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APNLICATI� FOR CONSTRUC�1� PERMIT <br /> CIN OF EVERETT•BUI�DING DIVISI7N � <br /> 3200 CEDAR STREET•EVERETT,WA 9b201 •(4i:5)257-8870 � <br /> C DEMOLITION p COMBINATION � 1EUILDING ❑ Mf�E"�CHANICAL ❑ PWMBING ❑ SIGN <br /> PHOJECTl�ODRESS: Z,SII� LOh�y�ar� CVGrc'f'� <br /> B�II Wti,��_Ja�p Ffl„f� R S�ol��„s� 4A��( 3GO�LY�293� <br /> ow�.fn vut 4%mFSs ctrv Iir vrrov[ <br /> hot,e <br /> �cwm u�n nnonrs, nn nv r�rovr <br /> 1� O WhQ(' <br /> �zw*rcronr�r.siLrn.�� ur.fi nnnrss oiv nr n�.r --� <br /> Oy�a,(' ` lv����LLo���n-'— �� , <br /> f.FM[Ml[ov�MC�On u �l�ppn[4 cin )ir r�qv[ L�q��Qnsv. <br /> 4Ff.111HIC�lCO4In�f,IU11 II�IIAfqnfS$ f.lry }If' V1104f il�l{IY.fHif• <br /> My48111GCOII1R1f1pf1 �/ 4��lAC(YIf55 CIfY IIV 1`NONf $i�l{IICLNSf� <br /> to��ud0. � �/' S00.D� VES <br /> LDNIM 1'I�iCCUI W01111 <br /> �_ - n p �` HEATING SYSTEM: O GAS ❑ELECTRIC ❑ <br /> orsrnAFwOn�00 GF�vva�roL �` couuc��TvrnSou�Mnrr�IX+f'q y <br /> ��.,,1„�{.0 �2� � 100� �JQIC(Lt 1�� ��A11��)f�' <br /> _ �c,z�c 3(nd (��F-7-9�C5 <br /> �. , 1 � � _ �,� �i� .(' ' ' �`� I HEREDY CERTIFY TNAT I MAVE READ AND E%AMINED TMIS <br /> �r � pPP�ICATION Aq0 NNOW TME SAME TC BE TRUE 4ND WRPECT ALL <br /> �morpsFo use or nu owc pqpV1510NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORH Wi1L BE GOA7nUE0 WITN WMETHER SPEqFIED HEREIN OR <br /> i[cun[SCmrnonorrnon[nnisrrow�ieuowonen�cnrv+otomesi NOT. THE GRnNTING OF A PERAIIT OOES NOi PRESUME TO GWE <br /> io� Z S BiacK �✓�'S p� —DO AUTN0f71TV TO VIOLATE OR CANCEL THE PPOVISION OF ANY <br /> OTMER SiATE OF LOfAL LAW FEGULATING CONSiPUCTION OR THE <br /> PERFORMANCE Of GONSTPUCTION.THAT I AM AUTMpqIZED BY THE <br /> — OWNER OF THIS PROPERTY TO PERFORM THE WORN FOR WHICM <br /> ¢ 3� / - .56 S- C' 2� - 00 O % APPLICATION IS M1tADE AND 1 COMPLV WITH THE STATF. <br /> rear.[i�exmI rnivntn .I }'�(J WNTRPCTORS 1h44 IB 2]RGW r1ND 296200 WAC. <br /> C.O�'[If111CI(IONlO NIIN(IF�y%%1E55 iCll�O4ENUAFnL INV��VL. , .� <br /> 9 a,�.� —��i•%�:7r�.�., i% �9� <br /> x �T <br /> _ e�en �ne � uu <br /> tlIY BU9NLSS ll^.ENSC NO <br /> PLUMBING MECH�NICAL <br /> NO. TYPEOFFI%TUREORITEM FEE NO. TVPEOFEOUIPMENT FEE <br /> 1 WATEF CLOSET(TOI�ET) A/C—A/HN�LG UNIT$ <br /> T BATHTUB FORCEDAIRSYSTEMS <br /> LAVATORY(WASN BASIN) MEAT PUMP <br /> SHOWER UNIT HEATEPS <br /> 1 NITCHEN SINN d DISP � GLOTItES ORYERS <br /> � DISHWASNER R�NGEHOOD <br /> LFUNDPYTAAv � VIATERHEATER <br /> � CIOTHE514A5NER \VOOUSiOVE <br /> URINAL METAL FIREPLACE(WOO�BURNING� <br /> ORINNING FOUNTAIN FIREPLACE INSERT h"f00D BURNING) <br /> FLOOR DRAIN GAS FIPEPLACE <br /> OACRFLOW PREVENTERS GASRANGE ' <br /> —i— <br /> 51NK�SERVICE—BAR.ETC.) GNS PIPING <br /> E%HAUSTFAN <br /> SUB TOTAL E SU�TOTAI S _ <br /> PERMI7 f PEFMIT f <br /> TOTALFEE 5 iOTALFEE S <br /> FOR OFFICE USE ONLY: Q'i S-QD(i� � <br /> �nnutsr+n�r.x nnnytn.r,a S�oEsnB�cc reuurttxNovnru r[� nfcr�r.no <br /> /V 'a 'D " <o <br /> usc�oNr ' V �m�n¢e v�uu�snF FEES VAWATION FEE <br /> _� �)' o.Es ❑�o Z:JS <br /> nixm�vr. _� <br /> ncir n��enn��ou� na a uwruiw ¢[or e�ocni ' <br /> rp iwiv 22. .�. rivux,vr. ___ ._ _—_—__ _ __"__ _"_ <br /> a -� <br /> ocum�+�rr v�riyrnEs w�.cuneH�m.o e.svMtai �J/ o�uuv��n <br /> �iLJuv I ❑�6 lTvO _ _ . _ __ . _.. <br /> ir.!':I�nmKIU�PC�ID nl�SON �Dq1i0N4h1Y0?Lr <br /> flll�(11 <br /> Ii�.laIF11UPL�]� 11Fnc(jv ' <br /> I�11 fllHf)r.lic1111G1�lICC <br /> __ � <br /> ��r�nrco���� nnec�rrnovrnn� CITVOFEVEflETT r��mi�wnn.c <br /> ��// I LOCALSALES —' — -- '---- — <br /> .JL "�4 ,,,,E g G 9 9 TAX CODE IS 7105 TOTAL <br />