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APPLIC/aTl� FOR COId�TRUC�ON PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAq STREET • EVEREiT, WA 98201 •(425)157-8870 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ M�.EC"H,,�ANICAL ❑ PLUM8ING �SIGN <br />PROJECTADDRESS:_��O _FUpR�i�mAL�L7_�l,tlAt/ e1_�._�-aOC� <br />o� ��YfJ'^'°�"`/_-'��-'Li .¢,�s _S�o El�ttll �=L%_�w'�<?r ��2oS' �-S 3 -�S�ec <br />Cm li� �.�Unf - <br />l3eT I ,sc�_ E.ti �.� 5.�,- �:. %� -aeo S il` %voli r c <br />„�.,, -u.,,.��« �,,. ,�,, z�a �,,,—� <br />..� <br />.no�nruonixs�c.iL .-_'_.__" ' __ __ _ . ______ <br />u..i�nni;ns .n ___'_ _- __"__--_-" <br />,., // � ^(� �, „r...r, - .... <br />�iN_/1t�n1N1.�����LG,�:- L�ry.w.L�.___.._?.QV�O __�_%L'/pLf�Tn�,��p��ryG' <br />f�f�1111I.I C0411��(�.l()9 4��I �IH�nkSS Cilv .. �i . cl�ll l�(fN5{ • <br />MFC1�1��iC11(n41f1\!'IUf� V�il��•�t��55 fi^� � - __ <br />- . �^n•�� turF�KFHct• <br />�IuupnGfO�i�P�CI(M MuIEIXME55 ,.i� 1��' rr�p4( Sl�ffl�f(bSF� <br />1'/20o f° <br />orsw�nvwoa.e.nsov. r.noucrnnaivro ___ <br />�.��-� � r�.�-.z.-- �.�,.��__ <br />i re.i o�scnu�uoi; ai raoni <br />�o� __ moc. <br />� r»1¢m�Cna� i o.r� � rvnm <br />OR ITEM <br />BATHiUB <br />CIOTHES <br />SiNK �SE <br />FOR OFFICE USE ONLY: <br />�n ��ai�n�r. nrmsnq¢� <br />�/^ �r ,vn <br />i�..i ::�sl�' � �� �' 'r'�1.+���� r� <br />rtyyjiov,u,�.,ti .._ __.rvw�w.ir. <br />CGL'�k+.v� " N/� <br />.... . ... •��Itup <br />.. � i 'i .. _. <br />�... 'i� -- r nv <br />.i��- _'__ ..�. <br /><� /='%/ <br />FEE 5 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />couuce „i nsnv� /uio nm�r ao -- <br />=]�C4'K-l�A�ht /i __--_-- .._.___'__ _. <br />_�`L/ /`�— - <br />I HEREOY CERTIFv TMAi 1 HpyE READ A4� E%AMINED THIS <br />APP�ICATION ANO NNOW iHE SAIAE TO OE TqUE AND CORRECT ALL <br />PFOVISIONS OF LIWS AND OFOINqKCES GOVEpNING THIS TYP[ OF <br />WORN WII L BE WMPLIED Wlifi WHETHER SPECIFIED M[R[iN OF <br />NOT T��E r.nq��TiNG Of A PERMIT �OES NOT PRESUME i0 GNF <br />AUTHO�C'V 70 VIOLATE OR CANCEI TNE PROVISiON OF nNV <br />OiHEN SiAiE OR IOC�L LAW REGULATING CONSTRUCTION OR 1HF. <br />�'Ef1FORUA!ICE Of CONS?HUCTION TIIAt I qM AUiNORIZED �V iHE <br />OW'JER OF THIS PqOPERiY TO pENFORM iME WORN FOR WHI!;M <br />APPI.ICATION IS MFDE AND I GpMPLV WITN THE SiATE <br />CO'liRACTORS I NW IP 1l Rf,W AND 296 200 Y/AC <br />x'�,H�� i ri. L��- i�Li✓.� ��'__ <br />U�11 <br />Li1Y AVSINt�, :11; f 11�i '.(1 <br />IELNANICAI '-� �-'--"--- --'---'" <br />:T—...�_"__..._'__.._ -+--_ . <br />PoPCED AIR <br />GFSFlREPLACE �—'-- <br />GAS RANGE �-- <br />tl0(SCIPqn flnqcntfx1V1441n <br />�^ ��� <br />�•c'+� s�n FEES <br />❑vrs ��� niwni.�c <br />olt O� PIfK'V , . <br />P� I VI <br />4" i�M1 • <br />_ !S ❑ �q - — <br />- eoo���nr. r..:i�ac• <br />—_ __._- __. tn <br />�� i n.�. i..- �. nr. <br />CITY OF EVERETT <br />LOCALSALES - <br />TA% CODE IS J105 iufaL <br />SUO tOTAL S <br />FERMIT 5 <br />iJTAL FEE f <br />�t C� nvrrm�ryo <br />�� <br />LUATION _ _ <br />_ � / 7 <br />-_" -_ / L <br />__.... . ___. _�-.___ __Z�-_.?,__ <br />