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APPLICATI� FOR CONSTRUC'T�N PERMIT� <br />CITY OF EVERETT • BUILDING 71VISION <br />320D CEDAR STREET • EVERETT, WA 90201 • 259•8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: �_: 1� p��` (7 C� l.�_ (-,a. 1 I��.� . E 1� t?c f. 1-C `is; ;:;?. � <br />"1�,�:.J A. `irlr,c���,��,--�. itiil ll'l�ilc���(w ���. EJ-�,vc��< <K�,12S`�-9��::Z_ <br />1[N�N� 441I1Y11105$ fJ�Y I�P MtlH( <br />�i`�.0 l- <br />I.r�Cllt[clOn�ES�GHin 4N�Mp�Ess t�iv l�r rrM�NF <br />GfNfI�µCONIMC�011 M4tMq1[55 [i1Y !�� ���ONI' SIM[ICENS[� <br />r'��i•, •���1 -Y���tv'�T?v' Z?,�� '�Y17�1_� �Sa`C�i�'t`����JZ7�'_'���' A���'..ilil�`r'i�� <br />Yf61AFK4CON1H61p1 Mlil/dM�F55 CIfY IIP PIbNf SV.ifUCENS[� <br />��,\ c= <br />MIIYRMpCp1�PY,ip1 4�ilILp1E55 CI1Y b� P��OMC 5���[IILfMY� <br />"f �`�C <br />n swxc v.a�..r�o cou•n[ rooiwe �xva.co <br />�r Ll � l 'yV.1. r '.� /���� <br />riarosto usc o� eimww <br />IEG�t MSCmc�KN IX Mp1411iY ISi�OWM P[lOM <br />ia� &ocK or_ <br />1'NY:ClfM10 M1YqFR <br />y�ti,��� <br />covsimwnw �o�x �[xnn r.ancss rf i[Aw <br />v�a..reiNc <br />NO. TVPE OF FlXTURE OP I <br />WqTERGLOSET(TOIIEn _ <br />BATHTUO <br />LAVqTORY (WPSN DASIN) <br />SHOWER <br />KIiCHLN SINK 8 OISP <br />pISfIWASMER <br />uur+o�v Tnnv <br />CIOTHES WASNER <br />URINAI <br />OPINNING fOUNTAIN <br />fLOOR URAIN <br />FOR OFFICE USE ONLY: <br />rnowiu�n�c� nnn� <br />PFRMIT 5 <br />tOTaLFEE S <br />voc <br />11[M.I�i 1141111qN 1q O[ LM[ll�NO <br />UNIIC <br />pccuveucr r.i�sirais occu��N�ioeo <br />CIKKi1' <br />mac:nwa�u�Nioo nnsa� <br />IIIV �MpFO'D AF��ON <br />�\P( fN C0Y9 1'I �NS �1`I`POVC(I <br />n.n <br />HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />cov��c� rcnsa���m nanc �a <br />� `��.1-1 t"� . <br />� � ' <br />I MLRE�Y CERTIFV 1NAT I MAVE REAO AND E%RMINED THIS <br />APPUCATION AN� NNOW THE SaME TO BE TRUE �ND COHRECT ALL <br />PROVISIONS OF LFWS PND ORDINANCES GOVERNING THIS TYPE OF <br />WORN WILL �E COMPLIEb WITH WMETHER SPECIFlED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CFNGEI TNE PROVISION OF ANY <br />OTHER STATE OR LOGAL LAW REGULAiING CONSTRUCTION OR THE <br />PERPOflMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BV THE <br />OWNER OF THIS P�2Ht' Q'PE RM iME WORK FOR WNICH <br />APPUCATION S M � ID/ OMPLY WITH TIIE STATE <br />CONTFACT R�LA ANO 96200WAC. <br />x <br />SY.H�IV11C O�� <br />CI�Y PU4v1 :S l�C[rvSC NO <br />FEE NO. T'7EOFEOU <br />A/C — AMNDLG UNITS <br />FORCE� �i� SYSTEMS <br />HEA7 PUMP <br />UNIT NGATERS <br />CLO1f1ES DRVERS <br />MNGE HOOD <br />. � wnTen�mnrna <br />LII[CY. M14Rf11 <br />I ❑Yf5 ❑ Ml] I pU1MNC <br />SIhO�BtIXNI - <br />❑V(5 ❑ NO <br />ni�un�va <br />41 CI� WiLM <br />ww�ior�i n.Mcrrtcti <br />au�[n <br />9qf ONIU�Nf.SVKH�ME <br />CITYOFEVERETT rnmv.wnn•s <br />LOCALSRLES — <br />TAX LODE IS J105 TaTAL <br />PERMIT <br />11ff.f iPl NO <br />