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APPLICATII..i FOR CONSTRUC7.JN PERM17 <br />CITY OF EVERETT • BUILDING DIVISION �? �_�� � <br />3200 CEDAR STREET • EVEPETT, WA 98207 •(425) 257-8810 E. 5� �I ���j��� <br />❑ DEMOLITION ❑ COMBINAT9I N � BUILDING / ❑ MECHANICAL O PLUMBING ❑ SIGN <br />PROJECTADDRE55: ��.P/�/I �ni•liC-i- �S� <br />4YI <br />A�fOuwGlCO.uln�fipp il4l/.OWE55 <br />�IUUDrvGCO�i1N1f,lIX� onl�M)n(55 � <br />L(1N�MCI Clli�[ O� KCf1 <br />�G:r�j , ('r,mD (. <br />or;rnmv vnnx u.o sov.�� roov.r m�orv[o <br />.E �1t lM�° rso �l rcv(��u � Sl� <br />ur,u <br />wi_ <br />CItY <br />f UC[xfi • <br />°L4ENSE• <br />E UCfl5F � <br />❑ ELECTRIC ❑ <br />Z3-llc��} <br />��L�1�.x���� I HEREDY CERTIFY iNqi I IIqVE READ ANO E%AMINEO TMIS <br />o ust or nnipnm APPLICAiION ANO NNOW THE SAME TO OF TqUE ANO CORREGT A�� <br />� PROVI9pry50F LqWS AND ORpINANCES GOVEFMNG iH15 TYOE OF <br />C1=�.A�`"i..��-Y ��{_j�_,�_PRO BSEvD WORK WILL BE COIdPLIED WITH WHETHER SPEGIFIED HEREM OR <br />,unn.io�io�rPorFnrv�snowr�ounwonennn�*womncsi NOT THE GFANiING OF A PERh11T OOES NOI PRESUME TO GNE <br />oiac. �� o� PI�I' fOF AUTNO�ITY TO VIOLATE OR CANCEL THE PROVISIpN pF ANV <br />OTIIER STATE OR LOCAL L�Y! REGULATING CpN51RUCTION OR TNE <br />_ � � _�'-�(g�V�9L . 14 oF P�LS �'ERFORIJANCE OF CONSTRUCTION. THAi I AM AUTHORIZE� BV THE <br />> OWNER OP THIS PROPERiV TO PERFORM THE WORN FOF WMIGH <br />• !�_ �� (�_.S��DA�((�j�,{ �, W��� pPP�ICATIOt! I$ MAD[ AND I COMPLY WITH TME STATE <br />� i u rmunln "� GONTRACTORS lAN' IB 2] qCY! AND 296 200 WAC <br />- r�u � - <br />w.r�irvnsn. <br />� <br />m <br />nusnrtss iKws[ r�o <br />WATER CLOSET �i01LET) aC- <br />OPTHTUI3 fOPC <br />LAVATORVIWASH pA51N) HEAT <br />s��owen ��-1 uNir � <br />_ � PEflMIT f <br />TOTALFEE E �—�-1-- <br />FOR OFFICE USE ONLY: � i <br />��,��n�.r�lurx nr• 5riO4C S�oCSFIB�cn r��qp�ECRMvunrn <br />� i :I)'�1 l/��I�IIfJ, V�C��I�SIIE � <br />II 1 W ❑YES ❑xU -- <br />jy � nmm�tiu <br />�.,.��iiunuu�i wn�r n� smEo�mor.ni <br />1 '�' <br />�d����j rmumvc <br />:.����r.�,.:. wvri.i�.�.0 e:c��,u�io.0 onsrwen� ' <br />�Sea i ; a w«,,,N��.� <br />c�� v�. �r�s g�� — <br />��.,t:fr..iu�ytbu-- mni�si ��P'noM�inurcurce <br />J"l� ._ �'L!�. �,� (lN�iS C�LiJ�L en�cn <br />niuinrr.rnmo nr��nr <br />{4� �-I � �Q�j �23 su�cowm�+rsnncunnr.t <br />� ��rncrnia — nnv�u�rnnvrnm CITYOFEVERETT roni,cwo��.s—� <br />I / _N �L LOCALSALES - <br />V o.it �a -o�'��l TAX COUE IS J105 TOTAL <br />_� /�/ �i nn �, flh;^- I�,�a�l r�.-�', h�'./ n`>\ -- <br />wrz <br />=�i <br />SUB TOTAL S <br />PEa1dIT S <br />TOTALFEE f <br />94�76 �rrnnnm <br />LUATION FEE <br />� 60 —T— <br />