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APPLICATI� FOR CONSTRUC�N PERMIT <br />CITY OF EVEFETT • BUILDING DIV:SION � <br />3200 CEOAR STREET • EVEIiETT, WA 98201 •(425) "e57•8810 <br />❑ DEMOLITION ❑ COMBINATION BUILGI G ❑ MECHANICAL W��u-MBINp ❑ SION <br />PROJECT AUDRESS: �li w I � <br />�_ny�rr.5�" _-��-2r�� �l2:S= �3�. 0�4.5 ? <br />r.rnu�u onmv.�rn a.i� �mn[Ss on •�r rv«�rr - � sim nkredt � <br />YipUNiGlCOY1��f.1V� V�'l�f4NVc5 bh l�l: P�N%t il�4lKINV[� <br />CI114pMGCONIN1f�p11 4��1/.flfM[Si �11Y I11' f•11p4� <br />SI�I!'�IIC.'AS( • <br />r3�a��N,•�„� , <br />/ .V%N � � <br />IPo�lIX5Cn�1•11 P�bl'EPIVI9�OWIIPI <br />io� _� n�x� � <br />[7i✓. �/ l�o�• � � <br />ca�51nUClRnIn�M�fMIKI� NN+�[55 i[l[nqME <br />SHOWER <br />SINK �SERVI�E — <br />FOR OFFICE USE ONLY: <br />�nouia�n.r. ✓v. nnnsnwcK <br />���t,ax � o� ?�C] <br />—_�' _ <br />I�FI(i1111�VIt�11U'. 40 O� l�W1111� <br />II4i1[ <br />•swr.v.:. �.. � a�nm.v�m.n <br />neiu�u:�.,iao - <br />HEATING SYSTEM: ❑ GAS <br />cwuu ri ntw.�m r��rw� w�j�� <br />I HEREBY CERTIFV 1NAT ( HAVE AEAD AN� EX�MINEO TMIS <br />--�.�---- APP�ICATION AND NNOW TIIE SAME TO BE TRVE AND CORRECT All <br />p_ PROVISIONS Of LAWS AND ORDINANCES f.OVERNING iH15 7YPE OF <br />��� WORN Wql BE COMPLIED WITH WHETHER SPECIFIED NEHEIN OR <br />m.cNrnocorJ 5i rypi. THE GAANTING OF A PERMIT OOES NOT PRESUME TO 61VE <br />/ 4f RUiHORITV TO VIOLATE OR CANCEL THE PROV15�04 OF �NY <br />OTHER STATE OR l LI1W REGVLATINQ LONSTRVCTION OR THE <br />PERFORMAFCE OP STRUCTION TH�T I AM �UTMORIZED BY THE <br />OWNER OF -fH15 O ERT E WORK FOR WNiCF <br />APPLICATION I�DE N 1 �� TNE ST�TE <br />CONTRRCTORS IB2IPC ND 6 WAC <br />�� »... . <br />voaceo <br />S <br />�a /o i� .,� �....,/O,_-L�� <br />vcr.v�s��t FEES <br />❑HS O tiU PI��MMt ' ) / <br />O� &'JG�I <br />30 5�_ M,,,�v� - — <br />e�ue[�� vrnn�x'.n <br />❑.ts «n --- <br />— .odimrun.voxc. <br />anHn <br /><1111 Nv1U�M:5�ln[11�11[! <br />CRVOFEVERETT rcn�cwrv�.c <br />IOCAL5�LE5 ----- <br />TA7f LODE IS J105 TO7�L <br />SUB TOT�L f � <br />PENMIT f <br />TOT��FEE f <br />��0✓� <br />rrr / nKt�r�rq <br />�` .$. t� <br />V�lU11T10N _ FE_ ET_ <br />�o I� �E3G <br />— --- - — - ---+— <br />