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APPLICATIO FOR CONSTRUC*DN PERMIT <br />CITY OF EVERETT -BUILDING DIVISION <br />Y200 CEDAR Si BEET - EVERETT. WA 9e2+D1 - T:; AAI <br />DEMOLITION COMBINATION SUHLDING MECHANICAL PLUMBWO SIGN <br />PROJECT ADDRESS 27/ O <br />_ E 1�195:14L44A Q•vL <br />!tSL.:� LQ lfl4r�n�o fl&c 6cocr 91�41 N S- 2s1-6/oX --- <br />�iDLlu /Jfou 14L 1472/ ({,�! Ikc��. WIM�wuE,-�271 (fw,�,2 �zy MELLNIWYBD <br />,., ... .,IIII[rMl -l•\ •Ivw -- u_'-- f� --—_....r ar•n rnrr - <br />2015,E HEATING SYSTEM OAS "'ELECTRIC <br />f, <br />fASY4 LL�� 7'Y 141 (aAu vIS �rfl7 UA AA'd P1 i .I <br />_�0 �e✓� (I) 6'xzYRocf�ld+� <br />H•iVrr w o \.{DM -. _' - - _— <br />ItaY URUDDrp rr(wRrrMMr,..+.iw HNp. rwDus�a. <br />e��V NEea W c . <br />I HEREOF CERTIF. '.,AT I HAVE READ AID Ea AMY-ED THIS <br />APPLICATION AND -.r.c, W THE SAAAE TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDNANCE[ OOV 14004 THIS IMP[ OF <br />WOFla VAL K COMPLIED WITH WHETHER SPECIFIED KRIM OR <br />NOT THE GAANT040 OF A PLRwT DOES NOT PRESUME TO r"t <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OtHER STATE OR LOCAL LAW REOWATND CCHSTRUCTION OR ME <br />PERFORMANCE OF CONSTPA CION THAT I AAI AUTHORl7ED BY THE <br />OWNER OF THIS PROPLPTY TO KWORM THE WORK FOR WHICH <br />APPLICATION IS MAD[ AND I COMPLY WITH THE STATE <br />L CONT ORS LAW if;I ' NO. 200 WAC <br />Q3izii •N <br />rV•.II M-IP Pam' <br />»GSi017oo <br />l+ir \iv{Nl[aW H> <br />KIIITSlIO <br />MECHAIACAL <br />no, <br />TYPE OF FIIRIM! OR ITEM <br />PE! <br />Na I TVP! OF EOIMMMNT <br />I FEE <br />WATER CLOSET ROlET <br />AC — AHNDLO t"Is <br />_ <br />BAT/RIA <br />►ORCED AM SVSTtm3 <br />LAVATORY (WASH BASINI <br />T <br />HCAT PU IP <br />—~ _ <br />SHOWER <br />UNIT HEATERS <br />KRCHEN SSM It D6P <br />CLOTHES DRYEFI! <br />DISHWASHER <br />RAMN HOOD <br />~_— <br />_ <br />LAUDIA TRAY <br />WATER HEAT[R <br />CLOTHES WASHER <br />WOOD STOP! <br />UNINAL _ <br />M! TAL PBEFMCE (WOW BU1IN114101 <br />ORDMVIO FOUNTAIN <br />FPEPLACS INSERT MOW SUMM+01 <br />FLOOR DRAM <br />OAS FIREPLACE <br />SACKFLOW PREVENTERS <br />_ <br />OAS RANOE <br />~— <br />SINK (SERVICE —EAR. ETC I <br />OAS P~ <br />_ <br />EXHAUST FAN <br />SlM TOTAL t <br />—�-- -. PETYVT t <br />TOTAL FEE t <br />SUS TOTAL t <br />_ F[w�r t <br />TOTAL /[E t <br />FOR OFFICE USE ONLY. <br />1u1 ulw. <br />-wmu A:,I <br />M1 rrt+Gl <br />ftup4w,IAArIA <br />I.HI ma - n <br />lar.na <br />,rrn Hn <br />VAlW11001 <br />put — <br />_ <br />Mill <br />l[yWKt nofL�l\ <br />Yr�w <br />cci]wwl llrD <br />Mwww <br />a wF ❑ R) <br />MO+Itµ <br />IamrPr HarloaH. <br />-w a-r...Il.rwr <br />w•aar <br />DNr <br />,"AL -ROD <br />r\AP <br />FNN \M1tM M"H-ulF <br />rl-E w cwel <br />-VHX XD• <br />eI <br />CITY OF EYERETT <br />LOCALSALES <br />TAX COOS IS ]TBS <br />-n\lc WRIS <br />TOTAL <br />