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APPLICATI� FOR CONSTRUCT�PI PERMIT�� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT. WA 98201 • 257�8810 <br />C7 DEMOLITION ❑ COMBINATION C] BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT A�DRESS /��Oa 9 +' /� ('� <br />ovJ��cu �.uiuooeess . cin nv o <br />, � I.��FI �S�l�f L�(AU(FP 1'. dJ�E1"/ 9Aao8 y�3 •T 379=r�188 <br />♦ <br />LOi _��_ 9LCCN <br />(1..i_.._.l .iF / <br />.� .�r7�'(I� <br />�:�7 <br />[IP r a�..i��. <br />�c.hs��3 Ac�wAAdo �� <br />zm c��oriE s*+rcucEr+s[ <br />3(a�•Kf8r`t6'534�o�FE f��03 <br />HEATING SYSTEM: XGAS i 7 ELECTRIC Q <br />;ObiACi PEPSOfI AN'J FHONE NO <br />DA / RAEQL:� H�K -�n¢-+/37�j <br />kOn/ �Q/,lF�✓ 48�• 508- H3�_ <br />I HEREBV CERTIFV THAT I HAVE READ AND E%A1.1WED TNI$ <br />APPUCATION AND KNOW TME SAME TO BE TFUE AND CORRECT ALL <br />PROVISIOMS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />YlORK WILL BE COtdPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NUT PREN1dE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSiRUCiION OR THE <br />PERFORIdANGE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEfliV TO PERFORM THE WORK FOfl WHICM <br />APPLICATION IS M AND I COA7PLY WITH THE STATE <br />�ON RS 8 RCW AND /29�G200 WAC. <br />/ 1 .1/ WO. �� ��T�� �� <br />- S.AR • i�!Jn7, � cirv <br />5 <br />FOR OFFICE USE ONLY: P�� 99�d-oY7 I <br />iPOtlL5El0vIX PURS[ID>CK Slp[S[i8<CG PtA.YCn✓.E(CjMIIUA�OCP /'j ICE 7 l �ECflPLNJ �, <br />:��♦ /j � . %i � (./� .%Cl�..n <br />useZo�� �oteP=+ vece���i*E FEES VALUATI N FEE _ .. <br />�. �, ts o uo euaarq JJ <br />r�eicnruen*ehon rioorwrtw�m s¢Eoco�ocn � <br />�� �w�s � �"l,s ;`� SG rwueu,c <br />��N i <br />CLCIIPAI.CY Ii0Cf5�0uIF5 CLGI1G�111LnA0 0>SEA1E11i YECNA11�G4 I <br />�cuou � rivEs . i+o <br />�' �oortanuvw+n2cn <br />HRl PfliNel[RREOD RGSON <br />OT�EI1 <br />fl(VEPtAR!APEOD PEASON I <br />SielE BWICMG StInO�MGE <br />�mc o� ccr+s*. e�>rvs+vraov[o nr CITY OF EVERETT ruai�c waixs �5 � J o <br />7. I ..... 1�7e /.L TAX CODE SL9 OS TO7AL <br />