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APPLICATI�1 FOR CONSTRI:�C�N PERMIT� <br />CITY OF EVEHETT • BUILDING DIVISION <br />3200 CEDAR STREET • EVEflETT, WA 98201 • 259-BB10 <br />❑ DEMOLIT�ON ❑ COMBINATION O OUILDiNG ❑ MECHANICAL ❑ pLUMBING ❑ SIGN <br />PROJECT A�DRESS: '~ `. e�r 9 O ( �� A.K �-+ <br />S:� � �yioa pT4 .►.•:.�1....1 i.f_ Q4nxu 4zc_ o,� _,,,-... <br />.r.ucni L� t..:r. en�. <br />+f�uvr uu� uNN25s f.nr )ir nqry( <br />A11�Mi[LIOIIOFSIfN[II M1114NIIIG55 GIIY /II` 1•1�(Y�F <br />Cam.i� CiwSi. SAw.G a5 fi600E GQ12fiLCC. Is�� M1.1 <br />GENEfI CONIf1�G�011 MYI�CU�1E55 CI�Y lil: � I.IIp1E i1�1C11CCN5F� <br />uECHeNiGtCONIP�p011 NULADpRE55 f.lh }iP PIqNE SietEUCENSE• <br />PLIIMBMGC04�R�f,IOR 4MlApME55 CIIY (�I' 1`IIpYE Si1�ElICENSE� <br />oescnmc xonx �Ho sou�nt,foorpe� avE�— <br />H;114+en� : i��D <br />IB3z m L;,,:�.�e ; 4�z� ( <br />3as��'t 11cy <br />vnowseo us[ a eutara <br />SFR <br />IEWL CfSLPoPiIW OL %IWEPiY �yqWN flEIOW Oi1Ai14CN <br />ior .Z.Q Biou or <br />9$pb' .ZI AVE. S.B. <br />vrm¢i.n.v i n rnuecn <br />cwsmucrioM �aw i[xoEn. woncss. rEi cnrcrvc mwecn <br />VLUMB{NG <br />NO. TYPE OF FURURE Oq I7EN <br />WATER CLOSET (TOILET) <br />' BATHTUB <br />UV.ITOHV (WASH BASIN) <br />SHOWER <br />� KITCHEN SINK 8 DISP <br />FOR OFFIGE USE ONLY: <br />NFic�a Uviunou <br />FIPE <br />� <br />HEATING SYSTEM: �p GAS ❑ ELECTRIC O <br />r.onuc�rcnsox�w.�rnonern <br />ai.. r__,._�� ��u_�,a� <br />1 N[REI.� CEHTIFY THAT I HAVE FEAD AND EX�MINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE �ND CARRECT ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVEPNING THIS TYPE OF <br />WOHK WIIL BE COMPLIED WITH WHETMER SPECIFIED HER[IN OR , <br />NOT. THE GRANTING OF A PERMIT WES NOT PP.ESUME TO GIVE ' <br />AUTHORITY TO VIOLATE OH CANCEL THE PROV75104 OF ANY <br />OTHER STATE OR LOCAL LAW REGULATIN6 CONc7p�TipN OR TIIE <br />PEHFORMANCE OF CONSTRUCTION. TH�T I AM AUTHORIZED BY TME <br />OWNER OF 7HI5 PROPERTV TO PERFORM THE WORK FOR WMICH <br />APPLICATION I$ MADE AN� I COMPLY WITH TNE STRTE I <br />CONTRACTORS LAW 1827 P"W AND 296.200 WAC. <br />z���� 7-7-97 <br />5 �IUIIE U�1[ <br />LIIY 6�9NESS lqFNSC MO <br />A/C—MiNDLG <br />n eu cu[ca uu+wn <br />�otence veGN�v�[ _ FEES <br />❑vcs ❑ uu nininwr. <br />��00[UWCLLiNG iR[0101WRI <br />IINIIG <br />�538 �6 SF, wi�wu�«: _ <br />CCCUI�AN�IO�U flASFYENI �/ y�f.1l�Nlf�l <br />❑t[5 �D <br />N�SpI — �OPIIJMeI �'ILxCnlCt ' <br />OIIICII <br />nr��cw <br />51�1[ BNI��v651�n011nC.F <br />rinr�c�rr•novtner CITYOFEVERETT •���iMwrc�.� <br />LOCALSALES <br />iun �1� TA% CODE IS 3105 7oTAl __ <br />f1( Mf.FMINO <br />/a 7�>% <br />VALU�TION FEE <br />04 5 �/.� ; 7-� <br />� iJ� <br />T <br />�� /lf% i % <br />� .% <br />___ " ��(D /j �, <br />