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APPLICATIO� FOR CONSTRUCT�N PERMiT <br />CIN OF EVEREfT • BUILDING DIVISION � <br />3200 CEDAR STAEET • EVERETf, WA 98201 •(425) 257-8810 <br />� OEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SION <br />PROJECT ADDRESS: ��� z- � q� S� �EtJfSQ-E'17 l.� <br />Y� �( V-'R,� LAtvJp �Scti-� <br />owi+in wu��mness Grv nr rrqM[ <br />�fN�4i YYINIIXYSS CIfV IIV FIqN[ <br />•fiCpRtL10�iM9G�RO M��I�ppnk55 CI�Y l�l' P�qM! j60 f^C� <br />.�.�C1�-uirid,J �nrn4-zor�- S� 51-. Sno„a„��cii r.IM %fl9c- ic8-zS�a �ap.�.o <br />f.�q[nnfcotm6�Cf� uut�DtIDE55 c�lr I�r P�xTR 54pucrNSE� <br />I+Fb��M1�L4fpV11UC10R 4U1�W11F55 f.�b TiP PIICFf 5111flICENSf� <br />PPi4AirvGCON11UCtCY� 4ut1f1p11E55 Llry IIV PIqNf S���f110EN5F• <br />� h � � 0�. �r <br />MSCf110f WpqN4Nf15011�f1[ [p'Jf1�f MVIXVCO <br />�no�i Ex�s�:�5 �kx 2i� 6na�Ask. <br />l+nqqcf � U[[ Of PllM1prp <br />p�q�� y�,� c s i S� Pdd <br />i�cu n[s��na� n �i�orEnrv isirorm n[mw oa r.nr.c�i �wo coAcsi <br />�a� , macx or <br />B1� ooa - Doo 6-IL�/iorfe:-SBu��� <br />�u53/-ooy -Doti -000y- <br />ru+cri u.�o viiuxtn <br />�,o��� <br />COVSInUC��oH �GIrv �[u�Mn /INN�65 ICI[1`NWE MUuflF11 <br />PLUM9ING <br />No. TYPE OF Fl%TUPE ON ITEIA FEE <br />1 WATER CLOSET (TOILET) <br />BA7HTU� <br />IAVATORY �WASH BASIN� r <br />SIIIK <br />PEFMIT S <br />TOiALFEE E <br />FOR OFFICE USE ONLY: <br />�nrnn•�rrn�rn � nrm5rtnecM ei'+[sne4e� <br />o�i �o4rp y i.nu <br />_ 1�)- ��- <br />uf �.�`VVid1iOY � NO f <br />� ' riil!: <br />iii�:rrn..�. �.. ��. w:ran� <br />i iTi '7 L.�f u� ni dn_ __ 7u�rw <br />�ini Si. �mvu m.sn•; <br />nrr or ro•���—'-- rinss♦ <br />n.�t <br />HEATING SYSTEM: ❑ GAS ❑ ELECTHIC ❑ <br />cOv��c� vt n50v �vf1 r��pvF rq <br />I HEREBY CERTIFY THAT I IIAVE READ AND E%AMINED TNIS <br />APPLICATION PND NNOW TME SRME TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LaWS AND OR�INqNCES GOVERNING THIS TYPE OF <br />WORN WILL BE COMPLIED WITH WMETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br />AUTHOPITY TO VIOIATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OP LOCAL UW REGUUTING CONSiPUCTION OR THE <br />PERFOFM4NCE OF CONSTR'JCTION. TMAT I �M AUTHORRED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM iHE WORN FOR WHICM <br />APPLICATI IS MAD ND I COMPI.Y WITH THE STATE <br />CONTfInCT 5 LAW 1B CW AND 296290 WAC. <br />x �-.S `� <br />$ICl1AlV11L U�If <br />CIIY BV VNLSS lKkxS[ HO <br />�/y� wUnt�n� _ ree> <br />�k! ❑YES � ll PUi1PMf. <br />11� �il[OIBIW�I <br />/ nnunirc _ <br />iom n�srmvi urn�.nu��i <br />❑�[5 �40 <br />— ��pnowiru«curc, <br />murn <br />xun xnnu�ar. sunnunt:f <br />i+mrnm CITYOFEVERETT ����wi�r.wrrnzc � <br />LOCALSALES ---� <br />TAX CODE IS 7105 TOTnL <br />PERMIT f <br />TOTAL FEE S <br />rrr nrrrmnm <br />VALUATION _ <br />; <br />FEE <br />