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L �� c�c <br />pPPL1�ATlON FOR CONSiRUCT10N PERMIT� <br />CITY OP EVERETT • HUILUING DIVISION <br />320U GEDAR STREE7 • EVERETT, WA 98201 • 259•0810 <br />CI DEMOLITION f I COMBINATION lit BUILDIN(i kl MECHANICAL kl PI.UMBINIi ❑ SIGN <br />PROJECT ADDRESS 8� p s <br />unanooness <br />�Jes � /iM.l � Q r. <br />cuv zir vuonr. <br />�plcr!- t7r„r�a_ fnr. �.2¢���t�LAY�. l9 kA-201.�v_�r,�- VIA 98�,Q4 7,9.6/513-499_6 <br />IENF.NI rvAllA0IX1E55 CIIV . 2�P PIIONE <br />AfICItlIECtOil0E51GNEi1 MNI�bUf1E55 CIIY 21P PIIONE <br />OENEMICONIMCIOq M�ILAOOIlE55 CIIY 7.IP CIIOIlE SIAIEUCEN5E1 <br />_S.�J.ec_�tt�G Tnc. »aiy A�-t, ns,o_ w_ Ra-2ot everel;t,S�IL�482IL4�051���-4an� SFra�rrriinrcra <br />MECIIRIICAI(DNiMC10� MML�Wf1E5S CI1Y 21P PIIONE S7AIEUCENSE� <br />PLUMBMUCON�A�CIOR MAllA00RE55 CIfV ZIP PIIONE STAtEUCENSEl. <br />SOUIIRE <br />eeiow on <br />�or 21 a�ceK <br />ISTIlUC710N lON1lENUEA) AUOAE,5�9I, TELEP IONE NUMBE'1 �7� <br />L�(MALJOOd /1/�Dl���o� �i%i'�)lG <br />�bS 2($�' S�" SW �9 .�to���' 7�' <br />DMBINO � S� � <br />10. TYPE OF FIXTURE OR ItEM FEE <br />3 WATER CLOSET (TOILET) <br />1 BA7HTU8 <br />3 LAVATORY (WASH BA51N) <br />1 SHOWER <br />1 KITCHEN SINK d DISP <br />�. DISHWASHER <br />LAUNDRYTRAY <br />CIOTHES WASHER _ <br />URINAI <br />OHINKINO FOUNTAIN <br />FLOOR DRAIN . <br />FOR OFFICE USE ONLY: _ <br />iRONT SE7BACK� � �EAR SET9ACIS„ <br />� �%V <br />IIEIOIITLIM7TI� ' .IUNItgFUWELLINO <br />� <br />HEATINO SYSTEM: 6� GAS O ELECTRIC O <br />cor+tnm rensoN nrvo rnor+E r+n. <br />I HEPE6Y CERTIFY TFiAT I HAVE READ AND EXAFAINED THIS <br />APPLICAtION ANb KNOW THE SAME 70 BE 7RUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES pOVE(7NING THIS TVPE OF <br />WORK Wlll BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY t0 VIOLATE OR CANCEL TI1E PROVISION OF ANY <br />OTHER STAiE OR LOCAI LAW RE�ULATINO COWSTFiUCTION OR THE <br />PERFORMANCE OF CONSTRUC710N. 1HAT I AM AUTHOFIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPIICATION 19 MADE AND I COMPLV WITH THE STATE <br />CONiqACTORS LAW 1827 RCW AND 290.200 WAC. <br />Select f nes, Inc. <br />xBv�.�f '�.r%� c�/�-co �i' <br />SIONAIUIIE D�IE <br />CIIV BUSiNESS LICENSE NO. _ _ <br />OF FI%TURE OA IfEM __ � FEE <br />— NHNDLO UNITS — : LP. <br />�r.Fn nIR SYSTEM3 — H: f. <br />— B.T.U. M <br />QAS <br />OAS <br />E <br />FEE NECEIPTNO. <br />PIANCIIECR'l�e� /��_ �'� <br />❑YE9 n NO � BUIlbINO <br />❑YE9 `►�+� <br />� <br />INSL PlANSAPPROVEORY CITY OF EVERETT <br />^ � �-� LOCAL SALES <br />i_ /vr TAX CODE IS 3105 <br />PlOM01N0 _ <br />MECII�NIC�L <br />�ObI110N�1 PLAN CI IECK <br />O���Efl <br />SiNE OUIlbINO SUtlCN�f10E <br />PUOLIC WDI1K9 <br />10tAL <br />