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APPLICAT�N FOR CONSTRU�ION PERMIT�}. <br />CITY OF EVERETf • BUIIDING DIVISION S')9' �b y�� <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 P00� �-J �� F J-"' <br />f-] DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL fa PLUMBING ❑ SIGN <br />PROJ�T� RRE55 � j�� �-/� <br />5 ( <br />y F� <br />MCN11FCiq1C(SIGNER N11l�DC�C55 CIiY $Ip P110N[ <br />GCNLMICONiML10R Y��L�COPE55 CI�Y IV %IONE SLEIELICENSE• <br />IILOIrtLCKCONIR�CIOR NARApDRE55 CITY $W %�ONE SiqEIICCNSE� <br />o[srnmc wona <br />iur <br />BICCN <br />MARAOd1E55 CIIY ZW %IONE Sil.i[IKORE <br />F �/�i r.ev.�it�t ���7/ �zoi zs5'-1 s4�e o�Es s�< <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />roornee nrvavco cow*.c* rEnsai um v�wr� r�o <br />CUf19PULiKKI lO.V11E110[R, MOFESS. IEIEPNONE INYBf P <br />PLUMBING <br />NO. TYPE OF FI%TURE ON ITEM <br />WATER CLOS[T �TOIIET) <br />/ BATHTUO <br />LAl'ATORY (LYASH DASIN� <br />SHOWER <br />KITCHEN SINK 6 OISP <br />DISHWASHER <br />LAUNDRYTRAY <br />/ CLOTHES\NASHER <br />UPINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SUBTOTAL <br />�� <br />I MEREOY CERTIFY TNAT I HAVE READ ANU E%AMINED TIIIS <br />APP�ICAiION AND KNOW TME SAME TO BE TRUE AND COPRECT ALL <br />PROVISIONS OF LAWS AND OROINANLES GOVERNING TMIS 1YPE OF <br />VlORK K'ILL 0E COMPLIED WITH YIHETHER SPECIFIEO HEREIN OR <br />NOL THE GRANTING OF A PERMIT DOES NOT PRESUIdG TO GIVE <br />Al1TNORITY TO VIOLATE OR CFNCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR TNE <br />PERFORMANCE OF CONSiRUCT10N. THAT 1 AM AUTHORI2ED OY TME <br />OWNER OF THIS PROPERTY TO PERFORt.1 THE WORK FOR 1VHIGM <br />APPLICATION IS IAADE ANO I COMPLV WITN THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />/ rn <br />x J �(J/.cotiv'�'✓ ' Zei' �� <br />SiG�IU�E OqE <br />Cilv OUSiNC55lICENS[ eq <br />P!C—A'HNDLG UNITS <br />UNIT NEATERS <br />CLOTMESORYERS <br />GAS <br />� TOTALFEE SI 'yI I I <br />FOR OFFICE USE ONLY: <br />�n;.ut:ito+cn nuns[ta�cs smes[ie6e w� cKrvu� <br />�OU .;��7�, <br />o.:.:or¢ iorra[� v+curtsne FEES <br />❑rEs ❑xo guiwnc <br />�.�..���uun.iar� raaowcuwn suEaeioari <br />um�s nuuarq <br />'�'��,LY 1qU51d1E5 CGLUP41iLOA0 OASEYCNI yE�u�� <br />.(L <br />c.�.��1' <br />❑YES ❑ 1q <br />i..:,[I'qiN�LLpRE00 NUSQ4 MO�fqW4VW1CNECK <br />OMER <br />ie���ull4p[OO 0[ASpry <br />$iME OUM1OW6 $OPCWIIGE <br />��r�.crca+sr nursevrrroveoer CITYOFEVEflETT ruemxronns <br />LOCALSALES <br />��r� TAJ( CODE IS 3105 TOTAL <br />[CC �n[CEiPtep <br />