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APPLICATI� FOR CONSTRUCTAN PERMIT <br />CIN OF EVERETf • BUILDING DIVISION � <br />3^GC CEDAR S7REET • EVERETT, WA 98201 •(425) 257-8810 <br />I..I OEMOLITION G�� COMBINATION ❑ BUILDING � MECHANICAL O PLUMBINfi ❑ SIGH <br />PROJECT ADDRESS: _�C�� � S' � D✓L . W= E✓Ea�'rr <br />/�(i¢r�C�2E5r�V.C�__�c�nx 3'lo EDmoNas t�.N- 5)To�o ('fzs)7Z'L3/8l _ <br />ow�.i n - iu�i umras an nr ncw[ <br />1fN�M1 Y1i1 �fIMi55 GlV l�0 ✓�E � � <br />511 <br />� f.lnl�lnl <br />I l-':!1.�.. ! 1'����I �il Wl1N� <br />��J l�1`7/tal <br />liISUIIUf WJIIY.�YIICOII�I�f 1 <br />�nrwrs5 <br />� <br />•tpNp SS <br />�o• v PIOCa.�_O�� <br />-- . `{L' �_�� 5'_� �:_� <br />- -- - 4176_1101: G�9 <br />n.ncn iu � u v�wi�� u <br />�/f[�Enllx SAV/n�:3 f'c'. '. C` <br />ccwvinu n�»iin�x�rrrhn uxv� sr, iriin�nwr <br />,U,.S ,-,�_ �Jt,��; r,S;ien.. �-.� <br />PLUMBING <br />NO. TYPE OF FlIRURE OR ITEM <br />WATEA CLOSET ITOILET) <br />�BATHTUB __ <br />LAVATORY (WASH BASIN� <br />SHOWER <br />_ J KITCHEN SINN b DISC <br />� DISMWASHER _ <br />/ L�UNDRY iHAY <br />f CLOTMES WASM�H_ _ <br />UHINAI <br />- � pRINKING FOIINTAIN <br />.. �� PLOOfiUPA1N — ""-- <br />� �fGNFLOW PREVENTERS <br />^INK (SERViCE — pAfi, FiC.) __ _ <br />_—_—a'.—__' __. <br />'_ . � <br />� SU[ITOTAL S <br />--' �. . P[FMIT <br />__" "' '_ <br />. 1_ tOTALFEE <br />FOR OFFICE USE ONLY: � <br />�nr�:��.rn��.�� nr.n<np�. <br />� r, � 5 _ <br />��.`_ " ,1,6`IE,1 <br />„� , �,,,,. - �,�� <br />. <<I' ' ' +) `P <br />..ci:�`••.�.. �..n� u�r�n..wiwo <br />,-1 :.. .-7,i o r <br />� � "_ <br />cn. <br />n� <br />� <br />��� <br />0 <br />�_ �..v� i7ts)3v7-Czil /L[tleEs/fpy3.�l <br />I�i' orqN[ cutf iKEwSE � <br />'�`I _ro� S) 4r4-S/�> ADVA�JPFFdzzPS <br />r�n nrwvr su�r�rc[tisr. <br />MEATING SYSTEM: �(I GAS ❑ ELECTRIC ❑ <br />ccwua�qnsllNumrwMf�q . . _ . � ♦ <br />I NEREBY CERTIFV 7N�i I HAVE READ AND EXAMINED THIS <br />RPPUCATION JWD NN4W TNE S�ME TO BE TRUE �ND COFREC7 ALL <br />PPOVISIONS OF UWS AND OROINANCES GOVERNING THIS TVPE Or <br />WORK W14 BE COMPLIED W�TH WHETHER SPECIFIED MEREiN OR <br />NOT. THE GRANTINO OF A PERMIT OOES NOi VFESUME TO QIVE <br />AUTHORITY TO VIOL�TE OR CANCEL TME PROVISION OF ANY <br />OTHER STATE OR LOCQ UW AEGULATING GONSTRUCTION OR THE <br />PEPFORMANCE OP CONSTPUCTION TIIAT I �M AUTNORIZEO BV �ME <br />OWNER OF THIS PROPERTY TO PEFFORM iHE WORN FOP WMICM <br />APPLICATI04 IS MADE RNU I GOMPIY WITN TNE ST�TE <br />WNTRACTORS UW IB.Y7 RCW ANO."96200 WAC <br />x ��--_'�`,. _ . ---`i— �YS--- <br />�rc�ui m n.n <br />cirr eu4N[55 i �cExs[ No <br />AIR <br />ORYEAS <br />SN[SffB�P ^" ^ ^ <br />5 � --�O��L� <br />wcem v�r _ FEES _ <br />,�. o� ��,��. <br />„a�a�, — <br />ks 4o s "��"•"° _._---- <br />n�s +CHi � uro�.nru <br />Oru S��o '--- -- <br />�odu;w�� n.ecurr.. <br />a���m <br />[��q flWiVmFSUMuuV:1 <br />CRY OF EVEREiT ^�inu<wno-, <br />LOCAL SALES -- -- --- <br />TA% CODE IS J105 T0T11 <br />70TAL <br />rrr <br />__i'" <br />J <br />