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• APPLICATI�1 FOR CONSTRUC�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8870 <br />❑ DEMOLITION ❑ COMBINATION j�BUILDING ❑ MECHANICAL ❑ PLUMBING C SIGN <br />OWNEP M�ILA�GFE55 � � <br />moee�E �,rn�u�u.e �re�4urn+hnl ai� 35*i s�r �.�.e�'r�w►� yzSZS95K2 <br />��riurr /� ' uu�a�oacss cirr zw n�w+r. <br />�RCIIIIEC1�pE51GryLf1 M<ILR�D�ES$ CIiY ]IP 1'11IXIL <br />MlGttr.-rtt fo��� `iZ2 \5TS7. SN��kor�n�SN ��N �b0%8133) <br />GENEFPLCONiP�CiOF M�ILPDOAE55 CIlY $IP Pllpl[ SL�iELILENSC� <br />niT_�.U��M/D rrxlm�P.�T7Ct� 3'3bD G�3TN�hUt E2AtQ.CiTWt�14�7.Ot '1iSz5q419� <br />oesca:oE woeK erm souene roouce nrvavm <br />1041i �Cr.FT. !�-j2,14laE _ <br />aearoseo us� or emi uwc <br />�hR+�K�E. i 7T�Q.�44� <br />LCGRL DESGA'.�1q!! OF 4ROPERL! ISIIU'.'.110E10'N OA A11ALN TWO C <br />lor B�a't oF <br />�TrAt,�-k3D <br />C�RLELLA%Ip IIV410Efl <br />�bs48SD00D010� <br />ro�SlavCiiO�i �OuuEN�ER. �DDPESS.IELEP�IE bauOER <br />_ Np�J E <br />PLUMBING <br />NO. TYPE OF FI%TURE Ofl ITEM <br />� I WATER CLOSET (TOILET) I <br />SU� <br />FEE <br />FOR OFFICE USE ONLY: <br />ffiCNii�EiOd^CM REPq$Ei64LK <br />i�' S I <br />USEIG.0 �OinO[e <br />-Z J 100 =� <br />neic��ur.m.ian � uaormvcuwc <br />.�O..y ururs �„ <br />SAE>Ei9�5 <br />S <br />VeL>NtStE <br />vE <br />21P <br />HEATING SYSTEM: ❑ GAS ❑ ELEC7'RIC �S <br />V•n.....�, , c __� . <br />I HEREBI' CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br />APPLICATION AND NNOW THE SAh1E TO BE TRUE AND LOPRECT. ALL <br />PflOVISIONS OF LAN'S AND OPDINA�dCES GOVERNING THIS NPE OF <br />WOPK WILL DE COMPLIED WITM WHETHER SPECIF�ED HEREIN OR <br />NOi. THE GRANTING OF A PEHMIT �OES NOT PRLSUME TO GIVE <br />AUTHORITY TO VIOLATE OR CAPlCEL THE PROVISION OF ANY <br />OTHER STATE OR LOCAL IAW REGULATING COP:STRUCTION OR THF. <br />PERFOP1dANCE OF WNSTRUCTION. TNAT I A�d AUTHOP:ZED �V ThF <br />OWNER OF THIS PROPERTV TO PERFOflM THE WORK FOR WHICM <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACiORS L 1. RCW A I ?96200 WAC. <br />��s— r—o i <br />s��,�. ��E `�.rE -s oi <br />( �iY BI��INCS$ IILENS[ 110 <br />NC <br />IAETAL <br />GAS R�1NGE <br />:� //�`�' C� <br />I[�I[/C�I(IIUMB[P <br />�// \ � t � <br />� s �"" ewiowc � <br />�: o�oc�i <br />S'6 S � ��.�a�� <br />e+seuort ucCHerucc� <br />me; �a <br />eooinoHaviu�c��e<� <br />OLIICP <br />Si�IE 0 Wl01NG SOPCIIARG[ <br />CITY OF EVERETT wei�cvron.s <br />LOCALSALES - <br />TA% COOE IS 3105 70TAL <br />3 <br />