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APPLICATI� FOR CQNSTRUCTION PERMlT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98201 • j425) 257-Bd10 <br />❑ DEMOLITION j��cOMilINATION ❑ BUILDING �yqaECHANICAL �� PLUMBING ❑ SIGN <br />PROJECT ADDRESS�' �7Z( � HDY' 1` �l-�� <br />�14/J 1 t= L 1?��� �2Z I H� I u�i2FT �-F7-`-?�S <br />om+En w�i�ornrsc orv --im r�;�u[ -- _ <br />trww uu� mpa�ss r.m nr � rvm�.t -"" <br />���I� - - <br />mc��nruoon.a,:.i�� uui�nnN�sc —cnr nr �nrnr _ __ _ <br />O1�11/�7t 2 <br />crr�nuic,•an.cvx� vui�nunrss — <br />QLl/�t2 <br />uvu�u.ui rcnn.aon euiuuo�ess <br />�t�n1�2 <br />1'1114pn�(rf.O�11PY;IM M41�pWF55 <br />cox�n�u vnmr ur waan <br />�+rorosfy usi or onn �r. <br />irc�i n[scnnun� w rnq�nn nww+�nnowo <br />io� _ eip:n or_ <br />r�n��i un o �niunw <br />covswonrc�n arrv i rwrrri uxn[ sx �n �n�one <br />TNO. TYPE OF FIXTURE OR <br />/ WATEHCLOSEi�TORET� <br />� BAiHTUB <br />LAVAiORY (WAtiH BASIN) <br />T SNOWEA <br />/ KIiCHEN SINN 8 �ISP <br />7 OISMWaSMF.R <br />LAUNpRY iRAY <br />J GLOTMES WASHER <br />IIRINA� <br />DRINhING FOUNTAIN <br />FLOOR DRAIN <br />DACNFLOW PNEVENTEHS <br />nue iccnvirr _ nea vm � <br />FOR OFFICE USE ONLY: <br />u��..�r�.m.�_' — �.cnn.cv <br />i u <br />�If..� a�l ..0 �I�/111�f� <br />. ��. . ��� 1: �I� <br />i i. I i:; . . � <br />� �......i -:r _' _ nt..�� — <br />�-_�--_'_ �....�nomn <br />I•�MY�f c1�1� I�CEN51 � <br />li�' .. � !'wT1f 5�1�i1K[M1Si• <br />MEATING SYSTEM: k(iGAS ❑ ELECTRIC ❑ <br />canr.vrrnsnN.rvnrv�vrw — __ <br />I HEREBY G8R1iFY THaT I HAVE READ ANp E%AMWED iH15 <br />— APPLICATION ANO NNOW ill[ SAME 10 [iE TRUE FNO COPREGT ALL <br />PROV1510115 OF LAYIS AND OR�iNANCF.S GOVERNING TIIiS TYPE O� <br />WORN Will BE COM1m�IE� Y:iiN WHETHER SPECIFlfO N[FE�N OR <br />NGT. TH[ GNANTMG OF A PERAIrt OOCS NOT PRESJM[ i0 GIVE <br />_ AUTnORITV TO VIOLATE OR GFNCEL THt PROVIS�ON Of qNY <br />OTIIER $TATF OR LOC�L LAW REfiIILATI4G CO45TRUCTION OR TNE <br />�'ERFORMFNGE Of CONSTRUCTION inAT I qM hU1HORRED [VV INE <br />OWYER OF TNIS PliOPEfitY TU PERFORM THE WORK FOF WNICM <br />I APPIJCATION IS MADE 0.ND I COMP�Y YJITII LNE SiAT[ <br />�CO"1 Pf,tOP;IAYliP2lRCN'ANp296200WAC <br />�( ��� ll 23 �l�! <br />� n.i <br />Gf� PV V�1f if I�"I �1`I •.[) <br />A/C - AMN�LG UNITS <br />FORCEp Alq SYSiEMS <br />MEAT PUMP <br />UN'T HEAiLRS <br />i.._ <br />CLOiMES OriVERS , <br />GASRaNGE <br />VOfSCIP�[+ �'I�N�IILt+�11VPIP Ijf� <br />wi..—.�-.q —"" - - FE[S �� 1 V11lUAlION <br />❑rfc ❑tii P..f 1 .._.._ <br />uPlPll� . .. I . . ". <br />. _ P _ . . _ ��. _. _ . <br />p�V VI�� � .� <br />❑�fa ❑'.i <br />' IHvI Y� 1Y�Y. !! <br />l.�fn � <br />____ _ _—_._ <br />uq nnJ�v,.Pm: WA-. <br />CITV OF EVEPE77 ���'�� •� ��• <br />LOCIIL SALES - � � ---- <br />TA% CODE IS J105 TOTnt ___. ___ _ <br />