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y � H <br />�fE� �y <br />b N <br />��a <br />tni <br />� H O <br />a <br />N H <br />� y � <br />O N <br />�a <br />H � <br />t+ H <br />M <br />N M <br />O V1 <br />`�r <br />��� <br />I ��� <br />APPLICATION FOR COrISTRUCTiON PERMIT ���� �il <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />IHE�TING SYSTEM: � GAS ❑ ELECTFlIC lJ _ I � <br />6UILUING DEPARTMENT <br />,^.59-C610 �� <br />DEMOLITION ' COMBINATION BUILDING I I MECHANICAL I I PLUMBING I I SIGN <br />cnv IiP PIIOtiE .. <br />o�vuen i.innnoonEss I <br />�v'�z��T F%as,�✓G Aui�-�Uorr c�_ Pv.�i�» ST �L�i2�i :�YZv/ �8' /�ZZZ <br />minr�t r.mnnoomts5 <br />cnv nr ruoNr <br />nnC�nirC.tOnl�[slrNfn LNllnooqFSs <br />arv zm r�roue <br />/� .�rT � cz� G�/�i � C�4 �1'�zo_�Y� 3/�/ <br />J�%r,['CfA'� /i'Q!•�/Tt�T"i %li'OL�C_ �— arv zm riioi+r St�tEI.ICENSE� <br />quenacoutnnr.�on �.�nn.nnoncss <br />�i� �('. � QSO ti� — cirr zm ruar+e srni�uceNse� <br />ierci���ncntCONmncion A1ML�DOf1E55 <br />��rY Z�p P11pNE SiNE UCEHSG I <br />PlUlA01t1G COtliPnClUll I.ITIL AD��[SS <br />anss or wonK <br />! I NGW I! ADDITION I I qLTERATION � PEPAIH I I DEMOLITION I I WOODSTOVE/FRPL INSERT I I BUILDING RELOCATION <br />conrncT rr.nsor+n� rrar+r r�o <br />� 01, vc�o 00o Tont�lCssrf� _ o�S9 • 3/(� / <br />rronnncirnicEorv+onK _J <br />� i q- No,.�;.✓r� u�✓r.�� - <br />�noroseo use or ouiimNc / <br />(�w /.✓Gnrrc� /y!�iv5iii<i <br />l[GAl OESCRIPiqll OF POOPERiY �5110\YR 0[LON <br />�or_ e�ocK or <br />rna�cr nooness <br />/ � ii _/fr- �O- 3.� - <br />KITCH[N SINK 8 <br />DISHWASHEFi <br />LAUNDRVTRAY <br />DRINKING <br />SINK <br />FOR OFFICE USE ONLY: <br />Ff10N15[10ACK f1E��5E1D�� <br />_. � <—�� � � I\� L <br />USE ZG'�E LOT �I1F� <br />•�_:f <br />h1U G <br />SIIE UF <br />minHe m <br />� <br />SUO <br />�rri ar mus nn <br />�� <br />NO.OF S10RIES <br />FIRE SP11HKlEf15 f1EOD <br />AI.sT /i( �I�,#�s �il <br />nrrnov�our <br />I HERE�Y CERTIFY TF1Ai I HAV[ READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES GOVERN"'G THIS TYPE OP <br />WORK WILL �E COMPLETED WIiH WHETHER SPECIFIED HEREIN OR <br />NO?. THE GfiANTING Of A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OP CANCEL THE PROVISIONS OF ANV <br />OiViER ST�TE OR LOC�L LAW REGULATING CONSTRUCTION OR TI1E <br />PERFORMANCE OF CONSTf1UCTION. TIiAT I AM AUTHORIZED BY TIiE <br />OWNER OF THIS PROP[fiTY TO PERFORM THE WORK FOR WHICFI <br />APPLICATION IS MADE �ND I COh1PLY WITH THE STATE <br />rntivfn�nf7S LAW.Ni2711CW AND 296.200 WAC. <br />Fo�ceo nir� <br />UNIT HEATEI <br />CLOTI IES Df <br />iPUMP <br />PIPING <br />nusr r-nr+ <br />f $ <br />FEE S <br />n� <br />SIpESGIMc'N PI�NCII[CHrvur.+ntn � <br />, _ , <br />vncu�r sne FEES <br />DUILOING <br />rvturn•.n n�m9l�xGUM�H ' —'-- — <br />'""' � PLUb10WG <br />�— - <br />o.\5[MErl'I MECIIANICAL <br />MElf,rn L MCnnoN ADOIiIONAI PLAN CIIFCK <br />_ srniNk�E� <br />STATE DUILDING SURCI�Al1GE <br />CITY Of EVERETT ruoucwo�Ks <br />LOCAL SIILES <br />TAX COOE IS 3105 TOT^� <br />a.r.u. <br />M <br />FEE <br />$ <br />R[CEIPT N0. <br />