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APPLICATI� FOR CONSTRUC7�N PERMIT � <br /> CITY OF EVERETT•BUILDIN6 DIVISION � <br /> 3200 CEDAR 6TREET•EVERETT,WA OB201 •259-BB10 <br /> O DEMOLITION ❑ COMBINATION ❑ BUILDINO �.MECHANICAI O PLUMBINO ❑ 8WN <br /> PROJECT ADDRE68: <br /> ���G-� �'/�esf� �t' , �oere7i- CcJa <br /> n- �ui�mrcs� an p rron� <br /> ../�cia �.�"Fa /�/�OJ f�n �k ( �nu Luhnwe�ar(�a .9Yo36 Y89-.�G4U <br /> +nux� �w wv+sa �. r�. na.t <br /> •�rtc�wusswn uuuM+4ss orv im n�oy .. <br /> nrH�rnr� �cw�m.ctn�n r uu ssJ tnr rm n.x ,�u�iK�asE� <br /> _LLS3.L:.C1L�f�21G�3d�1��1��n�Jhr- .3.ri1S 591�i]-SC l'veretf 3%�-A1P7 �{�'�OtZirND�'�7�� <br /> urn�wcuccw�nv,ioa uu ss nn rm na�.r c�nriKruu. � <br /> AIM1NfCIN�RY;lO11 YMNIPC55 CIM1 !iP IYI6/ 5��1[ICFNSF� <br /> COMIqIC�1'�['t O WOM <br /> `�NfinO�� HEATINO 8YSTEM: �6AS ❑ELECTHIC ❑ <br /> n�xrwr wan.ua sw�w rw*�a�mn�o cnrc�c�rt�un rrns xa <br /> � ! %uck �or,/o�. 4.�5 -3f7 -oa_v7 <br /> ;� <br /> I NEREBY CEPiIFY TH�T 1 M�VE f1E11D ANO EK�MINEO TNIS <br /> nnp APPLIC�TION iV/D KNOW TNE S�ME TO BE iRUE�ND CORRECT�LL <br /> ���a�_/�� PROVISIONS OF LAWS M!D ORDINANCES OOVERNINO TMS iVPE OF <br /> � f "� WORk WILI BE COMPLIED WITH WNETHER SPEdflEO NEREIN OR <br /> lf6MOfSCwPt�O�A�6fRM1�NqYMAIOMOM�t��[XMOCOR51 rp1. THE ORANTINO OF A VEPMiT DOES NOT VRESUAIE TO OIVE <br /> io� waa v �UTHORITY TO VIOL�TE OR CANCEL THE PROVI610N OF ANY <br /> OTHER Si�TE OH LOG1L L�W REOULATINO CONSTRUGTION OR THE <br /> PERFORMANCE OF CONSTRUGiION.TH�T 1 AM�UT/qRRED BY T11E <br /> OWNEN OF 7NI5 PNOPEfiiY TO PERFORM TNE WORI(Fpq WNICN <br /> �PPLICATION IS M�DE AND 1 COMPLY WITH THE 6T�TE <br /> wcil ru i o una[R CONT/M�CTORS L�W tE(y7 RGW�NO YBE 3W W�C. <br /> ma�wcnd��aw�[xor�w�u.�r��wo1[Nwetn N ( /y]RFL.'�?'�/r'UIr.�.�61 .r-/� '� <br /> '�'�!�3�[�D 3 w" <br /> oneinxrssictMu ro <br /> KUIIMMO YECNhMC11L <br /> NO. T1'VEOFFlKIVIIFORIfEY FEE NO. 7YROiEO1MUfM FEE <br /> W�TER CLOSET(TOItEn �_M�p�g <br /> B�T/RUB FORCE���R SVSTEMS <br /> LAV�iORY�WASN BA61N� HEAT PUAIP <br /> SHOWEP UNIT NE�TER5 <br /> NITGNEN SINI(6 DISP ClO7HE5 URYERS <br /> UISHW�SHER RANQE N000 <br /> UUNURY TRAY WATER pFATER <br /> CIOTNES WASNER WO00 STOVE <br /> URINAL MEfqL FIREMACE(YVO00 BURNINU) <br /> DRINIfINfi FOUNTAM FlREPUCE INSEM(V/OOU 9URNINO� <br /> ROOR UR�IN MS FIREPUCE <br /> BACkFlOW P1IEVENTER3 GAS RANG[ <br /> 61NN(6EMICE-B�F.ETC.) OAS PIPINO <br /> E%MAUSTFAN <br /> SUB TOTN f SUB IOTAL 1 /Q ' <br /> PERMIi f PERMIT ; <br /> TOTAL FEE 3 10111L FEE 1 <br /> FOR OFflCE USE ONLY: <br /> fR011fV111Aq pfNY1MC� tqFlF�NC� qUICItLYM11M� � fff Rfff11'IMO <br /> // / � f <br /> uum[ �o�w• r¢unvrt y FEEf WLWUION iEE <br /> one oan aM� —f <br /> MCIOM�IMI�ll011 M P IMRllMO btE Of YOOIfI — <br /> 1MIi M1��� <br /> LOYUMNL� MI�SIMlf ¢[IIIMMIIOW ��Y�FNI y�fw�M[Y --F <br /> MWP <br /> OYp ❑un <br /> IRFN�YItIFNROD Pf�[(IN 4�U11[W�IM1WL�Yl� <br /> �—_ <br /> aurtn � <br /> racuurxo�o w��r - <br /> Sl�tf MnWnS�/rM�n�f <br /> —__ _j_ <br /> �rrtnr�ws� n�.�survr�ner CITYOFEVEHETT n+eKwrw+� <br /> LOCALSALEB — — <br /> o.rt TA%CODE IS 0105 70T11L ' <br /> --_i_ <br />