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APPLICAiI� FOR CONST�IUC�N PERMIT <br />CITY OF cVERE7T • AUILDING DIVI:�ION � <br />3200 CEDAR :iTFEET • EV�RC-TT, WA 98201 • 259�8810 <br />�I DEMOUTION (1 COMBINATION f I BUILDING I� MECHANICAL � l PLUMBING � SIGN <br />PROJECT ADDPESS �/ �- �� �C � ) /, ��� <br />/T / CiU <br />�OWN O M�IL�fMN�f55 CIfY l�` �IpY[ <br />leG l�i� 9i��i'. • r, -,�l��.�%�_��a��4 - <br />�nurn 4nn �nn�rs on � (m rna«t • <br />T�h�e.�Ascre/�� <br />^iHouir.o•undr(af" uuinwwtSN' rin �m ruow. snrtui�.+>e. <br />�7 <br />NiC11M1N1UlCONIP0.CtOO YRiIRIXME55 CpY .�� i'IIONE SfAfFI�iENCF• <br />Pt111JPINGCW1�f1/.f,IOP M�IL�IXN�E55 LIIY llf' P1qNE SI�I[lICE16E• <br />1O111ML! 1`IM,C O! WOIIN <br />a��D � HEATING SYSTEM� I 1 GAS fl ELECTRIC I l, <br />urunmcwaneerm. icroouce��rvoiven co���crrrnsa�•�orna�rrro <br />S.�ts.ol� /L�.;� sq.io,,.Tta _ i. �'1��/1�—%�/%6s� <br />i� s'j �!�'��-o� S—`-"� _�!'� '" -- ��y S�zfs <br />�/^�// I HEREOV CERTIFV THAT I HAVE READ �ND EaAMINED 7HIS <br />nupqsro Ils[ w mn r�/ AFPLICATION AND HNOW TI1E SAIdE TO BE TRUE AND COPFEGT ALL <br />PROVISIOIJS OF LAN'S AND OFOINANCES GOVERNING TH�S TYP6 OF <br />WORK WILL �E GOh1PlIE0 V�ITM VME7NER SPECIFlED HEHEIN OR <br />�¢ce�xscmrnavarriorenrv�5�avmouowa�enec�nvmcuM[s NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMF. TO GIVE <br />l0• PLIX:K .. C� <br />�� E�.�x�orniuorn <br />'ci-��sjin9uc�� ou,��o Ouwn ss.'nFn� <br />PIUMBING <br />NO. TYPE OF FI%TURE Ofi <br />wnTER CLOSE7 (TOILET) <br />BATHTUp <br />LAVATORY (WASH �ASIN) <br />SHOWER <br />KIiCHEN SINK b �ISP <br />DISMWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHEF <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIh <br />�FCKFLOW PREVENTERS <br />SINK �SERVICE — �AH, ETC.) <br />� TOTALFEE <br />FOR OFFICE USE ONLY: <br />rnnH� srmue nnn snwcK <br />15[tONf IU��OF� <br />vnr,rrtu�nunov iionruwtwnc sv[ <br />IY� M <br />. S� <br />AUTMOC�TY TO VIOLATE OR CpNCEL THE PROVISION OF ANY <br />OTHER 5'ATE OR LOCAL V•W R[GU�AiING CONSTRUCTION OR THE <br />PERFOPMANCE OF CONSTFUCTION. TNAT I FM AUTHORIZED BY TME <br />OWNER OF THIS PROPERTY TO PEPFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br />CO CTORSLAW182]FGWAND29G200W�C — <br />` � b <br />Xcu unc w�r <br />nrvm�sec�si�cn�ar�o <br />— o. <br />FAN <br />i�res �:eo oonnivc <br />oior.m <br />movn�vu <br />�fkMENI 4[CII�IIICIiI <br />I1�[S �I NO <br />•pp�IONH.%I.4fIM1LN <br />anrtn <br />Surz B�no�nr. si�na��nrc <br />GiY OF EVERETT �,mu� vro��.= <br />LOCALSALES --- <br />TAX CODE IS J105 7o7AL <br />(� <br />FEE <br />