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APPLICATI� FOR CONSTRUC�ON PERMIT <br />CITY OF EVERETT • 6UILDING DIVISION � <br />3200 CEDAR STREEi • EVEREl7, WA 98201 •(M125) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION �BUILDING ❑ MECHANICAL ❑ PLUMB�NG ❑ SIGN <br />PROJECT AODRESS: �S O�__ G T 61 AV • S� E�ii E� <br />n�2r�e. �'�4,tis�. �,,.�,.� �vsR4++ 9Sia�l va5• 3ss- v3�i <br />,�,.�, U„.�,�ss ��,. r�o ,o�E <br />It,�6eRl� Gile$ ���-'�`L' 87j� _ <br />�MHnrcro�ncsir.�.tn u.n.nmress nrv nr r.���nf <br />rf� N CONSiR4G71dP� PO 175J�'_SuLtAN �'d�1y 4a5-750-753,$N GON"".. <br />cFvtMl Cm�TeC,�On unr� �ofIDEfis c�H l�^ rv�pq[ c4�t uCrnsF � O��l C� <br />a� <br />uFO���iicqf,o��m�r�pn Vei�CMl55 Cirv rir n�p:r v��fU<f�+SE• <br />PIUNBMGCON�R�CtCi1 uul�[MWF55 C�Iv }ie 1'HOYF 9��FIiCFN51• <br />i�Y IRiWa.4� <br />r�rlot I n��• i+ <br />'_ .osrei¢io nvna�ia� <br />1 <br />ifr.eto[scmrnp�or rno��i <br />�o� mxx <br />rencn urin �munen <br />l%�%5 /il <br />C(WS�fIIIClIpI IO�N 1 f N�Ff1 <br />LAVATOqV (WFSH BA51'�. <br />SMOwER <br />KITCMEN SINN d DISP <br />�ISNWASHER <br />L/ UNORY TRAY <br />CIOTNES WASHER <br />UFINAL <br />�;{�NKING fOUNTAIH <br />FLOOP DRAIN <br />OPCNFLOW PREVENTE <br />SINN �SERVIGE — BAR, <br />HUNPPI <br />TOTAIFEE 5 <br />FOR OFFICE USE ONLY: <br />�nautsnn+r+— nrmsnwt+ <br />�.�srro��r ioi+ne. <br />I�FIC���I�MIIAIIOY MO O� L�W(llll! <br />VN�I[ <br />CCLIII��h-� Y:�•.��I',�ef� p(:(IiV�llll'J1p <br />❑ GAS ❑ ELFCTRIC ❑ <br />� <br />ao Li �... t . �1 : <br />I HEREBY GERiIFY THFT I MAVE REFD AND EXAMINEO THIS <br />qPP�ICATION AND KNOW THE SAME TO DE TPUE A40 GORRECT ALL <br />PROVIfi10NS OF LqWS AND ORDINANGES GOVERNING iH15 TYPE OF <br />WORN Wq� BE COMPUE7 WITM WHETHER SFEGIFIEO HEREIN OR <br />NOT. THE G�ANTING OF A PERMIT UGHS NOT PRESUME TO GIV£ <br />AUTHORITV TC VIp�ATE Ofl CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOC/L LAW REGULATING CONSTPUCiION OR THE <br />PERFOPMANCE OF GONSTRUCTION THAT 1 pM AUTHORREU BY THE <br />OWNEF OF THIS PROPERiV TO PERFORM TME WORK FOR WMICM <br />APPLILATION IS MApE RND I GOMPLY WITH THE $TRTE <br />CO^ITRP4TOR5lAW iB 2] RCW ANp Y9fi 200 WAC. <br />UNIi <br />M00� <br />METAL <br />smcsue+cx �.vnrzc.�o � <br />� 9907-0� <br />wcu�� s�¢ FEES <br />❑rF5 ❑ NV OVnNNf. <br />S4f O� B�IX:T <br />n1iIMPiNf — _ __ <br />Bnii4[n'1 Vflr�UiC.4 <br />❑.ts ❑ vo --'— <br />— �uwnorun�eartc. <br />o*��En <br />c�M[ fllm��.:f.SVIRu�f1f.( <br />pTY OF EVERETT rnnncvm�i.s <br />LOCALSALES -- <br />TAX CODE IS 3105 TOTAL <br />�rr <br />TOTAL <br />f <br />/� <br />_ _... �. <br />_ __ . �i.L_ <br />