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APPLICATI� FOR CONSTRUC'1�N PERMIT� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVERETT, WA 98201 • 257-8810 <br />.-, DEMOLITION ❑ COMBINATION ❑ @UILDING ❑ MECNANICAL ❑ PLUMBING ❑ SIGN <br />PROJECTADURESS J�/� / p Y�`� �,C�l t Yr/=� <br />�.1 / .�// / � v <br />/y✓if�� f%d.��,r9K -�O/d /9� F�...� �l� ....,.� <br />i[NANi MA�L��DflCS$ CIiV Z4' %qNE <br />•PCIIIICCiO1:UE5�GNE�1 Nnit�00PE55 CIiY ZIP PIIINI[ <br />/ <u. PNONC 5 <br />. /�1 .S�a..%,,. JGJ-sCJ-i <br />YLUM9iqCCONiPILipp MAM1�ObPE55 CIiV bP PNqi[ Si�IELKOlSE• <br />oescyy� wo��/�oouu�yspouce <br />�� f _ <br />aeovosco usc ov ouaou+c <br />L W 4 DE W BiV �ION pf PNOPI <br />�or otoCK <br />v.nce�.e�io rvwmca <br />COIISiqUQqN 10�1N 1Ef10CP. <br />PLUMBING <br />NO. TYPE C <br />WATER CLOSE <br />BATHiUB <br />LAVATOP.V (Y!A <br />SHUWER <br />KITCMEN SINK <br />rzi[n�orie r�uu�orn <br />BASIN) <br />FOR OFFICE USE ONLY: <br />fPONISEIOACtl PERPSEiB4CN <br />tISE ZONC <br />NEI411i lll/114i1011 <br />suo <br />s <br />HEATING SYSTEM: ❑ GAS fl ELECTRIC ❑ <br />corMci vcn5ori nNo MwNE �a <br />1 HEPEOV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT. ALL <br />PROVISIONS OF tAWS AND ORDINANCES GOVERNMG TMIS iYPE OF <br />WORK YlILL BE COMPLIED WITH WHETHER SPFCIFIED HEflEIN OR <br />NOT. THE GflANTING OF A PERMIT DOES NOT PRESI:h1E TO GIVE <br />AUTHORIIY TO VIOL.4TE Cfl CANCEL THE PFOVISION OF ANY <br />OTHEN SiATE OR LOCAI LAW PEGULATING CONSTflUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THI� PpOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COIAPLV WITH TME STATE <br />CONTRACTOR 1B2]PCWAN0296200WAC. <br />x� � �S 4j% <br />sicr+�tw¢ ner <br />Glv pusME55licfl6E r+0 <br />WOOD <br />FAN <br />�or u ce I v.cun srtc FEES <br />r,res n rro ewmrt�c <br />xo ov mvuuv,-. szc cr omcTi <br />111111$ <br />Pltl�All�lq <br />CCCUVI.!IIIOW B�SEMENf MECII�NICA� <br />nvcs o uo <br />RUSON �DOIilON4 PIAN CNECN <br />OiNER <br />nensor� <br />SIeiE &IiL�i4G SURCNY�GE <br />viu,s�avnoveoer CITYOFEVEHETT ruoi�cwonxs <br />LOCALSALES <br />inii TA% CODE IS 3105 TOTAL <br />fE[ <br />s <br />