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APPLICATI� FOR CONSTRUCT�N PERMIT <br /> CIN OF EVERETT•6UILDING O�VISION � <br /> 3200 CEDAR STREET•EVERETT,WA 9820/•257-8810 <br /> fl DEMOLITION ❑ COMBINATION D1�BUILUING ❑ MECHANICAL f J PLUMBING ❑ SIGN <br /> PROJECTA�DRESS <br /> iv a Sr�4V� •SE ��.�2-�n- �.., S�ao� <br /> OW��ER 441 WCPE55 �iry <br /> Zm ArorS <br /> (�wr�,�c,•�.J /OS�✓/�Aw s€ E�cec_� f o ' <br /> tcn.wr u.n�oone>s �irr ip p�E <br /> O•'1/L_ <br /> MC�VRQOnIXS�uNllq M�4�Upn[55 CIIV !V RqMC <br /> fiCYEf14COuiPlClq M.11L�pC(iEGS C11V lll� 1h1Y�[ SI�tCIIC[115C� <br /> �xr ADaf�oJ i��a.i ��µ� c�-ze,� 5faoa- v.��;y�s�ey ,UrK��es:�,ne <br /> �.ccN.r�cuco�.�a�c'on uu;�wmcss ��rv iie nrwR s�..i[iKCHSE• <br /> �lU\I:fINGCWII✓�.^,10�� 4Ml�Pl��I55 CIiV IN Rqltt St/.i[lIC[NSC� <br /> CLNIR�CIPOCE N WJRry - <br /> _ HEATING SVSTEM: 7 GAS y�ELECTRIC ❑ <br /> ��s<��e�won«�xo sovu+c roouc¢n�ra�m can n ri asor wo nronc�q <br /> c� <_#' AOd r.o�il To r(owFz ��,<2c t125_3V7 - SSG�/ oK <br /> v>s ayo- 3y�i <br /> 1 HERE�Y CLRTIFV TI!.1T I NAVE READ AND E%AMINED THIS <br /> rnorouo use or ew�mno - APPLICFTION AND NNOW iHE SAME TO BE TRUE AND CORRECT.ALL <br /> L�����,/� SP�� PROVISION3 0P LA1'JS AAO ORDINANCES GpVERNING TMIS TYPE OF <br /> 4cuo[scnm�qworencrcnn�s�qxqouowon�n4et»pc.oni[s WORK WILI CE COMPLIED\YITH WHETHER SPECIFIED NEREIN OR <br /> NOT TME GFAh11NG OF A PERMIT WES NOT PRESUME TO GIVE <br /> w* otcce or_ AUTMORITV TO VIOLATL OR LANCEL TNE PFOVISION OP ANY <br /> OTMER STr1TE OR LOCAL L:,W REGULATING CONSTRUCTION OR THE <br /> PERFORMFNGE OF CONSTRUCTION.THAT I AM AUiHORIZED OV TNE <br /> OWNER OF THIS PROPF.RN TO PERFORM THE WORN FOR WHICM <br /> APPLICAiION IS MAOE �1ND I COMPLY WITN TME SiATE <br /> r����_tevioxw�n[r� CONTR TORSLAW102]RCWAND29fi.200WAC. <br /> �9/S- GYX7-CJe�3- GY%o / _` <br /> CONSi.iVCllpNl0lYlCNpEP./.D�1�CSS.i[1[f11011[NNIBCR X �/ __�_I�� �1 <br /> SG14IV -_ D.\I[ <br /> CIIY NOSiNL55 LKLNSC IN <br /> FLUMBING MECN�NICA� <br /> NO. TYPE OF FI%TURE ON ITEM FEE N0. T1f�E OF EOUIPMENT FEE <br /> � WnTERCLOSETITOIIET� AC—ANNOLGIINITS <br /> BATHTU� FORCED AIR SYSTEMS <br /> LAVATORY I�'�,ASM BASINI HEAT PUI.IP i <br /> SMOIVEP UNIT HEATERS <br /> I NITCMEN SIfiK ft DISP CIOTNES DfiYERS <br /> OISMlYASNER RANGE MOOD <br /> IAUNDFYTRAY IYATER MEFTER <br /> CLOTHES WASMER WOOD STOVE <br /> URINAL METAL FIREPLACE�WOOD OURNING) <br /> DRWFiNG fOUNTAIH FIFEPLACE INSEFT(WOOD BURNING) <br /> FLOGF�RAIN � GAS FIREPLACE <br /> 6ACKFLON PREVENTERS GAS RANGE <br /> :!IhN�SERVICE—DAR.ETC 1 GAS PIPING <br /> E%MAUSTFAN <br /> i <br /> SU�TOTAL 5 SUBTOTAL 5 <br /> PElh11T 5 PEFAl1T 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> FOR OFFICE USE ONLY: <br /> lPONLS[IN�c �1 npnSCTB�CK SWCSEtBK�/Y Iq/A�ryCCKrypyBCB 1 iCE P6EwiNJ <br /> � / � ( � �_ O�/ ?�7���C <br /> J <br /> usexa ior.uu v.c.n�5ne FEES VALUATION FEE <br /> �'� I 93 �.« .� <br /> ne�cx,uui.ypn mo o, wau�, sk�n�uoc,� eucoaw p �— <br /> �'.r� V�i1�5 OO <br /> rwue.Hc <br /> occ�nu,cv r.,�asmou acu�+Mric+n o.sEuinr �� ucnuHcu <br /> -� I OYCS fY1iJ <br /> ftl1E5PPIN�IlRPEO� REASGN �NIlIQN1lPlNIC11ECM <br /> �LN[P I <br /> fPEAURMIICOD IIG$(NI <br /> $tAI[OV4O�NG$VPCNUIGF <br /> r�r[orcorvsi� runs�PrnoYmor CITVOFEVERETT rvetcmH+ns <br /> `� �R� LOCAL SAlES <br /> nu� �!- a-�� TAX COOE IS J105 TOTAL <br />