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APPLICATIOA FOR CONSTRUCTI�. . � PERMIT <br />CITY OF EVERETT • BUILDING DIVISION �� <br />3200 CEDAR STFiEET • EVERETT, WA 98201 • 259•881C <br />❑ DEMOUTION f_l COMBINATION fl BUILDING � MECHANICAL fl PLUMBING fl SIGN <br />PROJECT AODRESS <br />`r � <br />% (✓iL <br />GTV <br />/-1 ✓c � l/�'��7T ��.�"ZC� <br />21P P110NE <br />7 <br />MCIMTECTOROESMdiER MNLADqiE55 Cltt zIP Pf10NE <br />�w�w�nea� <br />�or _ e�oGc oF <br />PANCEI TNt I.D. MMMER <br />CONS1AUCilp1 LONI IFNDEq, ADD1iE55. fElEPllp/f 11�NyER <br />PLUMBIN6 <br />NO. TYPE OF FlXTURE OR ITEM <br />W.4TER CLOSET (TOIIEn <br />BATMTUB <br />LAVAT V (WASM BASIN) <br />SFIOWER <br />KITCHEN SINK 8 DISP <br />FOR OFFICE USE ONLY: <br />HEIOMTUMITATId/ <br />SUBTOTAL S <br />21P P1qNE <br />yC(N�E� <br />HEATING SYSTEM: � GAS ❑ ELECTRIC C7 <br />CANTACTPERSONANOPIIOHE . <br />�o� ZsZ-��d� <br />I HEREBY CERTIFY THAT I HAVE HEAD AND EXAM�NED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE ANO CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLIED WITM WMETHER SPECIFIED MEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 6WE <br />AUTHORITY TO VIOLATE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCT�ON OR TME <br />PERFORMANCE OF CANSTRUCTION. TMAT I AM AUTHORiZED BY TME <br />OWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WMtCM <br />APPLICATION IS MADE AND I COMPLY WITM THE STATE <br />CANTRACTORS LAW 7827 RCW AND 286200 WAC. <br />�/�/`o �� �-�-- Z q <br />� � �) . ✓ �.�- �%�%✓y Z � ��/ � <br />S�O�7L WTE �I <br />pTY BUSINES$ 110EN5E fq. <br />VENTIUTION FAN <br />RANGE HOOD <br />WATER HEATER <br />GASRANGE <br />GAS PIPING <br />❑VES ❑ NJ BURDIN6 <br />NOO:OWEWNO SIffOF&IXLf.I. <br />UNITS ?LUMBINO <br />OCCUP/J1TlOAD BASEMENT yEp�iWICiV. <br />❑YES ❑ NO — <br />R�� ADDITION/�l Pl; � �NECK <br />OTMER <br />f1EASON — <br />STQE 9UILDING SW6MMGI. <br />PIANSMPNOYEDBY CITY OF EVERE7T PUBIIC WOHNS <br />LOCALSALES <br />...._ TAX CODE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT S <br />FEE I ��MT � <br />