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APPLICA�1� FOR CONSTRUCT�ON PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR 3TNEET • EVEREff, WA 98201 •(425) 257-881U <br />�DEMOLITION ❑ �COqM�BINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADORESS:�patG� �VG�C �C�N In�A��/ _ <br />P��CNF <br />IIfCN�HIL�lC�Y1�1�C10(l NuIIAG�.E55 (IfV In' rr�tin� .��.. ...�na. - <br />�IUMBI11GL011I41�f.1Q11 N��IAIXMf$$ CIIY IIG 1'NO�iE $IAIfIK[M1Sf� <br />oF,cnioe vr�nr u�n mwnr roori.ec ixva�eo <br />—r �� �,..J •1.,.1. /'nNG i(c <br />io, � e�oc. —..�!_ o.. <br />AiV �..� <br />rencr: i.r i o rnene n� <br />��_n�s-o/�-_ <br />cws�mrc�mu io�H i rxnm. uxx�css. iu[rv� <br />vwueiNc <br />NO. TYPE OF FIXTURE OP <br />WATEfl CL05ET (TOILET) <br />BATHTUD <br />LAVATORV (WASH BASIN) <br />SMOWER <br />NITCHEN SINN d DISP <br />FOR OFFICE USE ONLY: <br />IPOuiSfiMfM nf�n5C10�CK <br />1'S[.:ONF IOI�PF• <br />IILIGII�II411�I�OV NO"C�DW(IIING <br />rc�ii��4..• 40C�SI�w��� IX:LV�4NIlU�O <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />rmn�n rtasov �Ho rHnnF ua _ <br />�Uf� - �d52 - .5ti 3 S <br />I HEREBY CEF7IFY THAT I HAVE READ AND E%AMINE� 7HIS <br />APPLILATION ANU NIlOW TME SAME TO PE TPUE AND COPREC� ALL <br />PROVISIONS OF LAVlS AND ORDINANCES GOVERNING TNIS TYP[ OP <br />WORK W�II OE CONPLIED WITN WHETHEF SPECIFIEO HERE!N OR <br />NOT. THE G�ANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOPITV TO VIOLATE OR CANCEL THE 7ROVISION O� PNY <br />OTHER STATE ON IOCAL lAW REGOLATING GONSTRUCTION OR THE <br />�E�FORMANCE OP CONSTRUCTION. THAT I AM AUTMOPREO BY THE <br />pWNEN Of THIS PROFERTY TO PERFORM TME WORN FOR WHICH <br />APPLICATION IS MAOE nND I COMPLY WITH THE STATE <br />CONTRAC ORS LAY! 1 CW FN� 296 F00 WAC. <br />x� � � � �7 <br />q nl ��q <br />Plv BU4rrtS5lIL1115[ r:0 <br />HEAT <br />N'OOD <br />FEE 5 <br />s�oc <br />I VI.C�YISIIE <br />❑YFS ❑ M� PNIM� <br />SItE C� BIOG�f� <br />�1114fliNfi <br />BI.i(4fN� 4Ff.l��tilC.�1 <br />❑V[5 � rv0 <br />�pqII�M/.I M1�NCI�(CY <br />OtllFl� <br />G��11 RVRf1mL 511110��PFE <br />CRY OF EVERETT rnnnr, won.s <br />LOCALSALES <br />TA% CODE IS J105 TOiAL <br />SUB TOTAI 5 <br />PEHMIT S <br />TOTALFEE E <br />�Fr nFCFm�na <br />_ JALURTION __ <br />