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APPLICATI� FOR CONSTRU�T�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 9C201 • 257•8810 <br />❑ DEMOLITION ❑ COMBINATION X� BUILDING ❑ MECHANICAL ❑ PLUMBING G SIGN <br />PROJECTADDRESS <br />S 1 !e 3STK. ST, <br />�oRR1E }M�tHE��E T�tAuTMAN� ��6 y��` �.� Evtrei�,a/A 48101 425-2S9-S461 <br />iENANi M�M1ACOPL`5 CILY 2iG %pN[ <br />!Aul <br />M�I� <br />mrss cn: zir i��wrv[ <br />ARc+���EcT, 92i FiRSTs'r,, SHOHoNITH�wA 9s110 qGo_g�d_��SI <br />41[55 Cltv ZM R1q�l SGiF ICUfiC • <br />MF.CIPNiUlLO11i41IC10� MAIL�04fiFi5 LpY ]iV PIION[ SI�1CliCF.14E� <br />GW�ApiNGLON14UL1011 M�i1.�ppIiE55 L�tV $IP PI�OHi 4qEUCL15G• <br />I1ESC�iOE WGPN u�D SOv�aE f00L�GE rtn0.VED <br />��0o S0. FT. hDDIT�aN <br />i��rorwm usc ov em�onu: <br />S.F.R, <br />imei ccscnivuo�� c� reorrnn �sr�a.vri e�:ow o <br />�ar 1 f 3 o�ocn ov_ <br />Prosp�c+ Nei�Wdr A,ad;�`a� <br />S4T5'000-0o2•uoo� <br />iREreor�vivueEn <br />PLOORDRAM <br />HEATING SYSTEM: K GAS Cl ELECTRIC �� <br />I HEREDV CERTIFY TNqT 1 HAVE READ PND E%AMINED THIS <br />APPLICATION AND KNOW 7HE SAME TO DE iRUE AND CORRECT ALL <br />PROVISIONS OF WWS AND OROINANCES GOVERNING THIS 1YPE OF <br />WORK VlILL BE WMPUED WITH './HETHEF SPECIFIED HEFEIN OR <br />NOi THE GRANTING OF p PERIAIT DOES NOT PFESUME TO GIVE <br />AUTHORIIY TO VIOLATE OR CANCEL iHE PROVISION OF ANY <br />OTHER STATE OR LOCAL �AW REGUTATING CONSTHUCTION OR THE <br />PeRiORMANCE OF CONSTRUCTION. TNAT I Ald AUTHORIZED BY TNE <br />OWNER OF TIIIS PROPERTY TD PERFORN THE VJORK FOR WMICH <br />APPLICATION IS �dADE AND I COMPLY WITH THE STATE <br />CONTflACTOPS LFW 1827 RCW AND 296 2W WAC. <br />,�sr�����,J �-�� �a <br />$IGN.IIUR pn�E <br />crtr eusuv_ss ncErrsv�o <br />WATER <br />qIP <br />FOR OFFICE USE ONLY: <br />(f�O11I5L104CR F'1�� P[APSEi6ACK $ipE$E18>LR PIANLNELRNIINBEl1 <br />z0 Go .;o-/� '000a- D: <br />uSFror.p� y iot�n[�17 � veUr+rSnc FEES <br />'� N �O '� .uI <br />,':MC$ ��.��� <br />ommv�c <br />rrtmrrturan%<r2a+n � rvaavcw¢ur�c s¢earo�ocn — <br />� l . ur.rts � OD S pQ�/ rmueva <br />� <br />nar[ <br />oastucrrt / ucoa��k�u <br />❑res .�o <br />ADDIIIJNAL PL.W CIICCN <br />OIIIEIi <br />Si�1E11mLOCK.SUnCX4BGE <br />CITY OF EVERETT waic v:onas <br />LOCALSALES <br />O TAX CODE IS 3105 TO7AL <br />3 <br />TOTAL FEE 5 � <br />2�/1 u[CE�PiNO <br />7 <br />