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APPLICATI� FOR CONSTRUC7�N PERMIT� <br /> CITY OF EVLriETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •259•8810 <br /> ❑ DEMOUTION ❑ COMBINATION ❑ BUIIDIN(i ❑ MECHANICAL ❑ PLUMBING ❑ SION <br /> PROJECTADDRESS: xs02y LI <<'�-'+rlce Lvt�e�"t' <br /> -{;ih� ,.�f�laiu�zr.�..sk,, /4ko�(Si�✓c+��r� �r rvc+c� 95Lo� 33�-263J`� <br /> o�wEn uui.ud�u an nn nauc <br /> IEM/.Nt �41�00�C55 GfY IIP RqNf <br /> LVnh c <br /> •nc�erzcrmocsmrrtn uu��non[ss citY r�� rwr.e <br /> �tUn l✓ <br /> G[NfN1CON�1141p1 MYlli0qQ55 t111 IIP M1qN[ At��CIK[NSF• <br /> 4EC�11MC4Cp1111�C1Of1 MNt�pME55 d1Y l�1` MqNE tt11El�CENY• <br /> AVYBM6Cp11f1ILi0R Y41A0011054 GIY IIP MqNE SIAIEl1CFMY• <br /> ���������µ/�' ;��:, . . HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> „ / <br /> aIu'wee wan��w sw�nc roov.cc wvavto corrt�c�r�nwr�u.o nr�prt no <br /> NC� �u <br /> 1j'� .),:. -( � <br /> � ,.�� I MCiiEBY CERTIFY THAT I MAVE RE�D 11ND E%AMINED TH�S <br /> - - -� APP:ICATION ANO KNOW THE SAME TO BE TRUE�ND CORRECT ALL <br /> �uO���a"a PROVISIONS OF UWS ANU ORDINANCES GOVEPNING iN15 TYPE OF <br /> WORN WIIL BE COMPLIEO WITH WHETHER SPECIFIEO HEREIN OR <br /> iccurcunvrwuor�mcnnis�qvmeciow��TIK11MpCOAE51 NpT. THE OR�MING OF A PERM17 DOES NOT PRESUME TO GIVE <br /> ip� �I �op p P��.� Lv�:•. - /�-�G�� AUTHOFITY TO VIOUTE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OR LOCAL L�W REGUTATIN(i CONSTRUCTION OR THE <br /> PERFORMANCE OF�pNSTRUCTION.THAT I�M AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM TNE WORK FOR WHICH <br /> AI'PLICATION IS MADE AND I COMPLY WITH THE STATE <br /> vw¢ElTw�iouiup[n CONT ACTORSUW1B37RCWAND296200WAC. <br /> � 'f)j i7-,i� , '. .-� �>�i� !L� J�� '! 7 <br /> co�s�mic�ar�iawin1o[n.�oon[ss.�[tcnanEruuecn� �� <br /> SqN�11RlC D�l[ <br /> CI�Y&15NESS llt[x5C Ip <br /> VLUY&NO YECH�NICAL <br /> NO. TYPE OF FlXTUNE Op ITEY FEE NO. NPE OF EWIiMEHi FEE <br /> W�TERLLOSET(TOILEf� I� NC—NNNDLOUNRS <br /> BATNTUB i I FORCEO PIR SYSTEMS <br /> tAVATORY�WASN B�SM) �/I HEAT PUMP <br /> � SNOWER I UNITHEATERS <br /> f NITCMEN SINN 6 OISP CLOTI/ES URYEIIS <br /> 1 DISHWASHER � flANGEH000 <br /> LAUNDRYTRAY i WATEq11EA7ER <br /> CLOTHES WASHER WOOD 510� <br /> UHIN�L MEfAL f"IREPIACE�NO00 BUfl�IING) <br /> DRINKING FOUNTAIN FIREPLACE INS[flT(W(b0 BURNING) <br /> FLOORORAIN / C�ASFIRCPLACE <br /> BACKFLOW PPEVENTERS GRS RANGE <br /> SINK�58RVICE—BAR.ETC.� GAS PIPMG <br /> E7(HAUSTFAN / / <br /> SUBTOTAL f SU�TOIAL S <br /> PERMIT S PENMIT S <br /> TOTALFEE S �o7ALFEE S <br /> FOR OFFICE USE ONLY: .�7'�. G'- <br /> rrcwrY�� � nf�wSFtN[x� / sm[ss�e+cy nu+aRcxx.�O r[f���� �tcrm�w <br /> tISElWfp—/ 101�llE�� Y/{eMf91E FEES VALUATION FEE <br /> �' ❑vF5 O MD <br /> /— nuimr�r. �+� ��7U �$ 11a� I��- <br /> �rtic��r�iuir��ar1� urai awrtw.q s�rcwxoani �, <br /> 9 S.F """°""' i r.. <br /> p:CIT�MC� 1tl(11 S�MLS OCCMIJII 1010 8 HNI 4FCM�MC4 n i/�.� <br /> a�.� .L � - - <br /> . _i o.E� <br /> fm�I HMlI11P[O9 IIf�tO11 App11pN4 M1INCII(C� _ <br /> \1 p r . /:)'� ou�Fn <br /> J` <br /> fI1�NMM11�0'O AElGp1 <br /> _; �� su�cawa.xivmn�ur.c l �5r7 <br /> �rr2orrous� n�Mc�rrnmcner CRVOFEVERETT n�w�r.v.rn.s �p %�D <br /> LOCAL SALES —� <br /> �- wrt S 2 TAX CODE IS 3105 TOTAL - <br />