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APPLICATIORFOR CONSTRUCT� PERMIT� <br />CIN OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERE'r, WA 98201 •(425) 257-P810 <br />❑ DEMOLITION C' COMBINATION � BUILDING ❑ MECNANICAL O PLUMBINQ ❑ SI6N <br />PROJECT ADDRESS: 3U��- ��1� S� C-U6/1 F�'�7 LA1A <br />�, ,fLTLP�r.Oi�ow� 3oiz-�9rh5� G1E�F'/7 Zab-7C2-�70L <br />bNNFR~ VYlACIX1E55 GIY Sli �IqNE <br />ICN�M' 4M1 <br />�MUM1fLlOf111EquNC� M��I�D�nE55 OIY !�� ��F <br />�i �d.� ni> � hl- lo5ai-7o���X �.o.b si� c4lr h6'J46 �lbo 66B-75io rR�iGOCL /D4 No <br />cr„�n� <v�m�c�rn u.n�or.ness cirr r�r r�rovr su�[ucrHsr. <br />�- L ///� <br />uvnuwVtmv�Mclon uut�Dw�E55 Cirv br r�bhf sutpuCEwsF� <br />1'uNB���GCO11UUf.1(N� N�R1f%M�k55 Clfr llv PWHf Sl��fIILFNSF• <br />r <br />P �.5 J L��/, ^: _ <br />��.,���.,.�. ... . � <br />Cw..•i1 CcY 2 % 20 (r/�RA4 £� — _. <br />��un�aF woa...uu srnLn� roor.cE wvo�v[o <br />GRnr4ci � <br />v�wrosw osr or eunwun ,�II <br />ekPDt LM.,J C� S /L4 Wu B�ac� Q- <br />1 Ffi�l �Lsrnirnp� oi rfqPE�tt ISrqWN BUow M �I1I�CH 1W0 CONES <br />w� mocK or <br />00 - C/tyL eFCo7 S AfL nF Lo7 <br />$53/ - o0 4- ODS - o=o .- <br />ru¢a w �o raruwFn <br />ic Ui.-F� <br />CbI41NIC11(NI IO�NIfNUGP.ISNMC55.1[l[NIOME MU4pEP <br />PLUM6ING <br />NO. TYPE OF FI%TURE OR REM <br />� WATER CLOSE? �TOILET� <br />BATHTUO <br />LPVATORV (WASM OASIN) <br />I SHOWER <br />KITCNEN SINK 8 DISP <br />FOR OFFICE USE ONLY: <br />�nn.�l'.f�lur. � pI�P5f1P�fM <br />1 <br />li.l ll>•1� IOI�I�f� <br />,, .,,, <br />��t„�.�n i�vn�n ��, sa a nwuur.o <br />.nv .� <br />uwrnri, i...i,� w'urv�eiium <br />�i ('Lt` _.I. <br />�U-� - <br />i�r.i��ii,.-.uncrun .-_ nuaw� <br />nw nuevun:o - . <br />EE 5� <br />SIOf SfIB�C <br />WC�q151�[ <br />❑.Es <br />sitc or eioc�i <br />n.�s'r ur+�� <br />❑�FS <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />tour�cr rrns� �rm rwvr no <br />�/�C�1 �y.� 4/.n /sG.' ,-�7J <br />I HEREBY CERTIFV THAT 1 HAVE READ AND E%AMINED THIS <br />APPLICATION ANO NNOW TNc SPME TO DE TRUE AND CORPECT ALL <br />PROVISIONS OF LAWS ANU ORUINANCES GOVERNING THIS TYPE OF <br />WORN W�IL 3E COMPLIED WITH WHETHEH SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NDT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGUUTI�G CONSTRDCTION OR'HE <br />PERFORMANCE OF CONSTRUCTION. TNAT I RM AUTHORIZED BY THE <br />OWNEN OF THIS PROPERTY TO PERFORM THE WORK FOR WNICH <br />APPLICATION IS M DE PND I COMPLV WITH TME STRTE <br />CONT CTORS LA B27 RCW AND 296200 WAC. <br />[� � n <br />X � /� a �.J~_ %(i <br />SNIN�iN1C D�1[ <br />Cilv BU4NESS l�C[NSC u0 <br />HEAT <br />w000 <br />SUB TOTAL E <br />— PEAMIT S <br />TOTALFEE S <br />K rleuO�¢xNuvPrn rF! nrrPrrNo <br />� �� %.��1� ,���c=!� <br />FEES VALUATION __ <br />9"° w�.���,�� 44FS.�3 <br />�r� cr � o•:�� I rinmv�rrnpvrnm �� I CRV OF EVEflETT <br />I LOCALSALFS <br />�-l�1 .,Jc��� 2/r�/9�3 TAXCODEIS3iU5 <br />ri��um^�n <br />Mfll�/.4�('�1 � <br />�nuninu.i ri w o�rc. <br />omEn <br />.un oo�mwr.s�mnunr.t <br />f IIPI if NYN�XC <br />TOT�L <br />