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APPLICATI�1 FOR CONSTRUC'�N PERMIT <br />CITV OF EVERETT • BUILDING DIVISIUN � <br />3200 CEDAR STREET • EVEflETT, WA g0201 • 259-8070 <br />❑ DEMOLITION ��OMBINATION ^❑ BUILOIN6 ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �L 4 cI1 �/-\ � N � <br />,� <br />�'A�C I.t�� CJfrfF'� q <br />Z JZ <br />/ . ••• ��� MICN[ <br />i d"f <br />C[NEMILONtMC1011 Y4l�Cp1L55 f.ilY l�l� <br />nM/R <1�1[�iCFMSF� <br />�_'li �1'�� { . <br />NECYIIMUICON�pAC100 M4l�OqlF55 fJh jlp <br />P�bME SufEIiCEMSE• <br />FlUM6WGCON1P1C1041 M4lAqNIf55 Clry IIV PIqNE <br />SfAtE ICEH$f 1 <br />Nia v/ n�1.� <br />ocsuxee xanK uu sou�ne rooucc wvav¢o <br />Y�:�r : ti�.l.�.,,nnc-�,ot rn�l .�.-a n � <br />�: <br />I - r � - ,�,1 l- i-1, <br />f1qP05( l USE M BuIOING <br />� �r:Qr F�.- '� �'r_'�cjr-ll' <br />r, y <br />l[GAL DESC,{wolqy a Mtortnrv IvqwM 9llOw at1 �n.�tr� 1xU O <br />�o� � mocn p� � �a'n4nac� <br />PANLEIiAII 111M9[P <br />/'c l�- cm- rhe _ (�,.�> <br />cwsrmictwH �o�x i[Mxn, nppn[ss. tEicpwrrt u�uoEn <br />Aln. �, <br />FOR OFFICE USE ONLY: <br />rnaurstm�r.K n[�n� <br />�� <br />MIOH <br />�g <br />NO M SI( <br />Iil0E0D <br />so 0 <br />si <br />—cl <br />SUO70TAl S <br />PERMIT $ <br />f�TALFEE S <br />SIpE SEiB�LM <br />VACANI SIIC � <br />OYES iy ru <br />Ho a owE��� <br />IINi1S � <br />❑vf5 p�50 <br />IIEATING SYST^eM: �GAS ❑ ELECiRIC ❑ <br />cnn.�rrr[nsn��rmrvwr�Frp — <br />1 HEPEAV CEflTIFY THAT I NAVE READ A1:0 E%�MINED THIS <br />APPLICATION AND KNOW TME SAME TO OE TRUE ANO CORPECT A�L <br />PPOVISIONS OF LAWS AND OROINANCES GOVEPNING iH15 TYPE OF <br />WOPK WILL DE COMPLIEU WI7N WHETMCR SPECIFIED HEREIN OR <br />NOT. TVIE OI1qNTINO OF A PEPMIT DOES NOi PRESUME TO GIVE <br />AUi110R1TY TO VIOLATE Ofl CANCEL THE PROVISION OF �NY <br />OTIIEfl SiATE OR lOCql. LAW pEGI1LATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT t AM AUTHORRED BV THE <br />OWNER OF Tf115 PROPERiY TO PERFORM TME WORK FOR WHICH <br />APPLICnTION IS MADE AND I COMPLY WITII THE STATE <br />CONTRAC RS LAW IB W AN� 296200 WAC. <br />X��'�«: ��- 3-�-�� <br />SK.N111111E O��C <br />QIY pi19uES510ENSC 1q <br />�Iy111Y1M1 -- <br />�������� <br />ufbunP.N <br />�Op11fIMN A W Cllff,� <br />nnrtn <br />s�e�[ nixuw.r, siue�unnc <br />CRY OF EVEflETT rumc wrxuv <br />LOCALSALES -- <br />TA% CODE IS J105 TOTpL <br />��� 9n <br />VALUATION <br />25 0%5 <br />