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APPLIICATION FOR CON�TRUCTION PERMIT <br />CITY OF EVE(-IETT • BUILDING UIVISION <br />32U0 CEDAR STREET • EVERETT, Wl198201 • 259-8810 T <br />❑ DEMOLITI�N E i COMBINATION fik BUILDINQ kl MECHANICAL kl PLUMBINQ p SIGN <br />PROJECT ADURESS \ <br />���� c� � 0.7 (,j E'S f �.ce ii (J r. <br />uwrrEn Mnanorness cnr zir ruor+e <br />4ptw.f urm�c _Tp�, 12�]� ��,j� Ave t+� NA-201 ,4 � jZOQ Z4C/�13-900fi <br />IENANt � MAiIIWnf1E55 CIIY������ �IIJNE <br />Atl01tlIECfOf10E510NE11 AIAIUbUtlE55 CIIY 21P PIIONE <br />OENEqTLCONIMCiOq M�ILAWf1E55 CIIY ZIP PIIONE SIAIELICENSE� <br />MAIL <br />FIUMCIN�CONIRIICiOR MAILAObRE95 CIIY ZIP p1tONE SlAIEUCEN5E1 <br />lEOAL OESCPoP110N OF P170PI <br />lOT �� BtOCN <br />NO. <br />iou� <br />SHOWER <br />KITCHEN <br />CLOTHE3 <br />URINAL <br />FOGTAQE INVOLVEb <br />. _.. ..__..___. . �. ...,... ..,,...��.. <br />i Mo ; _'7'71 -SG2�0 <br />Sf. S �.•�. �`j Ma.►,�Ik.l�e ?e,ra.� <br />ycdx/3 <br />E OF FIXTURE Oq ITEM FEE <br />SET (TOILET) �— <br />i <br />NnSH BASIN) —;— <br />_ ' <br />JK 6 OISP : <br />FLOOR DRAIN <br />BACKFLOW PF <br />FOR OFFICE USE ONLY: <br />FRONTSEtOACN REMSEIBACN <br />7 ��ti_ � <br />usp�or+� rnne��L <br />�f � C D \ <br />.� i <br />f1ElONTUMITATION NO.OFOWELLINO <br />� Q � . UNIiB t <br />5�OE S'e18�1C1� <br />� <br />veceNr si <br />es o r+o <br />)F 9100rt�. <br />7 ..5� i..fViwJ4 i- <br />.3 Si° GpRf4E <br />BIISEMEN7 � � <br />❑YE9 lWNO <br />HEATINQ SYSTEM: Qq QAS ❑ ELECTRIC O <br />couincr r=nsoN nNu mrorve �+o. <br />I HEREBY CERTIFY THA7 I HAVE HEAD AND EXAMINED THIB <br />APPLICAiION AND KNOW THE �JAME TO BE TPUE AND CORRECT. ALL <br />PqOVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIt DOES NOT PRESUME TO OIVE <br />AUiHOqITY TO VIOLATE OR CANCEI. THE PROVISION OF ANY <br />OTHER STAiE OFl LOCAL lAW REOULATINO CUNSTRUCTION Op THE <br />PERFORA7ANCE OF COIJSTRUCTION. THAT I AM AUTIiORIZED BY THE <br />OWNER OF THI9 PROPERTY TO PERFORM THE WURK FOR WHICH <br />APPUCATION 19 MADE ANU I COMPLY WIiH THE 3TATE <br />CONTq�CTOFlS U1W 18.27 RCW ANC 299200 WAC. <br />Select� s., aInc. p <br />x � �.T'(1tr�r �n �2(0 �l � <br />sor+nivne on�e <br />Cltt BUSiNESS LICENSE NO. <br />NO. TYPE OF FIXiURE OIIITEM <br />NC — NHNDLO UNITS — H.P. <br />1 FORCEDAIRSYSiEMS—B.T.U. I <br />— B.T.U. <br />FAN <br />WOOD STOVE <br />METAL FIREPLACE <br />OASFlANpE <br />PUNC��ECRNU�M//p/�R <br />�-/A � /,..�. <br />9t11LbIN0 <br />PLUMBINA <br />MECIUNICAL <br />ADDIIIONAI, pUN CIIECK <br />OIIIEII <br />STAIE BUIl0IN0 SUfiCH�tlOE <br />CITY OF EVEHETT puoucwanKs <br />LOCALSALES <br />TAX COL'E IS 3105 iotnl <br />FEE E <br />