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APPLICATI� FOR CONSTRUC�N PERMIT <br />CIN OF EVERETT • BUILDING OIVISION � <br />32�0 CEDAR STREET • EVERETT, WA 98201 • 1425) 257-BB70 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILOING ❑ MECHANICAL ❑ PLUMBING p SIGN <br />PROJECTADDRESS:,'8„Z�_�J/e!-Gic�ee�, W�y <br />,C..,_....__" �.._.. dii� � / <br />iin <br />LnLurtfCt0�f1E9P�O� um�pp>f55 �ilv /m � p�p..l " <br />f.fN[114COMIMCICF� Nu(AU:In[i5 C�1� )if �ill)Y( [I1I111[fNSf� <br />PE:.N1WGlfOV���f,�On 4ul�fAUE55 ph IJ' pnOKf [L�ilRfNSF� <br />oF� n..+usE�rt. .�+vavco ��� <br />.LY � �f/ � , � � <br />rororosrouse or emm��r <br />tE W l oEscnivOp� or rntNEnrv IbqWN BLLOw OP EnEU� M9 [oi�[51 <br />ioi __ oiac+ or <br />rencn u. i o p�nivn�n/ — <br />:�vc�i�� i�ou��vr.��.nm � �ntrr�a ��n� <br />�LUMBING <br />NO. TYPE OF FIXTUHE Oq ITEM FEE <br />WATER CLOSET ITOILETI <br />HEATING SYSTEM: CI GAS ❑ ELECTRIC ❑ <br />� �� r� ns(r+ n r�q.�{ ruo 'l ry <br />AM .�'�'f ih/l.Or %%��.Sr.U� <br />I HEREOV CERTIFY iHAT I N4VE REAO AND EXAMINED THIS <br />APPUCATION ANO NNOW TME SAME TO DE TRUE ANO CORRECT qLL <br />PPOVISIONS OF �AWS AND OROINANCES GOVERNING THIS TYPE Of <br />WORN \VIIL DE COMPLIEO WITH WHETHER SPECIFIED HEREIN OR <br />NOT. TNE GAANIING OF A PERMIT OOES NOi PRESUME 70 GWE <br />AUTMOFITY TO VIOLATE Ofl CANCEL THE PROVISION OF ANY <br />OiHER STATE OR LOC4L LAW PEGULATING CONSTRUCTION OR TME <br />PERFOR1dANCE OF GONSTRUCTION TMqT I AM AUTHORIZED �Y iHE <br />OWNER OF TMIS PpOPEFTV TO PERFORIA THE WORK FOR WMICM <br />APPLICATIOt! IS MAUE AND I COMPLV WITH THE STATE <br />CO^ ACTORSLA 1B2�RGY/AN�296200WnC <br />x _ � 6 -,�- 99 <br />S:rn��un[ oa( <br />bl�OV.`JI1F5514I�1�.0 AO <br />P/C <br />ORYERS <br />� TOTALFEE S I I I <br />FOR OFFICE USE ONLY: � <br />I�t1NIV111�fM P(�HSf1p�CM S�DfSFIB�CR 1'I�NCII[�MMVVI�f� <br />uscto•ir im•ur• v.cunsnr FEES <br />❑vF5 ❑ �+� RiniPnif. <br />I�FIC.II�IIVII/.IiC4 NO'C+I�WLIIIM(1 $itEOlOIIX'.'ll <br />r i.auvvmcn <br />nvumvr, _ <br />u5F4fa1 yn'uu¢q <br />❑�[5 ONO -- <br />�" IDphpN4PI�tiP��C.a <br />pl��f� <br />GfU1 flu¢U•tif.5�1�Cu��G( <br />CITY OF EVERETi rvnna wnn.< <br />LOCALSALES -- <br />TAX CO�E IS 7105 TOTAL <br />FEE <br />iOTAL FEE S � <br />xCna. c <br />r[r �fCfmrvo <br />VALUATION FEE <br />� —�T <br />