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APPLICATIQ� FOR COid�TRUCY�N PE�N➢IT� <br /> `�TY OF EVERETT•BUILDING DIVISION <br /> 3200 CEDAR STREET•EVERETT,WA 98201 •?59-8810 <br /> ❑ DEMOLITION ❑ COMBINATION O BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br /> PflOJECTADDRESS:���� 77fJ �(,Crsl�Gt St'- ,/p <br /> (�i. J�-R}� /.�c.n�$ ' —�1�i1![j��Yu 3Z. <br /> Ovmcn ul.Reppness tnv nr rnw.[ <br /> IE�i�NI 441M01165 C.Irv IIO PUOrvF <br /> �PCIIIIfClp110fSIG11[II M41AIX11�E$$ GIIY ll!' I�I�OI�f <br /> h��U17-0{}y /-{aWll� <br /> cn�uu�co�nn. im uuuonn[ss��p��J�j}� �m r�, si+nucc�+ee. <br /> I.[�sz� s�u"� Fca� Rurzz�a.i Sr,`��� /�nra�_�3o52 �ci-o�ce, c2rd5rt�136C�F� <br /> u¢�uruui.cwanec�on 4uuooness cm rir rna:c surtirtens[. <br /> PIU4BINGCOII�P�q011 Y4l�WBE55 CI�Y II� Ptl06E SIAI[IICENSE• <br /> caunecr rn¢e o�wone / <br /> �f,�� F{EATING SYSTEM: ❑GAS ❑ELECTRIC ❑ <br /> oexnmcwonxu�osownsroa.wewvrnvm r.ouuc nmso unruor�e o <br /> S/rv:cG� /?��i��y �ror��iAL ��a�.v �H� !�xrFA��AoJ 2a�-8Pl-aloo <br /> � 5 �n <br /> �/1R1� SDJLIlS . � M[REDV LER�IFY THAT I HAVE READ AND E%AMINED TNIS <br /> rtrorvsEo use o�uwmir�r. -�-�— ���LICATIOH�Nfl KNOW TFIE S�MG TO�E TRUE AND CORHECT ALL <br /> 17 Z PROVISIONS OF LAWS ANO OROINAYCES GOVERNING THIS TYPE OF <br /> �� •J __ _ WORK Wlll. O[ COMPLIED'NITII WHETIIER SPECIFlLD HEREIN OR <br /> icwiofscmm�a�orrnmrnnryiowuuuowaunec�nwncq+csl NO7. iHE Gf1AN71NG OF A P[RMIT DOES NOT PRESUME TO GIVE <br /> �o� oiotK or �UTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTIIEF STATE OR LOCAL LAW REGULATING CONSTRUCTION ON THE <br /> PERFORMANCE OP WNSTRUCTION.THFT I AM AUTHOR2ED DY THE <br /> OWNER OF THIS PROPERTV TO PERFOPM TME WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �,v�cn ux i o Nuuncn GONTRA IDFlS LFW 1037 RCW AND 296200 WAC. <br /> cwsmucuor�ioµ¢xoen.eoonrss.�fiana2rmun[n X �1.R�-- !0�//�9� <br /> SIfN IIIE pl.l( <br /> CIIY UUSiu(55 UCCNSC NO <br /> PLUMBING MECHANICAL <br /> NO. 7YPEOFFI%TUHEOPITEM FEE N0. 7VPEOFEOUIPMENT FEE <br /> WATER CLOSET(TOILET) A/C—A/HNOLG UNfTS <br /> �ATHTUD FORCED niR SYSTEMS <br /> IAVATORV(WASH OASIN) NEAT PU1.1P <br /> SHO�dER UNIT MEATEAS <br /> KITCHEN SINK d DISP CLOTHES ORYERS <br /> DISIIWASMER RAPIGE I IOOD <br /> LAUNORY iPAV WATER HGTER <br /> CLOTHES WASHER WOOD STOV[ <br /> URIRAL MhTAL FIflEP1AC[(WOOD OUFNING� <br /> DRINHING FOUNTF W FIREPLAGE MSEFT(VJOOD BURNING) <br /> FIOOR�RAIN GAS FIREPLACE <br /> �AGHFLOW PREVENTERS GASRANGE <br /> SINK(SERVICE—�AR,ETC) GAS PIPING <br /> FXHAUST FAN <br /> SUO TOTAL S SUD TOTAL 5 <br /> PERA7IT E —i PERMIT S <br /> TOTALFEE E TOTALfEE E <br /> FOR OFFICE USE ONLY: „.(i� <br /> rnourSErn/.f.M nGn[F1MCR Sio[SF1n�cK r�LVO�[CxMuuntn r p`�L� n(fr�r�Ho <br /> i� :�.y./���(', � L <br /> �.L1LQ <br /> us[ior�r �oun[e v.ouasne FEES VALUATION FEE <br /> ❑res ❑r, nunnv:r. __ <br /> ncian uunenoN �ro a uwuurrc: s¢t or nuMni _ —'—_---__— <br /> UllllC I`1114111H� <br /> — T <br /> UCCUCI.IICY IW(�I SI�IIU[$ OCCU('Alll 10�� BAS[AIENI AI[CIIRNICAI <br /> cnam <br /> ❑Y[S ❑4� �"— <br /> Il0E5PPMM1LC11RC0'0 11f�5d� �I1Di1tONqA�N �Q � • 2Gl � — <br /> �__ <br /> __ unrtn � , 7 /��)' _ <br /> rm[w.ne�nEo'n nFesa+ <br /> sui[oonnwr.s ¢n�nct <br /> �rrcnrr,o�sr rinr�zeri qvtnnr CITYOFEVEAETT �`��nim.wonM1s <br /> . <br /> I I�' � <br /> 1 LOCALSALES --�------ ----- ---t— <br /> ,,,,i V-I j 'I� Tp%CODE IS 3705 7o7a� I <br /> ._-- ._—____--_— ___—_.—_.--____—_ ____ i_ <br />