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APPLICATI� FOR CONSTRUC�ON PIERMIT <br /> CIN OF EVEHETf•BUILDING UIVISION � <br /> 3200 CEDAR STREET•EVERETT,WA�201•259-BB10 <br /> ❑ DEMOUTION ❑ COMH/M�A.7TION � / 1❑ BUILONKi ❑ MECH�NICAL O PLYMBNI(i ❑ 116N <br /> PR ECT ADDR�SS: ZZ�_� �O'L.�`f/' � <br /> en `:w uTx<� o M—���iw��7 <br /> 1FNINl 4M WI}II:S'1 fJl• )T h911[ <br /> �nwrttio�U[vo.rn uuu�n2ss orr n• - mK.rt I <br /> wxrnrcoM�n�c�an uu�u�cs rnr --' v.�—' nurt xurt�itt�. �, <br /> uEpuMGdLP�I11�Cip1 u4lWP1f55 fIIY )T NqMF 111�F10EM5E� II <br /> MUN��uGCP1���C1[I� uulHll/�L6S P�V lin-- 1�nM 6��tFl4iN5f� li <br /> cw�w�c�miv a wam -— �� <br /> HEATING SYSTEM: ❑GAS C ELECTpIC ❑__ <br /> axmnc wani�w sw.M rw�ror rvvo.vrn nrv�rr�n nvm�r�n n�urr xo I I <br /> -- � <br /> ����� _.,J. „_��_ '/�,_� �j�M,f�_.I 1 HEAEUY CERTIfV TH�i '. NAVE AE110 11ND E%11MME0 THIS �I <br /> ����—!dI!/J"X�L76l2.�Ul�Y!(/!(�___ �ppLICllTlt]N�N�NNOW TIIE 511ME TO BE TRUE�NO CORPECT �LL <br /> � u a M��� � p� � PROVI5104S OF UWS�ND Oq�IN�NCES GOVF.RIVING TNIS TVPE Of <br /> W/� WOfIN WIIL�E COMGLIEO NATH WVIETHEN 5�'ECIHED HEREIN Ofl . <br /> �touo[scn�rnwaiyiatnn�vrownm:�owon.�vcxrv.vcp+cr NpT t��[ a���MMa OF A iLRMIT DOES NOT 1'RESUME TO GIVE I <br /> io� k� pr AUTIIORIiY TO VIOUT[ 09 C�NCEL TNE PROVIS�ON OF ANY I <br /> Oi11Fi1 STnfE OB IOC�L UNi REODUT�NO CONSTRIICTION OR THE I <br /> PEOfOfiM�NCf.OP CONST(1lICTION.TH�T I AM�UTIIOAIZED BY THE , <br /> OWNF11 OF THIS PROi'[fiTY TO PEHiORM TNE WOHN FOR MM1CN <br /> �rrucniwr+ IS MADE I�ND i COMPIY WITH THE 6Tl\TE ' <br /> iwitEl�uiiDMNecn C�DMTRMTOR LAWiB.77R:W�N0286200WAC. I <br /> i <br /> COMSIA1f.1qMIdNlCM1F11.M011E55.R1[AqrIEMMllC11 F � '� _ <br /> - wn <br /> fl1Y MIVNf SS IFTu4 MO <br /> OLIIMBIN6 MEC1111111C11L . <br /> NO. TYVE OF Fl[TV11E OR ITEM iEE N0. iTPli OF Eq11P�ENf FE! <br /> WATER GLUSET(TOILET) NC—M/NOI.O UNffS <br /> BATHIIID (OfICED�ll1 tiYSiEMS <br /> UV�TORY(WASII OASIN) HEI1T PUMP <br /> SIqWER NJII 11E�7Ef1'i <br /> KITCNEN SINK 6 DISP C!OTHES Ofi"ERS <br /> �ISHWIISHER f1ANGG 11000 <br /> UUNORY if1AY �W�11A lIG1G11 <br /> QOTHES WASNER WCKII)S10VE <br /> URIN4L Mf.IMJ IlICPtACG(WOOD�URNING) � <br /> ORINICINa FOUN7RM HRf.PLACE INSER7�Y/OOD BUfiNING) <br />� ftOORUf1AIN GAS(If1V'LACG � <br /> BALKFIOW PREVENTERS GASR/+NG[ <br /> SINK�SERVICE—BM.F.T0.) ��— GASP"�N(a �A <br /> ' FY".��US7 FAN ' � <br /> _� __ —�— <br /> f <br /> SUO TOUI f — SUB iOTAL f � <br /> PERMIi f PERMIT S <br /> TOTALFEE f TOTALfEE f <br /> FOR OFFICE USE ONLY: � <br /> f11pM15fIPI�LX MNSfiPM:k S�lIF4I114CK A�NORf�MN1�f11 fff 1RC[M11q <br /> �� � <br /> osEiwc �oiurte v¢+aivrz fEES VIILU�TIOM FEE <br /> n.re ❑�, mn�..n Q I <br /> IIFI011�UM��tqM 4O 01�/IllmO 6il[P MIXYfI � <br /> IM��i 1Y11Y11wMI � <br /> ��� <br /> CL����NC� MRPMf 0.CV�'�NIIU�V !�%KMI Nf1YNIMM _ <br /> ❑�[S ❑M — <br /> ITfNOMNIf11000D �1f/.[pry �pY11fIM4�1�NU1CA _ <br /> nV�T � <br /> f�IrtAlA1�Mfl(OD �I��fYI — � I <br /> 51�1[IIIIpIRI(151MN:11��1(R � <br /> �rrcwr.p,t� neveuxnwme. CRYOFEVEREiT �+���ewr+Ma <br /> LOCRL 511LES — <br /> �„�p iR%COOE 15 7105 7DT�L 2 �� <br />