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APPLICATIO�FOR CONSTRUCTI� PERMIT <br />CITY OF EVERETT • BUILDING DIVISIOIJ � <br />3200 CEDAR STREET • EVERETT, WA 98201 •(425) 257-8810 <br />❑ �EMOLITION ❑ COMBINATION �.BUILDING u MECHANICAL ❑ p{,UMBING ❑ SIGN <br />PROJECT AOORESS: 33�2 1la�'�f _ <br />GOwp�1-LZ�Au.E(Z 33z2 loi'`SS E4EP_E� �/1�Zol N2S'-Z�_/S_oo _ <br />ow vri �m�oon[ss urv nr moyi <br />f(►A�-�j,����jit.ES 3322 l(o� ST E.t6(1Q%�$7p1 S/ZS- Z59 -150D <br />IfN�YI 4�II�f%V�f55 f,llv /iG I'�17•.F <br />_�ILl�bl�P_t.�.2�y 3Z16�¢�PW�Evc(±� _9Bm� —Nzs_'?5?-G�,S <br />nm:�intcronMsm.mn Ji��oni�Fn an ��� r.�o•.r —' <br />S�t,cap.2L'cor�sr. Po����o �..tti�� q'�7�_y25�_Y83•7t4R S7eE�caoRq}:n,t <br />L(NLf14C9'�II1��I:N1 41'.I��fi��155 _i�� � i�l�l\I [I�III�CiHSf� <br />II�CM�WGI'.OW��4�Un 4n1�0�Wf55 O�/ �� 1•.'Ulf [I�IF14[NGF� <br />mr�mu ndct ur wnnn <br />�QQ�oq b� oP Up <br />r.rscn�nvw�nn usnu.ni oo�.r,rnnrnvrn <br />� � �^.�`�T_S 7HIt0 61k 8 OF <br />itm� u su�rvuq� rn rnor[nn isrr;Mv nnow ou �, <br />�o� S�i¢�� moc. �23 ¢J_ or_ <br />�'SCn3- 323-cr��=or <br />rencn un o �niu�t n <br />cov�iniK�i�xi�o�Hirwtun umu[Ss rt�[rv�a+Ev� <br />PLUMBING <br />NO. TYPE OF FI%TURE ON ITEN <br />WATER CLOS[T (TOI�ET) <br />BATHTU� <br />IAVATORY (WASM BASIN) <br />SMOWER <br />NITCNEN SINK b DISP <br />OISHWFSHER <br />LAUNOFVTRAY <br />LIOTHES V�ASNEF <br />URINAL <br />DRINNING FOUNTAIN <br />FLOOR DRAIN <br />FOR OFFICE USE ONLY: <br />inou�arn.rn nr�ncnw.r. <br />„�.� ,��� � Z <br />F f 11�411/.11U4 <br />a� �' v Y` ��.. u <br />( O <br />I` `-�1[Ne:f•)�..� <br />� CS <br />� ��< <�.��„ �� , �, <br />CS _ <br />nrt rn �:ox� <br />1-�1��' <br />� � �P¢Kk' <br />PERMIT S <br />tOTA1,FEE 5 <br />S�DC 5[IB��CR <br />HEATING SYSTEId: ❑ GAS ❑ ELECTRIC ❑ <br />mvuc� ��i nsnr �rvn n�n•u vo <br />—�°H -�"N,�__�_E�. Yzs_Y83 _`�z49---- <br />I NEREOY CERTIFV 7HAT I yqVE AEAp ANO E%AMWEO THIS <br />qPPLICFtION AND HNOW THE SAME TO Oh TRUE ANO COFRECT ALL <br />PFOVISIONS OF LAWS AND OR�INANCES GOVEPNING T1115 iYP[ O� <br />WOFN WIIL 8E COMPLIED WITN 1YHEiHER SFEUFlFD NGREIN OR <br />NOT THE GRANTIN. OF A PERAIR DOES NOT PRESUME TO GN[ <br />AUTHORITV TO VIOIATE OR CANCEL TNE PROVISION OF ANY <br />OTIIER STATE OR lOC4L L/.W REGULATING CONSTRUrTION OR iHE <br />PERFORIdANGE OP CONSTRUGTION TMAT I AM AUiHORIZED �Y iME <br />OWNER OF THIS PROPERIY TO PERFORM TME YlORN FOR WNICH <br />APPLIf.AT10'! IS h1ApE AND I COMP�V WIfH TME $1ATE <br />CONTRPCTOLiSIFWIN2' YlAND296200WFC <br />x�r.�uin. f"--��� [J, ?/�i .__l <br />ott�suuvv �.o <br />ac <br />WA1EF <br />FIREPLAGE INSEFT <br />% �i. <br />,o,.��. �.�..,,_,,, �r�� <br />❑rrs ❑ r.� x�.ninrv�_i�� �-3� <br />NO(Xf�WLIIING $i2[Of�IDG'll <br />141G '[;.(J f'14P�.vC . . <br />(N'f�1�11��(IIU fl�SF4fl? 1 4ft��n..u�l <br />_��i ❑�Fi .UN�] <br />n�,�"„ •oonrnvu r�.c ortcv <br />c� C�0 . i9oZ - 9 L �,�„E� <br />��.��� <br />O(1-p Fj02 ' i Z anrxu�mmcsmu�nnc_F <br />nn�,. rCnnvvnn. CITYOFEVEREiT n�niirwnn.c—_ <br />��� LOCALSALES <br />�.., . Q, S TAX CODE IS 7105 7oTAL __ <br />�evuct ( Na 6 q9os -�45 <br />TOTALFEE 5 � <br />��'/i�' <br />ru nrcf�r�No <br />/ Q�/a. 70 <br />VAIUATION FEE <br />.�� ��v� _� <br />