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APPLICATI� FOR CONS7RUC�N PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98207 •(425) 257-8810 <br />�Ny/� C MBINATION �. BUILDING ❑ MECHANICIIL ❑ PLUMBING ❑ SIGN <br />)RESS: .3Ci :-.v-�4�¢� l.�a�_,_�Ne.,e CJ 9�zOG <br />�on� // �Sr � C��o4n z2aoa 64*�/lx �✓ S'N;/z ZF l�e�%�-W�4Po4 � �- <br />♦z�xrrnonxsm��Er� � ui^oour arv n� .�a.r � <br />GEN/E�}/�{ CO•N�Nnf�.1Cq� Mul �IXIDFSS OT )�I' �)Yf [lelt IiCfH51 • <br />V �/...�L/ <br />uFbUK.UICOvtMf.bn 4�il�f.MIf55 O�'I )iP n�b4f fii�fftlt[M[E• <br />P1114BMGLONIP�f�p1� 41�I�IXWCS$ CIfY Iln CMpr1F $�I.�LIICFMSf• <br />io� <br />CLOTHES <br />eiocn <br />♦qY�C55 <br />mwivro <br />SUB TOTPL E <br />PEHMIi 5 <br />FOR OFFICE USE ONLV: <br />innurvm¢. ar�nsne•cn <br />11[l IOYf IO� �IIE� � <br />NFif.ullWl�/.nUv bObt�wFll'HG <br />��ns <br />h] <br />L( <br />HEATING SYSTEM: G GAS ❑ ELECiRIC ❑ <br />cpmc� nensoNumrnn.r ua <br />I NEREOY CERTIFY iHAT I NAVE READ AND E%AMINED THIS <br />qVPIICATION AND NNOW TNE SRME TO BE TRUE PND CORRECT ALL <br />PROVISIONS OF LFWS AND OROINANCES GOVERNING TMIS iYP: OF <br />WORN WI�L BL COMPL!ED WITN WHETHER SPECIFIED HEREIN (1R <br />NOT. TNE GRdNTING OF A PERMIT DOES NOT PRESUME �O GNE <br />AUTHORITY TO VIOLATE OR C�NCEL THE PROVISION OF ANY <br />OTHER STATE OR �OGAL LtiW REGU�ATING GONSTRUCTION OR TME <br />PERFORMANGE OF CONSTRUCTIOM ; HAT I AM AUTMOR2ED OY THE <br />OWNER OF iM15 PROPER7Y TO PERFORM TME WJRK FOR WMICH <br />APPLIL TI I° MAOE AND I GOAIPLY WITM THE STATE <br />CON T l 'IP2]PGWAND295200WAC. <br />a�/� 8�9'� <br />x <br />_:f.N n[ �� <br />❑ry BVLNE551 �CFNSL AO <br />aC <br />UNIT HEFTERS <br />� I `er <br />V�C/.�i�5111 __ <br />[Yf5 ❑ MU fl1�111�N(. <br />��BlQ� II - <br />� }GJ rinuxwr, <br />B15Fu[til J Mfl:n�lll:�l <br />'J�FS u M� — <br />'— �oon�ovun.vortc. <br />ou�cn ' <br />a�q no�m�i.i...�mc� nr.r_� <br />CITY OF EVEHEI7 rrm �c wni�.c <br />LOCALS�LES -- — <br />Tnx cooe is aios ror � <br />TOTAL f <br />