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APPLICATQ�ONt�,���R CON�TRIICT: )N PEI'iMIT/ <br />�( h"�k� pI�p C T O EV[RETT • DUiL�ING DIVI ;ION �!e^��� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 259•BB10 � <br />❑ DEMOLITIO � / <br />��O COMBINATION Q-rf BUILDING f7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDR��S:-` 1-�C?- IZO ��,. J� <br />owncn uen�ooness c�n —._.__i_i__ r��arc — <br />; c�s�vnr'�t e�i�s� f Z� z_o � anF�SL. �e,rP �`ls `�6��8 __-����7,6 [� <br />fEN�Hf 4M�AfJp11F.55 f.11Y —` /IP <br />1`I�ONE <br />MCItlTCC1011DE5iGNEn Mene0pnE55 <br />u+n sounrss <br />t'n. <br />riir <br />I,/v �s <br />� <br />!iP PufIN(' $IMCttC[NSE� <br />�`'��;i l%�'Zs�i .399��7C� /i'li�r° Ncfi��i%J s <br />Mecn�v+ir.Mror+m�cron IAAIIAfHl0E55 ---�—���-'— <br />.� <br />cin nr miowe -rereuceNse. <br />VWIABINGCONIRAf,I0f1 YAqAfN10(55 ��tY <br />oescmae� <br />�%o. y � <br />_Q22/2'� �� <br />P�iq'OSED USE OF BUIldNO <br />�i �a -� <br />iEa� oesc ioH oc rnor <br />l0T BLOCM <br />��� J <br />�W1�6EINVp�VEO /> / <br />S�'� ICPYfC�ZiIL/,'iCJ7 ��%'� <br />��,`��i�w �7�C�L�S£ S <br />�1.,�,,Fs � �f!/� <br />'1 C) ,[,! �/!i'f'17l L <br />fifY�51 WNPEIOWpi�f1�AC�11�1yVI�p���O�Pl�S) <br />� c�_O�.L�L��4L'�i./�L.i cri �Y'--�-�- <br />r: . 9: 1 � i. . _ / <br />dT`C� y�Ck. Z_ , <br />J�LEL TAM I D. NUMBER <br />y� 3y c�n� ��os n2�t� <br />M/Sff1UCTI0N IONI IENDEO. MDlIE55. IElEM10NE NUMOEO <br />��� <br />�— <br />_UMBINO <br />NO. TYPE OF FIXTUf1E OR ITEM <br />WA7ER CLOSEi �TOIIET) <br />BATHTUO <br />UIVATORY (WASH DASIN) <br />SHOWER <br />KITCHEN SINY, 6 DISP <br />DISHWASHEII <br />_ I.AUNDRY TFlAV <br />CLOTHES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />F100R DPAIN <br />BACKFLOW PREVENTERS <br />SINH ISERVICE — BAR. ETC.1 <br />FOR OFFICE USE ONLY: <br />ff10HT5[TOALN_ RF�05FIB�CIt <br />lii• PIqHE SiAIEULENSE� <br />HEATING SYSTEM: ❑ G:.S �,ELECTRIC ❑ <br />rnuur� nrucm�. �� .�.. <br />_399�5��� --���,� yi�� <br />I IIEREOY CERTIFY TNAT I HAVE READ AND E%AMINED THIS <br />APPUCAIIDN AND KNOW THE SAME TO BE TRUE ANO CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WOf1K WILL OE COMPLIED WITH WIIETHER SPECIFIED NEREIN OH <br />NOT. TI1E 6ilANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTI�IORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONSTRUCTION OR THE <br />P[RFORMANCE OF CONSTRUCTION. THAT I AM AUTNOHRED BV THE <br />OWNER OF 71115 PROPEFTY TO PERFORM THE WORK FOR WHICH <br />APPLICATIOiI IS MAOE ND I COMPLY WITfi THE STATE <br />CONTRACTORS LA 0.27 � W AN� 296.200 WAC. <br />x � 3 /� 9 �% <br />SIf �IURG D�tE <br />f.IIY OUSINEFS lX1frI5C HO <br />FEE NO. TYPE OF EOUIPI <br />T <br />' NC — MiNDLa UNITS <br />; FC)f7CEDAIRSYSTEMS <br />� HFAT PUMP <br />_� UNIT fiEATERS <br />i CLOTHES DRVERS <br />� RANGGHOOD <br />� W�lEfi IIUITER -- <br />—� WOODSIOVE <br />' Mf:T�L FlREPLACE (WOOD <br />i RR[PLACEINSERT�WOOD <br />GAS f If�f:PLACE <br />; GAS RANGE <br />S1�9 TOTAL f <br />PEFMIT f <br />TOTALFEE f <br />�� <br />_ � <br />SiOE SEfB�f.M <br />�5E lOr�E l'�—I `� �6 `�-�-' �Y �.�.,,, 5i�� <br />_ j O�ES <br />NEIGIIf U41TAt10N NO OF OWfILING SKE Of ptOGRI <br />(�{ UNi�G I <br />'Cl �� <br />OCCUPuiCr H� M SkVu(S OCCUPM/ILO�U BASEMENi <br />LLA.�MHEUD I RNSOH <br />O�f,ONSI f'1�N5• <br />�–� uut � <br />❑vE5 ❑�.� <br />CITY OF EVERETT <br />IOCALSALES <br />TAK CODE IS J105 <br />C2�cic� -, <br />rinucu�ca u�.min <br />___S�%Sln� <br />FEES <br />�� <br />�'1114NHO <br />Mf1'l1�Nlf.�1 <br />nOW111U1�1 fIANC111f.1t <br />Ulllf � '—_�-- <br />51�1[ pllll I.i11f:51111C11�f1Of <br />MIIIIiC W(IIMS <br />TOTAL <br />FEE <br />SUDTOTAL S <br />PERMIT f <br />`TOTALFE.'. f <br />����� C�� <br />T VALUATI9N <br />nrcrirT Ho <br />FEE <br />-Y�- F"'�s'� <br />