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APPLICATION / R CONSTRUCTION PERM. . <br /> CITY OF EVERETT A BUILDING DTASION <br /> 3200 CEDAR STREET.EVERETT.WA 98201 •(125(257-MIO <br /> (!7 DEMOLITION ❑ COMBINATION Lf BUILDINO (] ME HAL ❑ PLUMBING O SIGN <br /> PROS <br /> PROJECT ADDRESS l (�t.J <br /> S� <br /> 0e; �8�/a - s�90 was- <br /> acww fanmcrrn" uy NY•AM on -.— <br /> n• r.q.T puu crwv, <br /> ro xCdrwrruL j �K UAavn �— �n to np� en.rfcfr.+e. <br /> nurvr co:l'nv:.IFI �u NVMv an t. -' r+M innirri.K. .� <br /> HEATING SYSTEM: ❑OAS 0 ELECTRIC O_ <br /> A'Afl�irw foDlACL IWR cownErrmswrrn nKrf.p <br /> _rT74 C <br /> PY/r1o�G���Jn(rJ/J�f �� 1 NfPE.Y CERTIFY TWT 1 HAVE READ AND EMA4NED <br /> THIS <br /> rlr. / APPLICATION AND KNOW SAM!10 LIE TRUE AND COAAECT ALL <br /> PPOVISIONS Of LAWS AND OROINANCES DOVE N NO,TM!TYPE OF <br /> u pKrlPrbror my�An iRAINIr KfRwPul [vEM �WNL EF Q7YPLIED WITH WHEYHEA SPECIFIED HORIN OR <br /> NOT.TNA ORANTIMO Of A PERMI DOES NOT PRESUME TO Orv[ <br /> IT��NpCA n _ AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br /> OTHER STATE OA LOCAL LAW 111TRAATINO CONSTRUCTION OR THE <br /> PERFORMANCS OF CONSTRUCTION THAT I AN AUTHORIZED DY THE <br /> DYTNER OF THIS PIIOPEI TO PERFORM T,%WORK FOR WM'H <br /> APPLICATION IE WOE AND 1 COMPLY W1TIf THE STATE <br /> rRwn CONTRACTORS LAW 1627 ACW AND 2"200 WAC. <br /> �Lcrnnfwrfl�f <br /> 1'�%Jo9Q ltE�/JC�f�" it Nfinrun wr1 <br /> _ Un RW p utlrw[r0 <br /> PLU U MfCNAM1CAl / �J - <br /> M0. T"'i F 011TTEM FEE RO, I'm OP EDUIFj R fee <br /> WATER CLOSEOT R LET) <br /> _ A'C�AAEdfI 11/1fT. <br /> — EA7NTLA FORCED AIR SYSiEAAS <br /> LAVATORY(WASN BASIN) NEAT PUMP -� <br /> _ SICNHOWER LMR NEIIT[P! <br /> KITCSWIt f dSP CLORAIS ORYERS �— <br /> _ dSNWASHEP - 11ODD <br /> LAUId1Y TRAY WATER KAKAIEN <br /> CLITTIEl WAM¢R WDDD STDVE —' <br /> lliliNN, FIRPLACE fWOOb*UVFNOI .— <br /> URMKRVOFDIAFTAW _ 1 PUKE WSFM(MOOD EURNrNGT <br /> ilOOR DR" <br /> RACKFLOW MIEVENTERS OURANDE <br /> SINK(SEiRV.CE-BA'A,RTC) ryp[p �i- <br /> - SAN <br /> SLAT TO_ i !UO TOFAI E <br /> FEWAT S r PEPMT S <br /> TOTAL FEE f TOTAL FEE A <br /> FOR OFFICE USE ONLY: <br /> r AnrVnY.f rfM Sf1MCA Lq MrMf N.04tArrLMA _' n /I IYfinrV <br /> Pxi <br /> Irc t!NAEsur FEES , 1f--UA;-IO <br /> FEF <br /> Nv..rrr.r9'r IrMOi IIjr PRUM MtAV RImr -�._ _ <br /> n IAKrR <br /> O3aIfK:. Wn{wV• 1F OM A4frfwl vOW r —__ --- -._••-•_ <br /> rW.arrM4lwrN]➢ TUf>n MbIMtn WGfh <br /> �1 <br /> frN1 unwc r.....YR <br /> TTcF n'oA.rr. '�,L: CRY Of EVfR[TT <br /> _ LOCAL SALES <br /> TAIL COOS IE 110E TOTAL - -_--- j <br /> S � <br />