Y6 ❑ x0 p�p�prYO <br />NEIGIIIIIMII�t10N MOOfI1W(ILIAG SIIEMOID(171 <br />UNII[ � , J I�III411iN1i <br />i NF+__ N� <br />rvutnncao nr.ca� <br />N" <br />�unEoo nr��w. <br />N� <br />oovsr, nnHs�rr y�nnr <br />l �� /l� <br />�\� ue�t �1'2-S� <br />115F4ENI 4f fllnlr�f./.1 <br />❑Y($ M7 — <br />.nnuon.i n.v nrta <br />otu[n <br />. \��If RV1lIxr�C SIIIIf.11111f.! <br />CITYOFEVERETT runurwnn.� <br />LOCALSALES -- <br />TAX CODE IS J105 TOTnL <br />SU� TOTAL f <br />PERNIT f <br />TOTALFEE S <br />1 �, � nrcnr�wo <br />FEE <br />