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APPLICATI�1 FOR CONSTRUC'1�N PERMIT� <br />CITY OF EVEflETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETf, WA 98201 • 259-BB10 <br />❑ DEMOLITION ❑ COfABINATION Ja� BUILDING ❑ MECHANICAL ❑ PIUMBIN/��i,,� ❑ SIGN <br />PROJECTADDRESS:��9����f �fff �e�z .�9aa9 �%��"" 'S� <br />Q:I..__. .__f i D �xi� ue iir c�. v._��_ . 1 �.�_ 44n:U �n� - o, �_u��u <br />IYbN[ <br />AfM;I!IIfC•IX1IXSHiM1(fl 4AlIM`�1Et5 G�Y !11' 1'I�ONF I <br />�L�uou it4st. <br />�.�II�„Si. swte �� Klrklu.� �.J. 4Qosy wb-&zz-wrv '�ARGI[CISo M�J_ <br />cEME rtcOrUpec�al uut�o�n65 Orr lir �v�oMF SI�tElit[x5E• <br />YEC11ANiULGONIP�L�Gf1 M�iUppf1E55 C.rtY I�P PIIONF 9A(EUCFNSE• <br />tYUM'lIN(.CqlIR610R WILA[qPE55 OIY l�v pIKWE S1��ElKEMSU . <br />CON(P�LI i x.E W MOPK I <br />N[ATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />UEun�BE MlX�x erASOW PErOOtwE wvavED catl�f,� rfnjpN u�o r�KwE NO I <br />' ;,, /{r a I 14 � �j�'o�g,�$3 � <br />__—�`�„� � �1c / _ <br />vrrow.�o usr. a� oona�n <br />��. Li, Fa.•.� Iw �es;fi(.r-c�C <br />iccu&scw�-riw— a�nnisawuxcio-xoa•n�,cNrvqcowEsi <br />ia� b O_. eiaK __— or <br />PMGEt UF I �. MI4BEH <br />eoMsrm�e�ioniawiErm[n.�noncss.�Ei.nae�er�we[n -- <br />PLUMBING <br />NO. TYPE UF FI%TUPE Op ITEM T FE <br />PERMIT <br />FOR OFFICE USE ONLY: <br />rnnu�snn¢x nunsr� <br />uscew+� �mr.n�e <br />I HiRE�Y GERTIFY THAT I HAVE REAO AND E%AMINED THIS <br />APP�ICNTION AN9 KNOW THE SAME TO BE TRUE AND CORFECT AlL <br />PROVISION£ OF LRWS AND ORDINANCE$ CaOVEHNING THIS �7PE OF <br />WOPII Wlll BE COMPLIED WITH YMETHER SPECIFIED HEpEIN OR <br />NOT. TME GRANTING OF A PERMIT WES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY <br />OTNER STATE Oq LOCAL LAW REGULATINC� CANSTRUCTION OR THE <br />PERFOfiMANCE OF CONSTRUCTION. TH�T I I1M AUTHORIZEU 8Y' THE <br />OWNER OF TMIS PROPER7V TO PERFORM THE WORN FOfl WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONT� PS�R� 96200 WAC. <br />b— i&-�i 7 <br />X <br />SN: U�E OAfE _ <br />CIIYfl09NE$SlKEN5EN0 <br />\IECHANICAL <br />NO� TYVEOFEOIIIPMENf FEE <br />FORCED AIR SYSTEMS <br />DAYERS <br />WOO� STOVE <br />❑r[s ❑�+u nmmmr. <br />urimnuwuno� ��aoruwnurrt: si:earoionni — — <br />uuiL; Muwnr�r <br />69"1 4�� SF, <br />OCL'ViuNCY NjM51(Mb(S CLCUI`ANIIO�U B�SE4[N� YfC11�Nif./.1 <br />cnpm <br />t23 Z ❑rcs �o <br />nnesan�nKicnAm'o nrosav �nwirt»uin.rn�rc+' <br />o�rrtn <br />rw[ruee�nca'D nt�50v <br />[lAIC Blnl��uf. SilnbUnC[ <br />nv[orr.pis� rinr�s�nrnov[nor CITYOFEVERETT runur,vmnes <br />IOCALSALES <br />(/ - N ��..� G�a /9� TAX CO�E IS 7105 TOTnL <br />SUOTOTAL� � <br />PERMIi S ��— <br />TOTALFEE S � <br />/ nrcrmtHo <br />�� <br />VRLUATION FEE <br />�O6 08 �^ � = ' <br />— j <br />� i� i 7p� <br />