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APPLICATI� FOR CONSTRUC�N PERMIT� <br /> CITY OF EVERETT•BUILDING OMSION <br /> 3200 CEDAR STREET•EVEREIT,WA 98201 •(425)257-BBI O <br /> ❑ pEMpUTION ❑ COMBINATIO� O BUILDING ❑ MECM�NICAL O ClUM91N(i ❑ f10N <br /> PROJECTADDRESS; � ' � � <br /> �, 5 't �✓i,4�rr�! Q�__''3_.Vds .�.ti3-�i99� <br /> p u 1�0�uEs5 an Pr ��� <br /> 1{N1M� Y4�1I1p1N5$ CRY !w M1�F <br /> ��LwTC�ORMLGrhO u�nLLWPF55 Of� Ar � PKY.f <br /> fdN n l COMiNfI(Y� ��'1 4MMKA [itr _—_!.r nMrvf SIUL VCtMK� <br /> 4iCN�MC4COY1n�C1VR VUI�t�MFS$ f.l}1 l�f' ���f �I��iIIC[MtL• <br /> MUMlhGCpl�P�q00 V�Y�IXI�fST brv li� ���F 3«���KE45{• <br /> ca.rn�ct rmcr u�w�m���1� MEATING SYSTEM: ❑GAS ❑EIECTRIC O <br /> I:J <br /> ofsc erwon���osou�ar�oo�weNva�2o coxr�crnnsor�vnn � _ -3,�3- 499� <br /> s 'T• L i o. <br /> ���ti <br /> I HEREBY CERTIFY TNAT 1 MAVE AE�D �ND EKIIMINED iH15 <br /> �PFIICATION AN�NNOW TNE SAME TO DE TRUE 11N0 WAAECT M.L <br /> �w.�nosrovs� mnmva '^ PROVISIONS OF lAWS AND ORDINANCES GOVERNING THiS TVPE OF <br /> �(/ � D/� /"1 WO� �Mil L BE COMPLIED WITN WNETNER SPECIFIED MENEW OR <br /> �[w�ntsc�"r wa rwrtnniyowr�et�o+�'ouu�n�c"i`^v�a"�si NOt. THE GR�NTING OF�PERMIT OOES NOT PRESUME TO G�VE <br /> io J/ et�F�_p - O �UTHORITY TO VIOIATE OR CANCEL ME PROVISION OF 11NY <br /> /) / � � / A 1� 1�C �� � • PEAFORMANLE Of O STRUCTEON TMAi�I M111UTIIORIZED BY T11E <br /> T JSa== OWNEH OF THIS PROPERTY TO PERFORM TME WORK FOR WHICM <br /> ^ } qPPLIL��ION IS MR�E �ND I LOMFLY WITN THE ST�TE <br /> JC/t / GONTR�GT SIPW102]RCW11D2%300W�C <br /> 3y'�ll� - DOd -.p-�7 � paa 9 <br /> CONi1 .iClICMlMM1IM�FP�IR+�l55�f1[n�FMUMPiII � __ U•1t � y <br /> !U <br /> C�I�P14NFti5lC(M[I NO <br /> n�� YECN�NIC�L <br /> NO. TYPE OF FlXTUIIE 01117EM FEE NO. :YPE OF EOIIIPMIBIT FEE <br /> WATEN ClOSE i(TOILET� NC-MMDL�UNITS <br /> BATHTUB FOACED�IR SVSTEMS <br /> LAV�TORY�WASH BASIN� ME�T PUMP <br /> S��R UNIT NEATERS <br /> KITCHEN SINN 6 O�SP CLOTNES ORYERS__ <br /> D�SHWASHER RANGEMOOD _ <br /> L�UNDRYiRAV WATERMEATER <br /> � CLOTMESWASHER Y/OODSTOVE <br /> URIN�� METAI��REPLAGE OVOOD BURNMG� <br /> DRINKMG FOUNTIIIN FlPEPLACE INSERT(YJOOD 6URNIN6� <br /> FLOOR DNAIN GAS FIREPIACE <br /> B�CNFI.OW PREVENTERS GAS FANGE <br /> SINK(SERVICE-BAR,ETC 1 GAS PIPMG � <br /> - E%HAUSTFAN __�_ <br /> SUB TOT�I S SUB TOi/il f <br /> PERMIT S CEAMIT S <br /> '— TOTALFEE S 1�TALFEE S <br /> FOR OFFICE USE ONLY: M�Fm�� <br /> �MM Hrn • nr�nsr�n siO[ / rUxb[c.M/V�ra rR <br /> ��C _ Z �`� � (y�ai�(� 72.�1� <br /> FEES V�LUIITIOM ��q� <br /> �iai(/��/fI�r io�.a�. v.c.r�u�i y.. _ 2�`J :G:J <br /> J_1.�� _ ❑Y(i M) RI�InIM`.����/� <br /> ��Flf.���y/��V��jj��Ty �OOpWflliNG glfIXllW9� � <br /> L V � uvnc � �/ nuun,vr, . .'_'__}� <br /> tI '__.._-- —...__� _ _ . <br /> OCIIT�\::r M�i•���wl) U'1'1�1.1NIIU�I� P�GN\I � V11:�1�Nn:�1 _ ... ____ __ <br /> f.HOU1' O�1S <br /> .�L.�__'__ _ IOpIiM�IIY�MC�NC� _ __ <br /> f11IL51M�r.ItItNP[�'� I�In'.rn <br /> o��xn <br /> wnui�axamo __ y'�'m au�nu.mnnsnrcrurn:t <br /> _4.;�0_ <br /> nremccrva nnnc�nrv�ovrnn. CrcYOFEVERETT r^n�'�`m"'c -. _" -"- <br /> LOCAL 511LES - - <br /> �.� ����t - TAX CODE IS 7105 Toul _ <br />