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APPLICATI� FQR CONSTRrlC�ON PERMIT <br /> em:.F eveRerr•euaoirrc oi�nsroN � <br /> 3200CEDAR STREET•EVERETT,WA98201 •259-0810 <br /> ❑ DEMOUTION ❑ COYBINATION ❑ BUIlDINO ❑ MECHANICAL ❑ PLUMBING �lqN <br /> PROJECTADDAESS: � <br /> !� u� tstar�t4S Nt �En dS�rs�6f4 � �Ct a�, �IN �4��� 9,_Li�s.c��,/�[V9 <br /> �r�u <br /> �7 E 4 �c �?LK(C Ir� �rf� f1,�( f/E1.<l Hc /Y �_�1� W�� <br /> TE�^ iun�oorcss uir <br /> !iv <br /> MMRCTOnlESKVER uull�ppn[55 � GlY )m p�p� <br /> � G�� <br /> GEMFMLCp11MClb1 M41M011E55 f.IIY lll` ry1LY( tI�}EIICENfE� <br /> MEnu SiGiyi i�, �.yr. 9�r � ��,s+�� st� .� 9YY'�.'s�Vt� MEMEti+kU}B6 <br /> u[w�wcucwnucrw wa�oouEss ax �m npwc �r�reuuws¢. <br /> AU4BNGCONIPKIp1 YYl�W41E5$ GIY (IP fMlp11E $1111ELILfNSE� <br /> cwrn�cr mce or worp — <br /> �3S�2�, � HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oEBQwE Mpwua sou�aE raor�f.F Nvtllv[o r.nxru:r�r1�5ox un rxarF xo <br /> P1d1S�N��___1.�F�n� �I! �.15 I HEREBY CERTIFY THAT 1 lMVE qEAO AND E%AMINEO THIB <br /> pqp�p y�aj��— �� \ . APPLICATION AND NNOW THE SAME TO BE TRUE ANO OORRECT ALL <br /> ��� PROVISIONS OF LAW$AND ORDINANCES 60VERMNO TWS 7YPE OF <br /> it�o[ iwovma4nnlsqwxe[iavw�nw'Hiwpcor�sl �pK Wlll BE COMPLIED WIiH NTIE7HER SPEqFIED NEREIN OR <br /> NOT. THE ORMITINO OF A PERMIT DOES NOT PRESUTAE TO OIVE <br /> �oT___xw or AUTHORITY TO VIOUTE OR CANCEL THE PqOVI610N OF ANY <br /> OTHER STATE OR LOCN.LAW RE(N1lATINO CONg7qUCTION pq 7/1E <br /> _,SCt PERFORMANCE OF CONSTqUCTqN.TN�T I MI AUTIID111ZED BY 7/1E <br /> OWNER OF THIS PAOPEHTY TO PERFdIM TlIE WOpI(FOfI NMICH <br /> �PPLICATION IS MADE AND 1 COMPLY YYITH THE ST�TE <br /> MYCanVtlD an.eER CONTMCTORS UW 1827 qCW AND 20G WAC. <br /> 3R[2Q 'Q�'3 —!�r / — O/O 9 <br /> EONl11111LINMldW tEWEN.MpNE55.lElFRqNE Ml�.lEP <br /> ��.,.. � � ;�/��``� b—�—��8��9 <br /> P1YlIIS71ESS IICENY MJ <br /> rw�o recxuNc�� <br /> MO. ME OF FlIRINIE Op 1{Ey FEE NO. TYPE OF EqJp1�M FEE <br /> WATER CLOSET(TOILEn N�—�ryllp�p UNffS <br /> ���8 FORCED AIR SYSTEMS <br /> LAVATORY(YVASH BASIN) HEAT PIMM �— <br /> �WER UNIT HEATERS <br /> KITCHEN SIKK 8 DISP CLOTHES DMENS <br /> dSHWASHER p���p <br /> UUNDRV TMY WATEfl HEA7ER <br /> CLO7HES WASHER �yppp g�pyE <br /> URIILV_ MEfAL flREPUCE(WOOD BUqNIN(i) <br /> DRINK�Np FWMAIN FINEPUCE INSERT(WOOD BURNIN(i) <br /> N( <br /> FLOOR DRAIN 6qS flREPUCE <br /> BACNFLpW pqEVENTERS GqG qpN�E <br /> SINK(SERVICE—BAR,ETC.) �p�p�� <br /> E%FUUST FAN <br /> SUB TOTAL S SUB TOTIIL f <br /> PERMIT S PERMIT $ <br /> TOTAL FEE S _ ^ _;__ _ � 70TAL FEE f � <br /> FOA OFFlCE USE ONLY: <br /> ,�.�%� �,�u,�. ��..,« RN1GI�07�1 �313 �Z �13�>�t5' <br /> c� ! o <br /> usEz� ior�a[n v�r��yrt _ �E8 VALU�TON FEE <br /> ❑res ❑ra euin�w. r� 1!S <br /> NEIGNi11N i1CN NORMIELLINO SIIECfbICGTI <br /> llNli.t <br /> %IIMBW] <br /> �Lp�HCY IU04S1(q[S OLCUP.W1lO�D BA$[4ENf y��N4n_Y � <br /> ❑YEL ON�) � <br /> fY1ESFPIMNIERHEO'U NF�Sp1 /.OpIMfN�:LAWCM[dl <br /> anrtn <br /> r��unnuneo�o nE�san <br /> $IAIf RI011��LIqf,N�M[ ��!1 <br /> rrrEovr,p�s mnwsu� er CITVOFEVERETT n�au-..amxc <br /> ' LOCALSALES — <br /> u.�t TAX CODE IS J105 TOTAL <br />