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APPLICA7'IOR FOR CONSTRUCTI� �ERMIT//��� <br />CITY OF EVEFETT • BUILDING DIVISION (%�/� <br />3200 CEDAR SiAEET • EVERETT, WA 98207 •(425) 257-8870 �� ��� <br />�EMOLIiION ❑ COMBINATON ❑ BUILUING ❑ MECHANICAL ❑ PLUMBIN6 ❑ SIGN <br />(/ / <br />PROJECTADORESS: "-7i)iS �olh�. S'.....i-F� <br />—r_I1u_�..c --...._ ..... .... �.c.{j 4003 � ,� 3C��75 <br />1tN�h1 4�9�IIUR55 GIY / ]M IhpNf <br />.M�.�'y,%,•Ki%%[ /)ul��s iG05' �rt�c�iS.% no i�. }�M}S� %%3� <br />c�w�nr�cmrn�c�o� u�nww[u n�. �m mrrv[ c��nic*MSE. <br />�� <br />mr�..r¢�icmta�c�an v�n�oo�ss nn r� nawr srnn¢EwcE. <br />%�MDMOCd1RY:iP1 M�M1RII%1[55 f.rtY jIO ppp�( S��ttIC[N5f• <br />w u,mnr vqnv �w sou+nE rnotwE �rvav[o <br />rnmro5tu �sE d mnioMo <br />IEG�lIXCC1�>I4}Ipi%1q411M1ISi�OMNB[lOF <br />�o� aoa d_ <br />rur.riu�� /L-O �S�'n7 <br />covicen�cnrmio.x�rvrFn �onnss irun�u <br />PLUMBINC <br />NO. TYPE Of fl%TURE OR I' <br />WaTER C105[T (TO'LET) <br />NA1MiUp <br />LAVAlOf1Y (WASH OASIN) <br />51/OWER <br />NIICHCN SINK 8 OISP <br />DI,HWASI/ER <br />LRUNDRY 1PAV <br />FOH OFFICE USE ONLY: <br />IR(1N1V1P�IM flf/.fI5f1P�fY y�5f�e1C4 <br />1151 1114f Il���t�(� <br />11fIOr111rVit�liL�4 M1O �11�WIIIIN(1 <br />__- . x.,..�..., wain�r��iu.o <br />1� I '-1'I�'.rllltirlJll <br />i-� in�,vbu;u _ . <br />. _ . _��_.�� <br />NEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />CON1�C11�NSM �MNtl1? MO <br />I HEREGY LERTIFY THAT I NnVE FEAD AN� E%AMINED TMIS <br />APPLICATIpN AND NNOW THE SAME TO OE TpVE hND CORRECT AlL <br />PROVISIONS OF ��WS �ND OPOINANCES GOVERNING TNIS TYPE OF <br />WORK WILL DE COMPLIED WITII WNETHEF SPECIFlEO HEFEIN OR <br />NOT. THE GR�NTING OF A PERMIT pOES NOi PRESVME TO �IVE <br />AUTNORIiV TO VIOLAtE OR C�NLEL THE PqOV15iON OF ANv <br />OTHEF SipTE OP IOCAL UW REGUUTIN6 CONSTRUCTION OR TME <br />CEAFORM�NCE OF CONSTFUCTION TH�T I AM AUTNONIZED BY TME <br />OWNCR Of TMIS P PERTV TO PERFORM TME WORK FOR WNICM <br />APPLILATION IS AOj�. ANO I LOMPLY WI�N TNE ST�TE <br />CONiR�GT03$ lA BOJ! RGW AND 09fi 200 WAC <br />f11NC11[CMN11WIfR I!(( <br />K/.N*�J�f fEEb <br />❑vF5 �M> q����, <br />p1�9� <br />rumm�n _"'_ <br />�uwni er��usru <br />❑v[R ❑N�] <br />- WNIRMII P1 W OUfM <br />m�rt� <br />v�n nunuMnsimauncc <br />dTYOFEVERET7 ������:wrnr�s <br />LOCALSALES - <br />TA% CODE IS J105 toT�L <br />PEAMII f <br />TOTPL FEE S <br />mn mi rw <br />LU11ilON FEE <br />�__ <br />-{ <br />