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-� � <br />APPLICATIG.1 FOR CONSTRUCTr�JN PERMIT <br />CITY OF EVERETT • BUILDING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 90201 • 259•8810 <br />❑ DEMOUTION � COMBINATION ❑ BUILDING / ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS: -ri % 357 Ss.�.ri/ Gc,� L <br />TENNlT M�IIADI%1F.55 �:IIY y /�� ���ONE <br />�RC/M�TEGTOR�DES�IGHEN MeI1MOnE55 GIY :��' ��IONE <br />�r� __ __ _ " "_ <br />GENEMI NTfUGfOq M�iU000E55 '/ CIIY J��' PIIONE SIAIEUCENSE� <br />�� LLL.Q/ � � � `/ -- —.-- -.'-- �92l�[=�i ! (o i%✓ � <br />MECN�NICAICONTR1CT011 MNI�DIMESS CIIY III' PIIONE ATATEUCENSE� <br />VlUM81NCCONTRACIOR MMl�00RE55 C��Y 11P � PIqNE STREIICENSE� <br />�..,,,,.� � �l3 N � <br />c <br />�� <br />ANO SIXIARE i00UGE INVOLVEO <br />LOT 20 BIOCK <br />, PLUMBIN6 <br />NO. TVPE OF <br />I "j WATER CLOSET <br />BATHTUB <br />UVATORY (WA51 <br />SHOWER <br />KITCHEN SINK 6 <br />DISHWASHER <br />LAUNORYTqAY <br />CLOTHES WASH <br />URINAL <br />SINK <br />SIqNT! BELOW qi �TTAGN TWO COGIES) <br />_ or h�/nALTA2l� <br />- .�y- �7 <br />- Oao 9 _ <br />IES�. TEtEI'1qNE MlMBEP <br />)� — � �G�G�C� <br />%TURE OR ITEM FEE <br />FOUNTAIN <br />FOR OFFICE USE ONLY: <br />FRONTSETBACR RE��! <br />USE 20NE � � ('� <br />u <br />Iq M SICMUES <br />f <br />SIDL SETflACN <br />11EATING SYSTEM: �GAS ❑ ELECTRIC ❑ <br />I HEREOY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICAI'ION AND KNOW THE SAME TO BE TRUE AND CORRECT Al.l <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. Tk1E QIiANTIN� OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTlIORITY TO VIOLATE OR CANCEL THE PROVISION Of ANY <br />OTHER STAtE OR LOCAL LAW REOUTATIN6 CONSTRUCTION OR THE <br />PERFOR��'4NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PFRFORM THE WORK FOR WHICH <br />APPI.iCA'f1041 IS MADE AND I COMPLY WITH THE STATE <br />CONTRA(:TONS LAW 1827 RCW AND 296200 WAC. <br />��'�i��L�r �25 fP� <br />SI �IIIf1F. O�T� <br />CIIY OIISINESS IICENSE NO <br />MECHANICAL . _ <br />TYPE OF EOUIPMENT � FEE <br />FOf10ED AIR SYSTEMS <br />I1EAT PUMP <br />UIJIT HEATERS <br />CLOTIIES DRYERS <br />RANGEHOOD <br />Mf fAl. <br />FIR[PLACE <br />SUBTOTAI <br />PERMIT <br />TOTALFEE <br />PIANCIICCNNIIAIOf❑ �[f REf.EIPTNO <br />•; �/a OC� �� l5 <br />lUi�4EA� V�G�NISIIG _ �"��� <br />OYES � NO ppiLUM(i <br />HOOFOWEILING S�ZEOFOIOGRI -�� <br />UNII�_ I•UIIAOM� "__..._"'_____ <br />Zt3/5 5 ' S <br />OGNP�Ni LO�U B�SEMENI / A1Ff.nnwf.M <br />❑rE5 �+� �—� <br />� nUDll It1N�1 PI �N Cl lf f.N <br />OF�SON ___._ <br />OL�[I1 <br />REecfN+ __"—_ "_ <br />S1A1 [ 01111 Ulilf: S��IUlUOCE <br />ainNs•rri�ovenor CITYOFEVERETT rumu'wrnrc•• <br />� � LOCAL SALES ----- — ----- <br />��,E ���� rnx cooe is s�ns rorn� __ <br />2 <br />_ / 73 <br />