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APPLICATI�1 FOR CONSTRUC'�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-BB70 <br />� OEMOLITION ❑ COMBINATION Il BUILDING ❑ MECHANICAL 1 PLUMBING ❑ SIGN <br />PROJECTA�ORESS ��O/ <br />OI\II[P MAIIRDGPESi LIfY IIP P11011L <br />1EIPNi IA[RI.��REiS CrtY IiP PIIOi1E <br />ANCt!!1r��0ii0E5K.NLP AI�iL�ODPf$$ CILY 3.!' f'MONE <br />LCIiEP/.LCONIpRCiGR M�ILApGAE$$ LItV ZI� f'110NG SiP1ELICEN$E� <br />�':GIRaGLCPYtBILiOR IA<il�p�R65 Lliv ZIP Pr10NE SUi[L�CEI:SL� <br />�y I I)n I L C G�.._t.., n 9 �u n�., ..�,.,,._,....� c�.,,.,....,. `Kt290 71,n_ar_v_quc3 i,m� ;_irot n;�r T <br />caanacr vn�cE av wone <br />�CSC11:pE NGflI( 41�0 SOVME I W IAGE IIIVIXVEp <br />,� //� -D <br />�� <br />r.�cPo,m use oF aunoixc <br />LCGc� UESCRR'➢JN OP GPWE41tY ISMOKN pEL01'I Ofl �LiPCN <br />ior u�ocfl o� <br />�ancuuxio uuuo�n <br />CG'ISIpVCiqN LO�IRENOEP. ���F[55. iELEP1I�NE Y.p1,I9CP <br />PLUMBINC <br />Nfl. TYPE OF FIXTURE Ofl ITEM <br />� X WATERCLOSET(TOILET� <br />BATHTUB <br />LAVATORY �VlASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />�ISHWASHER <br />IAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />HEATING SYSTEM: f] GAS ❑ ELECTRIC ❑ <br />LO!IGCL PEB5011 AND PI�ONE NO <br />I HEREBY CERTIFV THAT I HAVE READ AND E%AIAINED THIS <br />APPLICATION AND HNOLV THE SAIAE TO BE TRUE AND COflRECT. ALL <br />PROVISIONS OF LAWS AND ORUINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE C01.1P1IE0 WITH VlHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERf.71T DOES N0T PRESUh1E TO GIVE <br />AUTHOFITV 10 VIOLATE OR GANGEL THE PflOVI510N OF ANV <br />OTMER STATE OR LOCAL LAW flEGULATING LONSTRUCTION OP THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZEO �V THE <br />OWNER OF TMIS PPOPERTV TO PERFORIA THE YlORK FOR WHILH <br />APPLICATION IS h7ADE AND I COMPLY WITH THE STATE <br />CONTRAQTORS l�W 1�27 RCW AND 296200 WAC. <br />�IiY (1U51'ICSS IICGNSE 110 <br />NEATER <br />GASflANGE <br />SU�TOTAL S <br />PERl.71T 5 <br />FOR OFFICE USE ONLY: � p 1 <br />rno'IrSEre/.cR REMSEiaec[ S�oESFleeCn PWlc�RCNNuuOE� <br />usEzou[ �o*nr+e� wc.irtsne FEES <br />❑vE5 C NO OUiIDrt�G <br />I�pGlliliYliAiqll IIOOFp1YLLLI1IG SLEOF6LWTI <br />UNi15 p�UF10iNG <br />OLCIICqNLV NOGi510aE$ OCCIIGAlI1(OAO BASEMENI N.fCN�111C�L <br />C���CUP <br />nres n r.a <br />rw=soau�K�cnaroo nen;oe �ooinoru�vuNc�rzcrc <br />O111EP <br />l�iVEALRRMPEO� REASON <br />SiAiE BUItD�11G SURCIIA <br />nneorcon:r vw�s�Pvnwcuor CITYOFEV°RETT Pue�awoecs <br />LOCALSALES <br />,,..� TAX CODE IS 9105 7otAL <br />