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APPLICATI� FOR CONSTRUC�N PERMIT//��� <br />CIIY OF EVERETT • BUILDING DIVISION �/ <br />3200 CEDAR STREET • EVEfi�TT, W� 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION G BUILDING ❑ MECHANICAL ❑ PLUMBING �} SION <br />PROJECT AODHESS:�o / v'(�G1,C/�"tf�i ':i'�I �` O- o o5'f} �� <br />yz��_yr2_9�,0 <br />��c� F1.ta.S �/'�f,l, ��S.Sr.�.. �';,;(l�j- ccr/� /Eci :,• rf.sY'z. S't-. /3S— ? . o�, <br />OW4E 441�W�F.55 V � f l lll� VMON[ <br />I�'I}/GNC� jv:lt Ch�C= P1�C IIrF�Jf fW. LYn,..r..j ,wn. fJil YL1--7ae -2,�f'._r <br />,c�.iH. uuiu�onrss f cnr im ���onr <br />�nOn�rclonnEsic��[n M�n�nnnE55 c�tr l�r rnM.r <br />Tiil7L11.ViiY/�NirC J'/LJi✓ �_o' %��4 f/�✓yfp s FL':/tL�sL wq. 9PLp 4z1=�i�i;,� �.✓T6/15'c0� <br />c.niuu:conm�nrn u�nmm[ss cnr r�r rur�y� c�e�uicrvsr. <br />NFOU'nGlGO!�in�clOn wuL�f%N+F55 tin � lir t'uok( [tufl�C[�+SF• <br />vluuBriGCOq1R¢�W u��lef%1�E55 <i�v !i� 1'MOHF S�AIf1iCEN5F• <br />wvavco <br />EarN [a71r�� ��/V <br />� <br />1JrreCe I�AGL <br />im oiocK or <br />rti�ca i�io uuunan <br />L'%2.�0�'- 3-�G7_ty000 <br />consniKnoH�o�xiorcsn.uencss �u[n�a�[xuuncn i <br />PLUMBING <br />NO. TYPE OF FIXTUPE OR ITEIA FEE <br />WATER CLOSET (TOILEn <br />6ATHTUa <br />LAVATOHY (WASH BASIN) <br />SMOWEA <br />NITCMEN SINK 6 DISP <br />UISHWASNER <br />LAUNDRYTHAY <br />LIOTHES WASHER <br />URMRI <br />DRINKIIIG FOUNTAIN <br />FI OOR OFAIN <br />OACNF�OW PREVENTERS <br />SINN �SERVICE — BAR, ETC.) <br />SUB TOTAL 5 <br />PERMR S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: S� n�'e r, i„�� <br />rnn�rtsrrnic+ nr.nsrte�cK / siocsr�e�cx <br />usi rovr i. m� uire � vecua s��e <br />HEATING SYSTEM: O GAS ❑ ELECTRIC ❑ <br />G <br />I HERE�V LEHTIFV TNnT I HAVE REAO AND E%AMINE'� THIS <br />qPPLICATION AND KNOW TIIE SAME TO DE TRUE AND CORRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNING THIS TYPE OF <br />WORK WI�� BE COMPLIED WITH YlHETHER SPECIFIED HEREIN OR <br />NOT. THE GRRNTING OF A PERMIT �OES NOT PfiESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER SiATE OR IOC�L LAW PEGULAI ING CONSTRUCTION OR THE <br />PEPFORIAANCE OF CONSTRUCT�ON. TH\T I AM AUTHORIZED �V TME <br />OWNER OF TNIE PROPERTY TO PERFORM THE WORN POR WHICN <br />APPLICRTION IS h1AUE AND I COMPLV WITH THE STATE <br />LONTNACTOPS LAW IB 27 flCW AND 296200 WAC. <br />/ �� � /�,/��A= <br />z��iN}�— wr[ <br />btY BU9xE55liCO15L FO <br />� i G� ❑rEs O rw rwnn�r. <br />��FIG��IIi4it�1104 NOUiUWCIIIHG S�IEO�BICCdI <br />VNitS p1U4WNfi <br />OCOI �4C� M O�ai.nf5 P'.fIT'.NIlU10 BLSFMENI Vff.IUNiUI <br />❑�FS ❑Np — <br />�iuCS�naiMIFPREQO n�AStY: �Dp110H11.R�NCufCK <br />on�en <br />u+[aiaven[u'o - nf�wv <br />su�f n�inuar <n��uncE <br />�rre nr co�:sr rtnvs�rr pv[oor CITY OF EVERETT rupur.wrnuc <br />«' LOCALSALES — <br />�,�E V � 1- i) •�� TAX LOOE IS 7105 To7Al <br />f <br />p7 � nrcrmrno <br />FEE <br />