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APPLICATIO� F�R CONSTRUCT�N PERMIT <br />CITY OF EVEREl�i • BUILDING DIVISION � <br />3200 CEDAR STREEf • EVf: R[7T. WA 98207 •(425) 257-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILb'NG �MECHANICAL ❑ PWMBING ❑ SIGN <br />PHOJE�.iAU0RE5S_ �9�'�, � <br />f M <br />�v <br />a <br />Tv <br />CUONF <br />10L- <br />�/A <br />MnuPe.GCO:�nl�r,rOn vn�/.amFss eiiv I�v veo�'F 5ufrl¢FMsf• <br />co�rtnnn rnict o� wonn ' �c�"�� � <br />'� MEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ vLt7LtLrys' <br />or5cnioFV.[)�R�rvf�Snu��I�JalecrnrvotvEo cONucrrrnS�M'�xprNovrr:o_ .�- <br />�� �o�� � �,�� <br />n� orosFo < or x� <br />IFWt�F5L/'P,.i1�'.1Iq/1�0fPIqGE��v� qWNO[LOx <br />�o���flrtGlX r,�ocn�aF <br />-V_!'� � !� �L'QT.r �i . <br />�/u!%v . �t/.� ' <br />�.ncrt us i � Huumn <br />cov;m��cn rvin.xeruneneonu[ss.rttEnm <br />/� �c'h•' ' <br />_���srte eo • �f�u 3�.t <br />FLUMBING <br />NO. TYPE OF FI%TURE OR I <br />_ WATEfl CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASN BASIN) <br />SnOWER <br />� KIiCHEN SINN 8 �ISP <br />FOR OFFICE USE ONLY: <br />ff�flNi:flfl4fM IIf4�:.�10�CK <br />IISf IL1N� 101111f� <br />IICIC�IIIIVI1�11Uk HOMUWLIIING <br />IAiI:: <br />nio iv us rn rn.irin, unnuu� m�o <br />nn[srvi..�rnnw�o nnAsov <br />cr <br />'�15 -1�"i-_i�'sd <br />I HEREOV CERTIFY 1NAT I NFVE READ AND EXAMINE� THIS <br />APPUCATION AN� NNOW THE SAME TO OE TPUE AND GORRECT ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVEHNING THIS TYPE OF <br />WORN WILL �E COMPUED WITM WMETME(7 SPECIFlED HEFEIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESVME TO GIVE <br />AUTMORITY TO VIOLATE OB CANCEL THE PPOVISION OF ANY <br />OTHER STATE OR IOCAL LAW REGVLATING CONSiFUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TMAi I AM AU7HORIZEO BY THE <br />OWNER OF TMIS PROPEPTY TO PERFOHM TNE WORK FOR WHICN <br />r1PPLICATION IS 1.1ADE AND I COMP�Y WITH TME STATE <br />WNTRACTO LAW B�2]RCW ND296200WAC. <br />,� � , S � <br />i � m � — <br />OIYRI14Nt5 liC[NSC J <br />NECHRNICIIL � <br />NO. TYPE OF EUU:PMENT FEE <br />A/G—AMNDLG UNRS <br />FOfiCED AIR SYSTEMS , <br />W000 STOVE <br />TOTAL b <br />❑res ❑ Nu mnmam <br />9S[ Of pt[IG41 <br />VIIIMII�Np <br />B�SFMfNI ylI:II�MI{'�I <br />Or[s ❑No — <br />noanorui rt�anrtc. <br />omm <br />ziu� nvm�vr.sn�crunct <br />TCITVOFEVEflETT m'e�.icwnn.� <br />LOCALSALES <br />A% COOE IS �105 ioTnL <br />PERMIT <br />�ff InrCfirlNo <br />