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APPLICATI� FOR CONSTRUCTION PERMIT <br />CIN OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98207 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL p p�UMBING O SIGN <br />PROJECTADDRESS: I�}�` ICVPf�1i M��� l.o-.� Il��i. <br />O\�..t C,,.��>. ���w� L..,.�� �.�\ ,. E.ar�t 99t�eq �w��t1�vi 54:7 <br />�[r��v� nn+rss r.�rv� /�,a r��owr <br />_--��� Q�..�� iy�3� NC av �a '5�-�-Q f�cn% <br />•nr.��.rc�onnerd�.n� �n�nnuEss an r�� ' nw4r ' <br />�1�,,--�3 � �'�) <br />r.rr�nuican�n.nrn uui�uroi[es un rir r�vp¢ cun�rtrrvsr� <br />ufp���autCONIMc1Ua Mnt�IXME55 (t�rv }ir rupFr Su�PpCfMSE• <br />1'1114BhIG C011�F✓:IQR 4�I1 �f1IFlF551�r*�� ; p 1,F CIIY IIP 1`IIONF Sl�lf 11LFN5f � <br />� A <br />V- i•.5T �.J�1o� li'�.�^. t' In.[ tck\�.,� �iR�J9 �•:1��1'9`�rr —��.'Ir�c:aDF <br />covr armcrurwoa. <br />�^,��; c. c: HEATING SYSTEM; ❑ GAS ❑ ELECTRIC ❑ <br />or:en�orw�ax��,nsawe[�ooue.iuvorvm ��nu�err yo.urmrr�o-.rrva <br />�\�cF\�.< W^�<'. �cq1t r ('_r:�a �lla:.�to.. �9ce�.4t4- S^.,-: <br />tcr�i cr scnu�uorv or rrmrEarv isr�wv e[mw On �n�oH N <br />lUl __ BtCCK Of <br />r.nca �e. i n rn�unrn <br />Cws.nirci�or��o�Nirurhn umncss rn[rHovcr�u+mEn <br />PIUMBING <br />NO. TYPE OF FI%TURE OR IiEM <br />WATEF CLOSET �TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SMOWER <br />NITCHEN SINK 6 �ISP <br />DISHWASMER <br />LAUNIJRY TRAY <br />LLOTHES WASHEfl <br />URINAL <br />DRINNING FOIINTAIN <br />FLOOR DRAIN <br />DACNFLOW PR@VENTEPS <br />SINN (SERVICE �- BAR. ETC.) <br />SUpTOTAL 5 <br />PERMIi 5 <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />rnnu�arrmrv nr�nsnpnn sM <br />ii'.tlOvf IOInnF� V�G <br />�...au i rviunov Ho or nwuunc <br />w�� <br />...:�.r w,r�.i,,ai w�.cu�nw�w.n <br />�;iliv <br />r�,��csvan:ucuaeo'o nv.sav <br />�.—i:�nuwnnea'o � nensrn <br />I HEREUY CERTIFY THqT I MAVE READ AND EXAMINED THIS <br />APPLICATION ANO NNOW THE SRME TO BE TRUE ANO CORFEGT ALL <br />PFOVISIONS OF �pWS AND OROINANCES GOVERNING THIS 7YPE OF <br />WORK 1' 11 L 0E COMP�IED WITH WMETHER SPEQFIED IiEREIN OR <br />NOT. THE GRANTING OF A PEFMIT OOES NOT PRESUME TO GNE <br />AUTHORITY 70 ViOLATE OR CANCEL THE PROVIuION OF ANY <br />OTNER STATE OR LOCAL LAW qEGULATIMG CONSTRUCTION OR iHE <br />PEPFORMFNCE OF CONSTRUCTION. TMAT I AM AUTNORIZED BV TME <br />OWNER OF THIS PROPERTY TO PERFORM THE WOFN iOF WHICH <br />APPLICATION I$ MADE AND 1 COMPLY WITN TNE SiATE <br />GOHTRACTORS LAW IB 2] RCW AND 296?00 WAC <br />�g� -� <br />�� � <- (c�;�9v <br />SiGvn�unp� 5�177 C' w�r <br />C�iYBULNf55l�L(NSf NO <br />MEAT <br />NII4fll11 <br />//1 - <br />❑vcs o v�� nuin�rr. <br />SijE O� Bl W'il <br />1�1114PiNfi <br />B�SE 4[4�1 4[I:IIY�i('1t <br />pns Ovo -- <br />.oa��o�+�i n�vnrttv <br />murn <br />G��If fl11�lU�r�t: ��1�1CIInf�Cf <br />CITVOFEVERETT ���micwon.c <br />LOCALSaLES --- <br />TAX COOE IS 3105 � TOTAL <br />_ i_ <br />S <br />___._. __'(�� _"" <br />