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��. <br /> '" APPLICATION FOR CONSTRUCTION PERMIT <br /> CITY OF EVERETT•BUILDIN(3 DIVISION � <br /> 9200 CEDAR STREET•EVERETT,WA 98201 •259-8810 <br /> ��'��UTIGN ❑ COMBINATION fr}�GILDMlp ❑ MECHANICAL ❑ pLUAA9�Np ❑ g�pN <br /> �PR�ECT ADDRESS_ ( $ c� �-�2 W I �r-� � �,•�N V �S <br /> ,Qe�Ffi�i- �oc f 2�.,�e�� c.� �- P'e �.� w�- 9F2a� �3y 5'8S� <br /> �" ►un�ooaEu <br /> ar nr ' rNart <br /> T� wu��oonEss urr :ro <br /> �.�!�r (Lo+��N C-- c�a S�r-�cf<i�, �Y -n ��f K Y S<-�a-'*a-C tS' <br /> raa�acianotson[a �w�ooness cm �m <br /> D r �q.Moiv� ��C�C �e�.1Tve �. C"�-!.^,/ `� <br /> oee[nucawm�tton ww�ow�ss trrr nr <br /> PIqqE $I�/E IICFl6E� <br /> ������ M����� �n � ���F ST�TELICEIME� <br /> K�MMqCCMT1U1tTd1 1WADORE43 qry � <br /> A�� SUTEU�(1�5[• <br /> cwnMcr n�a wowc <br /> �PP��hC -� S d �G, O�'i HEATINO SYSTEM: ❑QAS ❑ELECTRIC p <br /> n�cMEwowtNosdw�Eroo7ME�vfo � s��A cdr�cr�� O� Sr'?'� <br /> c 2 � �-�1�- <br /> ��,c t r T�n crN� t�-^�c t1'r� 2S^ — 3 2� <br /> C�✓1n/�(\ON W"�-LL 1 HEREBY CERTIFY TMAT I HAVE HEAD ANO EXMIINED THIS <br /> r�Oroe[o u!E Os Miaurq APPLICATION AND KNOW TME SAME TO BE TRUE NO OORRECT ALL <br /> I�L�S�T+-�A./t^/�iT PpOVI8�ON3 OF UYVS AND W�DMMICES OOVEIMMKi TMS TYPE OF <br /> ��sc�niwasvna�ttrta�bwnenaww�n�nwrnr�s� WOIiK NALL BE COMPLIED WITH WFfETHER SPECIf1ED HEREIN OR <br /> NOT. TIiE OMNTMq OF A PERMT OOES NOT PREBIN�E TO OIVE <br /> tor eiow or AUTHORITY TO VIOLATE OR CANCEL TME PNDVIBION OF ANY <br /> O N I�--� L. � OTHER STATE OR LOCAL LAW REfiUTATINO OOM811K1CTION OR TIIE <br /> PERFONMANCE OF CONSTilUCT10N.TFNT I AM AUTMORREp M TIIE <br /> OVVWER OF T1M8 PROPEIITY 1FIE YYONIf FOR YVlNCN <br /> APPLICATION Ig COMPLY YVITH THE STATE <br /> "11Ce1�� � oavrn�cra�s �e �rio ne.xo w�c. <br /> 'l�ql - - cSfl- Ooo � <br /> oa.mucnoM io�w ieae��oo�c�a.�icna�M..cn Z � �Q O <br /> dwN 2��. �N 4�i C� l <br /> MIE <br /> QiYlU'.iES3lICENSE MO <br /> �� ��� <br /> N0. ThE af fIX11M1E 011 Rd FEE NO. fYK OFl01�1� � <br /> WATERCL08ET(iOILEn � NC—MNOLOIMB <br /> ��� � FOHCED AIR SYSTEMg � <br /> LAVATORY A811BA8Nq <br /> , �R � HEAT PUUi <br /> ' INNTMEATERS , <br /> KRpfEN SL'iK i qSP � C�OTIES CR1'ERS � <br /> 018HWA&IER � RMJfiEFIOpp , <br /> ' LAU4ORY TRI1Y ; WAT9i MEA7Eq � <br /> QOTIEB WABHER � WOOO STOVE <br /> URIWIIL ' <br /> ' iNEIAL FIfiEPLACE(yyppp BI�N� � <br /> O11r'r(pfi FOIXl�Al17 � FlI�1 E MSEqf(VNpQp BUfiNN!(i) �— <br /> R0011 DRAIPI � OAS Flil�l/IC,E —T— <br /> BACKfLOW P1IEVEIVTERS � (i11S RMr(�E � <br /> SM'1K(SERVICE—BAR.ETCJ � �q p�p� ' <br /> i <br /> ' 061M1ST FAN � <br /> � � <br /> i <br /> � <br /> � � <br /> � <br /> SUBTOTAL ! ' SUBTOTAL f <br /> PERMfi : � PERIAIT f � <br /> TOTALFEE f � TOTALFEE t � <br /> FOR OFFICE USE ONLY: <br /> FIIOpflETMCK REMSETMCR SIOEEFTMCR PIANdEdtMMER fFF IIFCEI►fN0 <br /> r `�lJHG% <br /> �� ior,wc� y�(:µfgtE FEEf YALUAiION FEE <br /> OVEa p rq �� <br /> IIEIOMlM11iAT10N NOOFOWEUlNO 9lEOilLOORI � <br /> iMItS <br />�i� RU�lNp � <br />� b fKfl(M[S OCCIFMNTlp1D K9E/IEN7 — � <br />� 11FCN�NCi1l � , <br /> � 0� � <br /> NEO'D RFA90N �ODIIqN�I%ANLKLM i <br /> `r'r-3 v�zD ' <br /> o�Nca � <br /> �wwwneoro urlcon /� y � <br /> H <br /> `'� U LI� • . STATE EUIOMNi SIMiCNMI(t( � <br /> TYPEOiCONST PL�NSMPf�OpY —' *— <br /> ` , � -rr�J n�- cmoFEVEnerr MISIMMq11K5 , <br /> v LOCALSALES <br /> w�c TAX CODE IS 3105 TOTAL 7— <br />