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APPLICATION FOR CONSTRUG7 �ON PERMIT
<br />TO BE COMPLETED IN INK—PLEASE PRINT
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<br />�UILDWGDEP.aH1MENT '
<br />259-fi610
<br />DEMOUTION COM�INATION 'X BUILDING �C MECHANICAL .�PLUMBING
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<br />,� NFIv ADDITION nIiFHAiiON. REPNN DfMOLiTION WUODti70VE�HPLIHSERT BUILDINGRELOC�iiON
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<br />` �� Q� � N L p_ APPUr,AtION AND NNOW TME SAlAE TO �G TFUE �ND CORRECT ALl
<br />$� '�> �-A-'Ctyy' � PROVISIONS O� LAWS AND ORDINANCES GOVEFNING THIS TVPE OF
<br />�i,-,p pf'.�. ripq N rno�•i n*v,v�av/� oe�owon�iucr�roun, ��: �� �. �ypqk WILI BE COMPIGTED WIiH WHETHER SPFCIREO HEREIN OR
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<br />� AUiHORITY TO VIOLAIE OR CANCEI. THE FROVISIONS OF ANV
<br />�� �� �. OTHER STATF. Ofl LOC�L lAW RLGUT ATING CONSTRUC710N OR THE
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<br />OWNCi� vh THIS PROPCRTV TO PERFORM THE WORN FOR �7NICH
<br />�\ :.5_I•_�,0_4-�1-t -- --- APP_ICATION IS �dFUE ANU I COMPLV WITH THE STATF
<br />fOM1�MCT0�75 LAW �P 27 RCW ANU 296 200 WAC
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<br />. �, LAVAIORV IWASII (�ASINI
<br />I SHOWER
<br />�� NITCMEN SINK 6 UISP
<br />� _ DISMWASHER
<br />� �_ LAUND��TRAV
<br />� J _ CLOTNES WASHER
<br />� DRINKING FOUNIAIN
<br />!' FLOOR Df7AIN __
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<br />ROOF ORAINS-�AINLEADER�
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<br />PERMI7 5
<br />TO7AL FEE 5
<br />FOR OFFICE USE ONLY:
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<br />f.i �'I � �'1�.. ' . . l� '.I !M ' . . ! t�� . �V��Ilil`�II�ISSIIPIIj
<br />NO. I 7YPF.OF
<br />A G--� HNDLG UN�15 i� P
<br />j rorrEoniasvsttr.+:. niii r.+t��n
<br />UNI7 MEAIER£ -f3 � il ht
<br />��3 CtOTHESDfivERS . _ _
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<br />� {iAN�E HOOD _
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<br />/ METAI fIREPLACE 6 CHIMNEV
<br />FIHEPLAGEINSERT __
<br />HE�T PUMP __..
<br />(;AS PIPING .
<br />EXHAUSTFAN ,
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<br />FEE
<br />�i� SUBTOTAL e __'[_(/�(.
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<br />� TOTALFEE b �7�i;(;;
<br />rin�„�n,..i.�m�vin �ii ni<iiv,no
<br />ti� �z� �s3 330�� � 5 y� s
<br />� �� ���� ������� � � �� � � CIIY OF EVERETi
<br />, %� 5��0 ' LOCAL SALES
<br />`y TAX CODE IS 3105
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