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�1PPLICATf� FOR CO�ISTRIlCT�N PERMIT <br /> CITY OF EVEPEfT•BUILDING✓I'iI51CN � <br /> q320�.CEDAR RE�E1T•EVERETT.WA 98201 •(425)257-8870 <br /> ❑ DEMOLITION ❑ CO�ATI���L' BUILDING ❑ MECHANICAL �VLUMBING � SIGN <br /> �PROJ CTADDHESS: ���� �� <br /> i�7Re�7' i.�vesfv�9pe - �o,Bo�S-s��-�� ce. s�as`__zsri-s�u <br /> bNMF11 4u�RpCnE55 CrtY Z�� Vw,le[ <br /> 11N�\1 M�IIMM(Si f.11V l�G f��7h! <br /> AIIC�niIC�CnryfSir::(�� 1 tl�nf[S f:�v ].�•— rrxl4f � � <br /> /I/�P,/.i9lioirt0 �BNS7: �-Q�01��G� �UP��1�-'e 'fS�__2S"4— 9/�// -- <br /> rrnP�µCo�+�Mcron vu�M[ME55 nr ] rvqqr �uq uCrrvSF• <br /> PfO�u.14C0'lin�[�U� 'I��l�f�^F55 � f.�T� I't' ����:f `��4VCiu[C• <br /> �- ��oNnl,�ttC�l.�l�ncr��� i68�/me,�.a���24_��._Sw�nsrn�g2 D�- <br /> 4�111�I.t:..f•f.p111I1�f,ffX1 4��t1INMC55 CIII II� f+ f I}��IIfM1SF� <br /> mm Y�S'3��C-� S��J' <br /> 2 0� — -- <br /> LOytn�G1 f'lliCE Oi V:f)Px <br /> HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> nr•;:orf n[�nU50W�[�O04ccv olv(o conuC*�nY mrvnvrm <br /> �� ��n 171 /1 JI�PI/1 F i?/� �J�[2�('— <br /> fIC /CC�S� L `�ZS g�9-7��7 <br /> I NEREOY CERTIFY TNAi I HFVE READ ANO E%AMINED iH15 <br /> AP�LICnT10N AND KNOW TNE$AME 10�E TRUE ANO CORREC' �LL <br /> �-r.�ra«o a�i or mum� c PROV1510115 OF�AWS AND OROINANCES GOVERNING TH6 TYPE Oc <br /> //� <br /> ��LPOP 7YCLG�- WORK WIIL BE COMPLIED Y�ITN WMETHER $PEQFlED MEPEIN 0� <br /> ur..�o[su�mnor1orvnor nn�srrox��eFiowou�n•cn�wncon[v NGT. THE GRANTING OF A PEFRIIT DOES NOT PRESVME TO GIVF. <br /> io� B�oca or AUTNOFIIY TO VIOLATG OR CANGEL THE PROVIS�OY Of a�rv <br /> OTHER STATE OF LOC4L LAW REGULATING CONSTqL'CTION OR THE <br /> PERFOqMANGE Of CONSTRUGTION T11AT I FM AUTNORIZED OY iHE <br /> OW4ER OF TNIS P90PEATY TO PERfORM THE WORN FOR WHICr� <br /> APPLICATION IS MADE AND I COMPLY WITH TME $i�TE <br /> ru+cEu�vio�niuxfn CONiRPCTOPSI.AWIA RCN'AND296200WAC <br /> CONSIPIICI2WIOINIfNOF0.MIR�6[iCl[f'NWEMIMPFII �.��/M� /�Z< � <br /> ^Ou4�„� �:,�� <br /> CiiY R114N[S$l�:[r�cr r::1 <br /> PLUMBING MECHRNICAL <br /> NO. TYPE OF FI%TURE Op ITEM FEE NO. TVPE OF EOUIPMEM FEE <br /> WATER GLOSET�TOILET) A/C-PRiNOIG UNITS <br /> BATHTUB f'ORCED FIR SVSiEMS _ <br /> L�VATORY(WASHBASIN) MEATPUMP <br /> SHOWER UNITHEATERS _ _ _ � <br /> NITCHEN SINN 8�ISP GLOTNES ORYERS _ <br /> D�SHWASMER RANGENOOD __ <br /> LAUNDFV iRAY WATEF HEAiER <br /> CLOTHE$WASHER WOODSTOVE _ <br /> URINAL METAL FIREPL4CE hV00D BURNINGI <br /> DRINNING FOUNTAM FIqEPIACE INSEFf(W000 Bl1RNWG) <br /> FLOOR ORAIN GAS FIREPLACE <br /> OACHFLOW PREVENTERS GASRANGE <br /> � SINK(SERVICE=BAR,ETC� GAS PIPING <br /> E%HAUSTFAN �_ <br /> L� <br /> SUB 70TAL S SUBTOTPI S <br /> PERMR 5 GERMR 5 _ <br /> iOnTAnLF�E�E���5, � TOTALFEF. 5 �_ <br /> FOR OFFICE USE ONLV: • -�ytt-�v in <br /> �noruennsr. nnn5r�n.c. s�orsne+ex ruNv� /�iyN(n�— �rr rt�vmn.e <br /> �y//--- _ _ <br /> va��ow --"-'- �o�.�� v�uv�sm ___fEFS _ VALUATION ---FEE_ _ . <br /> ❑rfs ❑u. nour�.�c � � ' � <br /> __"--_ _ <br /> �ff�fA�IPVI�biCV NOO�UWfIIiNG cq:OrBlW41 .. . ' � � .. <br /> 11Y�1\ �V�'���. <br /> _._. . ._.._._ . _.._.�_ . _ _�-... . <br /> ptllTl\�� V...��'..cli (NfIriV1111J�11 p15[Vf�l 4F11��1i1:Y ' <br /> I.li'.11��` • <br /> ❑vF5 Ox0 '__ _ _ __ . _.. .....__� ..._ <br /> nI��M �DMI�(1V�I ry�Y 1'�?I� � <br /> i.i.i ��n ..in,�.rao - _. _' __'- . . <br /> �.o�tn _— ' __ <br /> ra:Tiv:(.�n�:i�_ ._ nf��a., _— '- __'". .__'_.._ _ _. <br /> �.uq niwonc•�mrn�nor <br /> irrr r+ �a�i.i—'— nnr¢�rrnorr�n. CI7YOPE4ERETT r��n. �.--__'_`— ' ' --'_ " - <br /> LOCALSALES -- ' --'---'- � '' -�- -.-- � '- . - . <br /> �,.,F TAX CODE IS J105 TOTAL '. � <br />