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APPLICATI� FOR CONSTi�UC�N PERMIT <br />CIlY OF EVERETT • BUI�CING DIVISION � <br />3200 CEDAR STREET • EVERETT, WA 98?O7 • 257•8810 <br />❑ DEMOLRION ❑ COMBINATION y1 BUILDING Pf MECNANICAL Jrl PLUMBING ❑ SIGN <br />PROJECTADDRESS3 3 � I �� �� /PLAGC' �f . �� �'uMf1% <br />an ziv w�ont <br />Na,��P E�pre�' �g�o3 �j1s-ZS9-S6.t3 <br />LIiY Z�P GNONk <br />�ozor7h s� .v 16�� Y6"` Stite�SF FvtrF�I %81a3 �/1S-?i'o2-SjBoZ <br />OENCRPLLONIPALiOR MI.ILAC�PE55 [IiY ZiP PIION[ Si�tEUCC15E• <br />OwNBr <br />MfL�NNiCALCOMP4Ci0R 414UOOPE55 C�IY ZIV MqpC SV.i[12E�6[� <br />YLl1A1BIf1GCONiP1C10R UAILAOOP[5$ C�LY ZW �MC\[ $iAiCLICCIISL• <br />UwNer _._ _ <br />torvrr.nGt vneE or wonn <br />,:,!" % ���. ,' HEATING SYSTEM: �AS ❑ ELECTRIC i: <br />oesraiae vron+u�o wu.nc voo. wr imo��1vco <br />�O�O LIV1Mn R/� 3 ' <br />3zo6 <br />PRO>OSEC Ui'i Of BIIILO WC �!� <br />.Sii�./P F�r.�r iKfS/O�e <br />i[,u ��esIcIeipnOx cu vaov mr is��owr� cuow on � <br />l0� _ L/� atoG. � or� <br />rencu . �x m r�urnaEn <br />cn�n�ie�O�oa. eo�//. rcOGOg <br />J s��i �OG'� ,�1VE.v�, P/UE S.� � tF � <br />FLUMCiNG F/ PNL <br />ND. TYPE OF FIXTUHE OF ITEM <br />W4TER CLOSET (TOILET� <br />BATHTUB / <br />LAVATORY�WASH BASIN� I <br />SHOWER <br />� NIT:,HEN SINK A DISP <br />DISHWASHER <br />LAUN�RYTRAV <br />CLOTMESWASHER __� <br />URINAL <br />DRINKING FnUNTAIN <br />FLOOR DRAIN <br />�ACKFI.OW PREVENTERS <br />SINK �SERVICE — BAR. ETC! <br />SUBTOTAL 5 <br />PERh71T S <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: <br />n <br />rvvca cc�n� <br />1/��i <br />: �.oE�:o,�.,:�,``xw.�6 �/1�-1sg-3G�3_ <br />yzz- 37/Z> <br />1 NERE�Y CERTIFV THFT I MFVE READ AND E%AMINED THIS <br />4: PLICATION AND KNOW THE SAIdE TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNIICG THIS NPE OF <br />WORK YlILL BE CG�dPIIED WITN WHETHER SPECIfIED HEREIN OR <br />❑OT TNE GflAN7NG OF A PERMIT DOES NOT PRESUME TO GIVE <br />FUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANY <br />OTHER STAi E OR LOCAL LAW REGULATMG CONSTR�CTION OR TME <br />PERFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OYJNER OF THIS PROPERTV TO PERFOflM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TME STATE <br />CONTR4CTORSLAVl1 27 CW D29fi200WAC. <br />x g �^�� <br />SIGN11VUE O�IL <br />��,. o����,�s� ��«�s�,a <br />�IECHANICAL <br />MEAT <br />STOVE <br />GAS PIPING <br />�.�G ' O <br />� 1 y' �� . vC5 ;l NO PWIDVCi <br />_y_L <br />/ NOO�UIYCIIn�G SLEOCN�PST <br />��� �s 3 �"4� 768 s f. M�;,,a��� <br />�s accw.nrion� oascn�mr r.�eour�rc<i <br />:\E$ �NO <br />q�q��� ADOILONµCI.�NGNECN <br />O�I�Cfl <br />11E�SON <br />SIPiE BIIII�:NG SU��IIAPGE <br />ru��smPnovcouv CITVOFEVEREIY �uo�Kr.nens <br />LOCALSALES <br />o..����U/ TAX CODE IS 3105 TOTnI <br />r�i� ��.� .�.� <br />TOTALFEE S <br />�= �. 't � � <br />