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APPLICATI� FOR CONSTRUCY�N PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 C�:DAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECMANICAL ❑ PLUMBINO ❑ SIGN <br />PROJECTADDRESS:� S� 1I/E�, f!TJ�%fA'LL GV� <br />%OP is�t� /�as s�c�t�.�wtt.�N' �671 <br />OWNFR 4ullppRE55 01Y I�� ✓�qM1[ <br />EkoCKBusR� viodo sr�Atr�E' zob-hY'sa� <br />1FN�N� 4Y1 R%MESS GiY )�G �Vnjp�4[ <br />•ucwr�flOPIMIS /S;DINon��55�%� ��c��OSf� //L ��_6�/-�/�^1.��% <br />�Lt. MYro� c»�c� i49mwxnvt�w� �ru,r,��,r 9���' za-ta�-9czs �u.N,�ec o�i <br />GME�1lCON1��f.IRI NilA01N1F55 �Z�'3 p1Y I�P 14HJVC 541L1RfM5F• <br />_N/�9 <br />MF.GI,��1/[�' GONrMctOn w�l�MMf55 ��rc I�r PuoAr Sre�FUCEvSE� <br />/N� <br />I`IU I�:,^�C0111R1�fp1 M�I��qMfS$ [IIY jT PN'J��F $I�I[IICfM$FI <br />VqF4 �NU SOU��C <br />io� owcM — <br />Pnnc[l1AKlu I PF.p _� <br />i c.��.r <br />t ov.i <br />co.1smucnorv ia.r� i runrn, umncss. <br />PLUMBING <br />NO. TYPE OF Fl%TUI <br />WATER CLOSET (TOILEI <br />BATHTUB <br />IAVATORY (WASH BASI� <br />SHOWEP <br />KITCHEN SINN 8 DISP <br />TOTAI <br />FOR OFFICE USE ONLY: <br />rnau.cr+necK nnnsnn�a s�o[sr�n•t. <br />usc ra�r <br />PflC.�1� I'v�Int10V <br />occuml.. a•.+.uwti <br />�.�,o��•M / <br />(:IIC $PI�'.i:xl[I� fi[U'D <br />YZ'3 <br />nrs[nu��1� ��a�o '"- <br />�b�j <br />nrr rn �.:a•+<< <br />�! -l�f <br />IOI�nE� WCANIyI[ <br />❑Yf5 ❑ NV <br />;,o,��w«<�N� .,�E e,�b ��� <br />IN:CIII'�N11(1�1] B�SF4[�I <br />a.� o.E= ��� <br />fIL�U1N �• y <br />�� )/�`V1 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CON�ICf p(1150H �NO �NOVF NO <br />G'nmr .d�r�., rt�.�,. , -�.✓_ / -v1_. <br />I HERF6Y CERTIFY THAT I MAVE READ ANU E%AMINE� iH15 <br />APP�ICATION AND HNOW THE SAME TO BE TRUE RN� COfiPEGT ALL <br />PROVISIONS OF LAWS AND ORUINANCES GOVEHN�NG THIS TYPE OF <br />WORK WIIL BE COMPLIE� WITH WHETHER SPELIFIEO HEREIN OR <br />NOT. TIIE GR4NTING OF A PERMIT DOES NOT PRESUME TO CIVE <br />AUTHORITV TO VIOIATE OR CANCEL TME PROVIS�ON OF ANY <br />OTHER SiATE OH LOCAL LAW REGUUTING CONSTRUCTION OR iHE <br />PENFORMANCE OF CONSTRUCTION. TMAT I AM RUTHOHIZED BY TME <br />OWNER OF THIS PfiOPERTY TO PERpFOpR�.�M THE WORK FOfl WHICM <br />APPLICATION IS MRDE NDL/ � WITM TME SiATE <br />CONTRACTO l 18 W pN WAC. <br />z �� <br />_. etunE bu[ <br />L�IY B11AN(Si 16U15C NO <br />STOVE <br />neun� . u nrn rrr <br />, ' p -03 <br />FEES <br />flUIf1i41: � <br />�II/4PMf <br />muunmu — ' <br />�ppunuu ri�vO�rq <br />nwrn — - <br />SUR nv�Innc snnaunc[ <br />CITYOFEVERETT rnx,�r.x+vi..c <br />LOCALSALES -- — — <br />TAX COUE �5 7105 TOTAL <br />