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APPLICATI� FOR COPISTRUC�N PERMIT <br />GIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREIT, WA 98201 •(425) 25�-8810 <br />❑ CEMOUTION ❑ COMBINATION �BUILD�Na , ❑ MECHANICAL fia'PLUMBIN6 ❑ SIUN <br />IEM1Nt Yµ �M�F55 i.IIY !p hUNf �p� <br />NcJM�.(,( 4nl..t�71 e5i Cd6am�tc:S � IAJ9 (il$ - ii%' sr.�� <br />�nc.+fcronotya+tn ur.nwwuF a�v im � rMv,i <br />�-7�T /�.__1,..1`-- !'_ /i�- _- --' -�- . • - - <br />�w I ��_ <br />10� P IXR <br />uo�/WG',. S� �� <br />�F Skok�,,.;,� <br />rvx.n iu � o Miun� n <br />41�0 -noz-c��S- <br />C I�l �NINIW IfMXBNMn55IfU <br />, �r�l�_,�la vnrnf,F�- <br />K� Ak�.S <br />PLUYBINO��— <br />NO. TYPE OF Fl1(TURE 1 <br />W�TER CIOSET (TOI�ET) <br />BAiHTUB <br />�CL IAVATORY(WASHBASIN) <br />SNOWER <br />� KITCMEN SINK 8 DISP <br />FOR OFFICE USE ONLY: <br />rmw�v�pact ann5np�ta� <br />2S Z� <br />IIGflOV( rJ � IO�Mf• <br />MH[S�I IW���IlO� � I NO ry pWRUHG <br />'�/ 0. uNOG I <br />2 <br />� �� <br />CIIY • !�� <br />t�*� /( lif I/ <br />� �f.VC� CC Y <br />CIlY IIP <br />NEATING SYSTEM: I <br />cwuc� rtnsor �nn rrqvr rq <br />v�c�v�v�[ / <br />❑vF5 a �U <br />❑\�5 Y(M') <br />I UCEN$( � <br />CUR � 1 <br />I�CENS( • <br />U ELECTRIC ❑ <br />I HEREBV CERTIFY iNqT I HAVE RE�O AND E%�MINED TMIS <br />�PPUCATION ANO NNOW 7HE SAME TO 8E TRUE ANO CORRECT �LL <br />1`iiOVIS10N5 Of UWS AND OROINMKES GOVERNING TNIS TYPE OF <br />WORN W11L BE COMPUED WITH WHEiHER SPECIFIED HEREIN OR <br />NOT. THE CRANiING OF A PERMIT ppES NOT PRESUME TO GIVE <br />�UTHORITY TO VIOUTE OR CANCEL THE PROVISION OF 11NV <br />OTMER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR TME <br />PERFORMANLE OF GONSTRUCTION TMAT I AM AUTqRIZED BV iME <br />OWNER OF THIS PROPERTY TO PERFORM TME WORN FOR WNICN <br />APPLICATION IS MRDE �N� I COMPLY WITH THE STI17E <br />CONTRICTORS WIB.]RGWANDY96200WqC <br />� "��3S7y �L.. ��-�1-� <br />C:IY IIV VMSS ll['.1 NSf HQ <br />Pi��Mw. <br />h1i41�M. ___.__ <br />Vf�:n�4K.y <br />.���..� �.v �„«. <br />o�rrtn <br />cuq n�nmwasviK�uruB <br />rnu �c hnn.c <br />TOTAL <br />SUBTOT/L f <br />PERMIT S <br />70T�L FEE f � <br />����� y � <br />����0 "trtmtrb <br />�i <br />VALU�TION FEE <br />�— <br />4J�f (o`Z ��a� ov <br />_-- _ _ _ _.__YV �� <br />