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OCT-23-00 MON 01;06 PM EVERETT PERMIT SERVICES FAH N0. 425 257 8857 P, 01 <br />APPLICATIa�I FOR CONSTRUICTION PERMIT <br />CITY OF EVEREIT • BUILDING DIVISION � <br />3200 CEDAF STREET - EVERE7T, WA 98201 •(425) 25i 881 O <br />�� .�a. G25 - LS "� •�Z,�'S3� <br />Ltd DEMOLITION r] COMBINATION ❑ BUI��ING O MECHANICpL O PLUMBING � SIGN <br />PROJECTA�ORESS:���_�=�0/_.��1 �.i��_��F�J''�D&T4,T�I�,_ <br />ow.��� -- unn enonr.s. cm zm rHo�+c -""'-""-"""'" <br />D �/ ��. � L�C �.__Y� �T,r�(�I • 1 l �`�t�Cf , 4� � r�- C1L7�£J�.'�� �r� / F� )C.t �, �..�ZS:,�SZq� <br />1C4�1�\ N111 �IlOf1C ] f.ItY TIV VIIONL <br />1 .� / �J �1�{�{��,�.. <br />�PGi�RfLl011 LES�Q�IC�1 MPII A �fl�� �� �ilY � !iP PqOryP /� �� � <br />LCN(.l1nLC0'�IO�f.ltlll __�—Mnll r41U��EM1A •�_• CI\• — lR PUUNf�__=CaL.LLiIC�f�II'�G� �_---'� <br />-Ct��Eaa�.n����ra� � �� . a zz i cL� ue� -�, �-r �.1s��ti��u_.��_-��,�a_ <br />4LCHIrv�C�L CON1HAf1UO 4�4A��OAFS$ � f.ih SIP �,_ PIIO�if Gln�f UCF.v$E • <br />f:1111IP�NfiCnr/Il��f�\lt� ••• Hn�� <br />CD���Hn�� <br />nF ScninG wawp �r.�� 5q�/nu(: Cpquf.E Ir�Jotv6b <br />.1�.�^�t2,:Y_._tzF�_L dR� � ^,q�,�fl� .._ .� <br />�a1. +L���� S.1l.yJ . ��/]L� �'� ]—Al�s _ <br />rFnrosr r. n'.[ nr nu:�uwp <br />-1�- A'E$1�^L�_.Lafr1__.. S'D?Z[7�Vy�q� <br />Ltce_[rLSUril9¢n�01 i�noPC111YI5HU�vNOLIOV�O�Ia�I�CNTWDSUPif91••�.._•.••_.•_— <br />ioi o�ocn _.`..'__' �. os_..�.�.�....�_ <br />CnlICEL i.Vl l U Nlluilf O' <br />3�0��4r'_��iz�s���� � <br />CON��TfiUR1oN IOM� 1 CNbfR MbllCSfi. TCLCPHONC NU4KI1 <br />��L_ <br />v4uMert+� _ <br />^ ND. TYPE OF FlkiUpE Oq ITEN <br />Y/Ai f'R GLOSET (TOILET) <br />UA7HTlJCi <br />lAVA70FiY (IVAtiH BASIN� <br />•^'—'SIIOWER "—'~'""' "'� <br />NIl"GHEN �INK 8 DIS!' � <br />_""' — ' OISIiWn51 ICR <br />LAU�NNV 1G�AV <br />CLOTHES WASHEq <br />_ _ VfiINA� _ <br />URINKING fOUNTAIN , _ `___ <br />FLOUR DRNN ' — <br />DaCY.ROW GREVENTERS <br />SWK (5[fiVlcE — B/�Fl. ETC.� T_ <br />_,..,� ^ __— SU070TAL <br />G6RMIT <br />FOR OFFIGE USE ONLV: <br />fll(fN\ S6fN�Gk —T <br />IUIhPf� <br />� n�.��i i,.n..�.i�. "' o ur nwuuHn <br />iiN��i. <br />nnc �isr.�a acn�n - .. <br />HEATING SVSTEM: �GAS ❑ ELECTRIG O <br />LOrtlAGT v� pSDI+�MO rwL.IC NO <br />I I1EflEDY CERTIFY TIIAT 1 NAVE REAU ANO E%AMINEO THIS <br />APPUCATION ANU KNOW TME SAML- TO PE TRUE ANO CORRECT ALl <br />FROVISIONS OF �AWS AN� OROINANGES GOVERNING TIIIS TYPE 01= <br />wORK WII L BE COMP�IED WITH WHETHER SPECIFIEU HEPF.�N OH <br />NOT. 1'HE GqANTINCi OF A PERMIT DO[5 NOT P17CSUME TO CtVE <br />AUTHORITY TO VIOLATE OR CANCEL TIiE PpOVI51oN OF ANY <br />OT/IER STATE OR LOCAL lAW REGVLATING GONSTFUCTION OR THE <br />PEHFORMANCC- OF CONSiFlUGTIDN. THAT I AM AUTHORIZE� BV fNE <br />OWNER OF THIS Cf10PERTY TO PERFORM Th1E WORK FOR WNICFi <br />APPIICATiO IS MADE AND I COMPLY WITH THE STNTE <br />CONy�RS L W IB.� 79G 200 WAC <br />N 1 V C -���� <br />LOYPUSWlSSLClNFCNU _V— __—_ <br />' '_.' . . _.. <br />S��E FElP�Ca <br />_.•.— vnCnrn Yilp <br />O VCS [] NU <br />SiSE or Nt OG�T � <br />On5F4Fv1 <br />O.as C.l ..o <br />' CITY OF EVERETT <br />LOCAI SALES <br />TAX CODE IS 3105 <br />nuu niwn <br />•I�lunlr�li <br />MlI:III�N1�.1�1 •• • <br />�nann+�i. �v n� <uc c <br />an¢n <br />S1Mf auqnwn SUnqunf.c <br />P11f11 if, 1VOf1N: ••. <br />TOTAL <br />—i•'_ "" <br />' T <br />NGI _ __.._, ..."' " <br />ING) <br />—�-- <br />� ._�. �_,_� _ <br />.1 <br />TOTPI 5 <br />d1T ._f - _•.. <br />�� FEE 5 <br />uFq u•� rnJ <br />'ION FEE "'.—�� <br />_._ "'.�_'�—i'__ <br />i <br />. � ....._...�.+.. . <br />..... ._.��.�{ . <br />_ __— i'— _ <br />