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APPLICAT�N FOR CONSTRUC�ION PERM�T <br />CIN OF EVEREl7 • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREff, WA 98201 •(425) 257-8810 <br />EMOLITION �/ q'OMbINATIO�Nj �WLDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADDRESS� d� lDdd/ �..�.'Rl2t�/�t�-"- <br />//l��f�(2r-/�✓Ld7.?S3zT/b�'h �ci��[.ni!-2Y�S3-_ R[�1,�_�die 9.rnn,��6u?Se» <br />v�roNE <br />•ntMnr.cronMLc�+en uen�ooaEss �in rm -- rvrzw�[ <br />i�2AlJa<<I—�"(� G�a�L�P�D SG�Au.�4,• G�iV. [Na., `%2f' �y �,� cG05�v.PT <br />GEMEMlCON10�LiM MMI�Dp11E55 C�IY b!' P�K.v[ ��I[pC(NSF� <br />NECP�NiCeICONIn�L10� M��LADpnE55 GfY Zm p�qNC SPIFlRENSE� <br />PtUIIB�uGCD�I1ReLiqi Mu��pq�E55 Citt Im PuOUF Si�1EUL[NSF� <br />��� � <br />Y//• I C.IC I /IL(rr—� � <br />!Y,f4-L(I 2L�.�SB <br />vnovosro u�c ac eunoiuc <br />tEGR �ESCf1�PilIX� d' PPWEnIY 19qvM BElY1V <br />l01 BIOCtl OL <br />rqnr� i u�r��C OO S O/(p <br />,X 7 <br />SIpIICiIp1lO�M1[NOEf1,1D0�E55.i[lfl'NC <br />PLUMBING <br />NO. TYPE OF FU(TUqE OR I <br />� WATERLLOSET�TOILEn <br />BATHTUB <br />FLOOR <br />� TOTAL <br />FOR OFFICE USE ONLY: <br />mrnrtsnrn�c+ nr�nseieecc <br />IISE SONF 101 �11EA <br />��EIG��� I�MIIAI10Y NO /�! G�'E111� <br />wns <br />SiDE SEIBi[rt <br />HEATING SYSTEM: �'�GAS ❑ ELECTRIC ❑ <br />c WleGr acnSQV �r�0 ruont tro <br />1 NEREBY CERTIFV 7HAT I HAVE READ ANO EXAMINEO THIS <br />APPLICATION AND KNOW THE SAMC TO BE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE UF <br />WORN WILL BE COMPLIED WITH WHETHER SPECIFIEU HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOi PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTHF.R STATE OR LOCAL LAW REGULATING CONSTqULTIOf! OR THE <br />PEPFORMqNCE OF CONSTRULTION. THAT I AM AUl'HORIZED BY THE <br />OWNER O? THIS PROPEHTY TO PERF011M TME WORN FOfl IYHlf,H <br />APPLICATION I� MADE AND I GOMP�Y WITH TME STATC <br />CONTFACTORS lAW 1027 RCW AND 296200 WAC. <br />x — � <br />E.GxsmnE wrz <br />dtY BULNE55liCENSC NO <br />OF <br />PUMP <br />TOTALFEE 5 <br />uq[P rEF TnFCFlriNo <br />O� <br />� O/a- I <br />I OYF". ❑ rv0 RUIf➢� <br />51![ 0� BLCC/11 — <br />ttuunwc <br />��SFUExi uiuuvKnl <br />❑vF5 ❑ MO — <br />�DNII(IY�I.f'1WCIIfCM <br />ourtn <br />su¢ eonmryc senciunr.c <br />CRV OF EVERETT n�nur. wonKc <br />LOCALSALES <br />TA%CODE153105 TO701 <br />T ' <br />