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APPLICATION FOR CONSTRUCT�N PERMIT� <br /> �OF EVERETT•BUILDINfi DMSION <br /> 3200 C DAR 87AEET•EVERETT.WA 88201•26&8810 <br /> � DEMOUTION O COMBINATION �Byl INO �p MECHANICAL ❑ PLUMBIN� ❑ SIGN <br /> � .t ��... <br /> PROJECTADDRESS:..{.oy'S Il ZlZ S!� �� l L 1..- I fu �H �(Lr��.,,p,�/ <br /> — - �i <br /> P�fN 1WLMM[p OIY tM' ��C�11 <br /> 1�ee.lL�ii�flawuTi.�c. 29N � {le� ifilLL Yt! CvtitAl�i » i�xv (inGl3os 9Gc ri_ <br /> r�M.�i uµ�oonku an lr n� <br /> NI� <br /> .�cNnttr msicr�[� u�n�nonEss an � r� <br /> ..srn�.eYe.n 140� 3n1� . SaY '7zo St�illtl.JA-�$Lpt (So41Gas.Sbo �rese <br /> cEw�wiconm.cron wrtwm[se cnr �r nia�[ ar.�[ucn,u. <br /> +1 wM.e�/. 1i � CS��1'(� 'N a 'K r.. tl 4 �hJl C2a:.�7a: Atc NiAITM ba2�,Wl <br /> u[CNunf/�ICOMin�GfOP IWIM�RE`.. ritt lM �IqNF S}�TElCENS[• <br /> TA QLr �IC7tQw1IUYD <br /> �IVYlMGCCN�PILidI Y4lApp11($j P�Y f10 %pN[ SiAi[IKLMSL� <br /> 'TU t5e_� DCTIti2i«..irra <br /> cwra�ci rwCE or r.w� <br /> gp� �— NEATIN(i SYSTEM: �jiAS ❑ELECTRIC ❑ <br /> OfSCMlEwMK.wOSOUMlI0p1b�NVOIV[0 ' �plf�(:�KMONNIp Iq <br /> 0 � <br /> I HEREBY CERTIFY THAT 1 IUYE READ AND E%AMiNED THIS <br /> vnpnp5F0 USE OFlULdxO APPlIG1T10N AND KNOW THE BAME TO BE 1RUE AND CORRECT ALL <br /> S 1 tr ✓ FROVIStONS OF U�WB ANO ORDINMlCES OOVERMNO TWS tYPE OF <br /> WORK WILL BE COMPUEO YATH VAiETHER SPEGFlEO McHEIN OR <br /> �cwixsw.rw�amorcnrt��ahxuiowaenecxrnoconcn NOL iHE ORMlTINQ OF A PERWT DOE6 NOT PRESUME TO OIVE <br /> .or eioa " a AUTHORITV TO VIOUTE OR CANCEL THE PqOVISION OF ANY <br /> OiHER STATE Oq LOCAI LAW pE3UlAi1Np CONSTIIUC710N�7R THE <br /> SEE PERFORMANCE OF LONSTpUCT10N,TH�T I M1 AUTHJRIZEO Bv THE <br /> OWNER OF THIS PROPER7Y TO PERFORM THE WOiUc F�R N711CH <br /> FPPLICATION IS MADE �ND I COMPLY WITH �ME STATE <br /> ou�cEtuxiaww[n ' CONTMCTORSlAW1l27RCWANDY96200WAC. <br /> 2— 7-0o1- 02tl / <br /> ;wSmmFlqNldwlEuOERNM[6/.t[t[11dFMM[R z �•-/J••.••/•// �'�—!�l�S7 <br /> wwhus wr[ <br /> 3 2uc <br /> an wwa�qrac xa <br /> PLUMBINO MECN�I/ICQ <br /> NO. TYPEOFFl%NNEONRE41 FEE N0. TYPLOFEOUIPMENT FEE <br /> � WATERCIOSET(TOILET) � �_���� <br /> � � �THT� ' FORCEDAIqSY8TEM3 <br /> � UV�TORY(WASHBAS�N) i HEATPUMP <br /> S��R ' UNITNEATERS <br /> / KITCHENSINK6DISP CLOTHE8DRYERS <br /> DISHWASHER � / MNOENOOD <br /> UUNDRYTRAY ' / WATEFHEATER <br /> QOTHES WASHER WOOO STOVE <br /> URINAL• MEfAL flREPUCE(WOOD BURIIING) <br /> DRINKINO FWMAIN FlREPUCE INSFM pYppD BUM11N0) <br /> FLOOR DRIUN p�fi FlpEpIACE <br /> BACKFLOW PHEVENTERS � pAg RANpE <br /> SINNISERVICE—BM,ETC.) � p/Sp�p�ryp <br /> DODUST FAN <br /> � <br /> SUBTOTAL 3 ' SUBTOTAL S <br /> PERMR { � PERMIT f <br /> TOTALFEE S � 70TFlFEE S <br /> =0R OFFICE USE ONLY: <br /> npIT5E1lYX R[M{[IYCI( Lp{NTYt�t rt/�MGKGtMwnIA � t[F 11FIYVlIq <br /> O 20 5 .�D,� <br /> stia1c �7 ior/.uu v�CwTpfE FEES VALUATION FEE <br /> 1`'Z .lCro o w ewown ,� �� I,�0 <br /> fIGNiUWi�i�ON wnowt unarmm <br /> ��+j wur� �M0 n�w�rrti Y)J <br /> '1 7W S F. <br /> qC�ANGv xppllMfS OCCVVMIIIOW M[XT ���µ /(.� i�`) <br /> a•3 u•i Z � o�o <br /> nESVWNKIENPEOD Pf�Fp1 MQIqMLLAN1M[G 1r�i <br /> OlH[N <br /> +EUAPNnfOV aF��W <br /> 1T�I�IMGKINInCiwIG[ � �.5� <br /> -oeorr.o�sr ru�zumwmer CITYOFEVEHE7T n�rrwwn ,.y7 ;a> <br /> T/ � I.00AISALEB <br /> .!L o.,, ����97 TAXCODE180f05 ror�� <br />