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APPLI�AT�N FOR CONSTRUC�6N PERMIT <br />GIi!' OF FVERETT • OUILD�tJG DIVISIUN � <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 <br />❑ DEMOLITION U COM91NI1TIONn ❑ BUILOING p MECNANICAL ❑ PLUMBINfi O 816N <br />.�....... / ,..M.....�a arv im roqirt <br />•�IC1��[C�p�C[SqMP Mµ YIP1[55 Gry !�• m�� <br />[IfMCf1NLON1(4LIp1 MMMIMK55 fl1Y jll: I�RM FI�ILtS'CNSC� <br />Mf1:N�1lI�µCOH111\�1QI1 MIJIMOfi55 fJIY )T MIQII[ S��ILIICCN$f• <br />M1UMM6CQIIPY.�P1 WIl�I11AI55 LIIY ___".'+rt. _.—.___ P141E S��IEIIC(MSf� <br />l0� PIOCX p <br />WIGEl1M 10 MUMC11 <br />:OMSIMI[IqN IO�N 1 CMIFf1.IIXX'�T55. �f I[AIO�IE NI149[�1 <br />'LUMBING <br />NO. TY�E Oi FlIfTURE OR ITEM <br />W�IEq CtOSET �TOILET) <br />NA7/RUP <br />IAVAlOf1V (W�SII O�SIN) <br />SHOWGR <br />KIiGi1EN SINK d DISP <br />UI511WASHEfi <br />SUD <br />f <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />cr»,u��.i n nsrn� �rin r��art rro <br />1 HEREOY CENTI(Y TH�T 1 NAVE RE�O AND Ek�MMEO TNIS <br />APPLICRTION ANO KNOW TNE SAIAE TO BE TpUE I1ND COfiRECT �Ll <br />PROVISIONS OP UWS AND ONDINRNCES GOVERNING THIS TYPE OF <br />WOfiK WILI. A[ COMPLIED WITH WHETHER SPECIfIEO HEREIN OR <br />IJDi 711E Of1ANTINO Of A PERMIT DpES NOT pR[SUME TO GIVE <br />�U7110f111Y TO VIOLATE OR CANCEL iNE PROVISION OF �NY <br />011101 :IAf[ OR LOG11L UW qEODUTINO CONSTRUCiION OA THE <br />PEflfOfIMANCE Of CONSTRUCTION. TIUT I �M �UTNOflIZEO BY THE <br />OWNEII OF 7HI5 PROPEflTV TO PEIiFORM THE WORK FON WIIICH <br />�PPLICATION IS MADE �NO I COMPLY WITH THE ST�TE <br />CON7 RRCTOAS LRW 1 B 21 RCW I1ND t96 200 WAC <br />�KI <br />WOOD 51 OV[ <br />__� in� rcc s I %�'� I I TOTAL FEE f � <br />FOR OFFICE USE ONLY: <br />�m��u�n�c� rc�nsr�n�cx srcrtsc�e.cx n�Hna�;�rn�unrry� rrF irccrmirq <br />US(IUK IO��nLA VKeNISiIC � ��5 <br />�Y(i ❑ � ONIIMIC <br />IIF�O�I1l�M1IlpM NOO[OWtlll�q ytEdllfMl — <br />\INiIG <br />n�runiun <br />occur�r�cr rons��s xcur�M�io.o e.s[r.rtrtrv* --- <br />anqR urpuMfy <br />Or[S Or�eJ <br />f111E5Au�Mlf11pf0D 11f�FON nq111�IMi��111.Nl�NfM <br />OI�K11 <br />IPSNMMMOD nF��Ov <br />tl��[1111i11MH:5�IT^.I��M[ <br />rtrtacpnsr — nevs.mrow�ner CITYOFEVERETT ryi�ucrmn.a <br />LOCAlSALES - <br />uut TAX COUE IS 7105 TO7AL <br />