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APPLICATI� FOR CONSTRUCTION PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVEREff, WA 98201 •(425) 257-8810 <br />❑ DEMOLITION ❑ C•/OMBINATION � BUILDING `❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT AUORtSS: �Y/`��/�L/GI/'!?/9 �.�4C/_ COl��.�i9' <br />r�o <br />� <br />n� <br />Grq[MlcoL�MC.�qI �Vu��ol�n[fi5 [nr )ir rvRpv[ vL�t��c�Ns�. <br />/� <br />YFCI�A41CµC0'1I11�f:1U� �I��l1fAPf5$ LIiV }�� ' PIIOlf FI�IitICCN$f� <br />N /� <br />CIIINB'���LCON�B�CIryI �uiUq%1�55 CiR IIP M�O��F 51�ifUL[NSF• <br />{^ <br />yrsca:er n.�nosqu+unom+ccnrvo�veo /� <br />(✓�jfl��/��A�� 1X�2 <br />�����s��,�� w��f��- <br />��r „ .,, ,�e_e�,4ror� �� <br />pnor v 4o�ewi��uc ��--�— <br />r!� � <br />iee�i ocscn�lwi o� rnortnn is�aw�+eE�uw aa en.un <br />io� mota ar <br />ru+cn u�-0 ryy�n��l � ' �/"/ 7 ��� <br /><a�smucn��ro�r��rn�n.uH+��ss rzicr�a'Er.��n[n <br />PLUMBING <br />NO. TYPE OF FI%TIIqE OP ITE1A <br />WATER CLOSET �TOIIET) <br />BATHTUD <br />LAVATORY(WASN BASIN) <br />SNOWEH <br />KITCHEN SINN 8 DISP <br />DISHWASNER <br />LAUNONY TRAY <br />CLOTHES K �SNER <br />URINAL <br />�RINKING FOUNTAIN <br />FLOO� ORAIN <br />SUD <br />-- PEP <br />TOL <br />FOR OFFICE USE ONLY: <br />ff1()NiSfi�111CM Pf�f15f1B�C[ <br />n•a�ic�rt n ^ io�.ac. <br />C. pJ <br />nnc�nir�neuc•� wocowrwr�c <br />IINiI� <br />acurrn.:: ,.� a'ran.r�iiwo <br />�„���. a� k� �n� —� <br />� nr,3 r/.,a� i[nuco-o -- nns� �l.` <br />ill:(i.P[ F'.<I+(�p 11f��OV � <br />U-N I,.,t <br />s¢� <br />i� <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />' � I HEREOY CENTIFY THFT I NAVE READ ANO E%AMINE� THIS <br />' APPLICATION AND NNOW THE SAME TC OE TRUE AND LOPRECT ALL <br />PROVISIONS OF lqWS AND O�OINANGES GOVERNING 7N15 TYPE OF <br />WORK WqL DE COMPJED WITH WHETMER SPELIFIED HEfiEIN OR <br />n[v Nqi. THE GRANTING OF A PEFAIIT UOES NOT PRESUME TO GwE <br />AU�HORITV TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTMER STATE OP LOCnL LAW REGULATING CONSTPUCTION OF THE <br />�'EPFOfiMANCE OF CONSTPUCTION THAT I AM AUiHORIZEO BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFN FOR WHICM <br />APPI.ICATION IS M40E AND I LOMPLY WITH THE STATE <br />GONTRAGTORS lAW 1B 27 FGW ANO 296 200 WACn. <br />U-��-/ ` <br />Xenemne wrz � <br />Oiv B114N[55 UCFNS[ NO <br />WATER <br />S�CCSCIB�CF 1`IAN[I�fCK1M1 Nff1 <br />���D Ds� <br />v.ce�usn[ FEES <br />❑rEs ❑ �u p���nixr. <br />pr aioGm <br />/ � D �IIIVPM!'� <br />B15f4fN� \/ yfl�l�`.il'�1 <br />❑vF5 plN�l �— <br />ADG Iif14�1 1'1 �H C�IfC� <br />� Ou�f� <br />/ './ t1�ICI111i���Mfi5111�C11111f�F <br />CITY OF EVERE7T n'xur.wonKs <br />LOCAL SALES -- <br />rnx cooe �s a�as rora� <br />PERMIT f <br />TOTALFEE 5 <br />«y8�. �9 <br />