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d1PPLICATI� FOR COMSTRUCT�N➢ PERIWIT <br />CITV OP EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 981:G1 •(425) 257-8810 <br />i 7 OEMOLITION ❑ COMBINATION ❑ BUILDING ❑ NECHANICAL � pLUMBiNG ❑ SIGN <br />PROJECTADDRESS:�� SE L—o {�Ja// �l9i/ I�.� "�-d"D <br />Ow�f�n � � WOaE55 Cliv !iP nnON[ <br />// ��/ �� .r <br />_/K/i'�//i�`�(l�/l �2F`^�� — <br />r.�r�, ���fs: ���. ,�o <br />j/ vrm4r <br />���''7L _ <br />rcy� nFum�n/y(� uui mnupss r.nr �m n�o��r '-' <br />.� p( -i'3�� <br />nn�i co.m.r:nn� uni�onn:sp /— cn — i�r —"r�xrvc s�un�aea�. <br />-� L .��D' - ;7// � <br />upruuuCucnvin�.tUn uu�eL+,wF55 r�rr r�r � <br />C�1C•:t V�IF L�CENSE � <br />[`ui4pihGf.OL1P�rll M��I�qWE55 CifY <br />I�� Pr�OMF SI��FUC(NSF• <br />rr srn:nr vnn. �wu srfu.n� .7^upe �wvmvm <br />I�(101+OSf�11'1.01 FIIII�IN(i <br />io� oiocn or <br />nMf�l 14 Il �f � <br />_���� OS � aS/ <br />covvnocnrwia�eiretrn umnac rnu+rt <br />PLUMBING <br />� NO. TYPE OF FIXTURE OR I <br />WFTER CLOS[T (TOI�ET) <br />6�iHTU� <br />LAVATORV �WqSH BASIN) <br />SHD�' .'9 <br />HITC'1F.N S�NN 8 DISP <br />- PAR. ETG I <br />SUO TOTAL 5 <br />PERMIT S <br />FOF7 OFFICE USE ONLY: <br />�n..n�.:ru.. n;.nmr.�r. SACS(�P4n <br />HEATING SYSTEIA: rJ GAS ❑ ELECiRiC ❑ <br />couucr n asoe nrm rrwvr mo <br />�"�e �( `-k-� ' _�3'�/dc� "�CL,'F <br />I HERE�Y CERTIFY THqT I M�VE PEAD AN� E%AMINED THI$ <br />F�'PLICATIpN aND RhOYJ iHE SAME TO eE TRUf: AND LORRECt A�� <br />friOVI510N5 6F �AWS AND ORDINANCES GOVERNING TNIS TYPE OF <br />YlORN WII� BE COMPLIED WITH WHETHER SPECIFIED MEREIN OR <br />NOL TNE GRANTING OF A PEpMIT OOEu NO7 PRESUME Tp GNE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFOVISIpN OF ANV <br />OTMEF STATE OR LOC�L LAW RF�UTATING CONSTRUC!ION OR THF <br />PEFFOHMANCE OP CONSiPUCTION. TIIAT I AM AUiHORIZED �Y iHE <br />OWNER Oi TMI$ PqOPERTY TO PERFORM iHE WORK FOR WHICM <br />APPIiCATION I$ M11ADE AND I fOMPLY W�TM TNC STATE <br />WNTRACTORSIAW 1q2)qCWANO2962C0WFC <br />(f/� /�,- � <br />xGu��ont --- U•'r �— <br />ObBU9NC:S1iC[Nsf NO <br />HE4i <br />AIR <br />��.�,o�n �u�u�u v.ce�usnt —�— p�-- <br />❑ra ❑no ��nin�u�� <br />,�,..,,,�,,,.��,,., „o,.�,w�����: �„Eo� �a�, -- — <br />, �s��� ��w„��. <br />...';�.� �. �.• wri�i��r�iio.n o�srutn� - .______ <br />/ vn r..arni <br />:J � - .� ] ❑�rs B'�+n _ —__ ___ <br />: i J <br />C. � ' .. r � � - `�' �oimor. n+v��rtcn <br />Vh ./�:/ .;�:� oo�m _'- <br />...:.�.r�i�i-"' . m��n� _'- _ _ _ _ <br />--� ._'_�G�� � 9; , � .�a�o� t��� .�nr,� <br />n �.c rnrnn CITYOfEVERETT i�.e,�- <br />%� �A, <br />70TAL FEE T � <br />9, s� �«<,�,�o <br />LOATION FEE <br />_" �-__ <br />Dt1za .�9L3�� s� <br />�: , LOCALSALES -- � - � — -- <br />. �'+�t. = ,, ' ' 'l, TAR CODE I: 3105 � TOTa1. I <br />