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APPLICATI� FOR CONSTRUC�N PERNlIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREEf • EVERET7; WA 99201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION rg BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJ2CTADDRESS:�rl.00 EV�(,VC-�"� N��� V�J0.4 SU.VCC. A-S <br />2obi„sc� �,o�x��lics �- Iv�/t�l-vv�c�t �G7 SE ,�rkt1 Nlall N�'�t� 4 l��KFf- qKatd' <br />��I Ma� I �vay .�,�;,�c, A- 5 �vt�ctf a�ao� <br />1' ybrv Pn n1` rnONF � <br />iTc.L��y,�C , lfb�s_Lly - Gvn. �,2?0 <br />c��. ,.� i �� ra .�cji�,_%-iN <br />��cwr rJ j43>. <br />r� _ _ ' _ " ' _ ""— _ <br />IV/A . _._._JWv.�Co1�'I <br />Y,fC1N/NlICA�IC.IJ4t1��f�UP 4��l�IRPES$ fIN )�f' C�IMif iflfFIICENSE• <br />Iv / Il <br />1`1114 hGCO111P��1(M1 4��I�CC�F55 C111 1�� f'N�Jr�F S�IIFIICfM� • <br />d'IL rn� <br />— 1h5i�n,(.C. n�ri�i-Nc.-. W <br />a�_�d_ca� i- v��yl -IU <br />12� ' S�.C�+ d�F V<<c <br />vnnrosro osi� nr nmm�er. <br />�10.SC ;1t GC�-FiLtCO <br />lE W l OESCPinil W O� PIq1'E�rv ISPOWH BEL'1W Ci <br />�O� aid:x _ or_ <br />-b- IK�frCS —3-051 <br />r�ncrt ��vio miunFn <br />�i �Q <br />ca�. mKiiouio.uirvnrn�awEssrzi[n�oMc� <br />PLUMBING <br />NO. TYPE OF FI%TUflE OR I7EI <br />WATER CLOSEi �TOI�ET) <br />BATHTUB <br />LAVATORY (WASH BASINI <br />HEATING SYSTEM: ❑ GAS ❑ EIECTRIC O <br />co�n�cr o� nsaw �r�n rrror�r uo <br />Fr�,tik_ IG�,_rfi- ��S�,lqa�-�4i <br />�_�'� L�.0.1�.0 � HERE�V CERTIFV TNAT I HAVE READ At1D E%AMINEO TMIS <br />APPLICATION AND NNOW THE SAME TO UE TRl1E ANO CORRECT ALL <br />�� '� I� PROVISIONS OF �AWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLIED WITH WHE?HEF SPEGPIEU HEREIN OF <br />ec��rwocOwEsi NOT. THE GRANTING OF p PERMIT OOES NOT PqESUME TO CIVE <br />AUTHORITY TO VIOLATE OR CANCE� THE PqOV1510N OF ANV <br />OTNER STATE OR LOCAL LAW REGULATING CONSTRUCTION ON TME <br />PEPFORMFNCE Oi CONSTRUCTION. TNAT I AM AUTNORIZED BY THE <br />OWNER OF THIS P�iOPERTY TO PERFORM TME WORN fOR WHICM <br />APPLICATION IS MADE AND 1 COMGLV WITH THE STATE <br />— CONTRpGTORS LAW 192] qf.W AND 296200 WAG <br />nEn x �/�A/L�� , K.VK"�l � 5 "I <br />rcrumn[ uu[ <br />b�Y0U4NE55liCFNSf NO <br />TOTAL FEE 5 <br />FOR OFFICE USE ONLY: <br />inower�Nn nrm5np¢x <br />r,a �sa� --- r�,�.��. -- <br />I�Flt:�ll I�V�in�ii�\ NO b l�WIIIING [ilE <br />t��� <br />or.um..:. o� w'ronw�io.n <br />' "� ( / �' <br />�i��f ���� :nl� �Pf'JU frl�Gfn <br />'/t-� ��5711�� <br />iT�c�,:n.. ic� nF.snv <br />-i��-, �"157/il� <br />CIOTNES <br />FAN <br />SID[5[�B�CR �1�N[I�{fMn�llVnfP fff �lfFIn�NO <br />s97s� /3e?ys <br />v.c�v�s�rt FEES VAL <br />❑vF5 ❑ ml flN�PMn .. �S <br />pf BlW'�1 -� � <br />( aO0 SI �I4P.If, <br />nnu�tv '—_"' 4rin..,�.i_ ...'_—'_ " . <br />❑�t5 �Y/I ' ... <br />' Pflrylil�4911• ��t�Rl.� <br />�` i��rn — _" _..' ' <br />4��11 Ril�ll:�r.l .�Inf��If1iA— <br />CITYOFEVERETT �uniir.vmn.c <br />LOCAL SALES — — -- <br />� TAX CODE IS J105 TOTAL <br />