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APPLICQ►TI� FOR CONSTRUCT�N PERMIT�� <br />CITY OF EVEFETT • BUILDING DIVISION <br />320D CEf'..4R STREET • EVERETT, WA 98201 • 257-8810 �—" <br />C7 DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ h1ECHANICAL ❑ PLUMBING ❑ SIGN <br />PROJECT ADDRESS �O�O � / n ;' ,� � <br />�] 7 <br />A/R�CpNIIECLONpE51GNEN PAitA00PE55 CI1Y 21G p1q11E <br />UCNEP��C�O � YAllAOO� CItY IIP PIIONE /_��.����a-Y/oo <br />N�A7i�/E2 ND�I 5'SAMf_ AS a..�alf� _d�1d1/ +� 0 33 0� <br />YCCHAl11LALLONiRALiO� 4RILPppPE55 CIIY iW ryfpNE $iI.1ELICE115[� <br />�d��__�'�? �on/y�o�. �•h59�o3 ActwAA�o 7YC3 <br />PWMBINuLONIMCL041 MAILAOOPE55 CIIY EIP P1pNE SLAiEL1C[NSE� <br />l <br />1 )��� <br />rnoroseouseo�nw�oinc • <br />S/A%1 <br />LLG0. DESGR/IP�110u pF PPOGERtt 15110 <br />l0i _a4� OLOCN _ <br />��v��,oA� �i <br />r�-.ecI�ci yyrer �i o r�uu�a9cn,e�,r� � <br />CONSif1UL IC� LOAN �� rro n iwaney <br />�t?��1�1 <br />PLUMBING <br />FO. TVPE OF FI%TI <br />WATFR CLOSET (TOILI <br />BATHTUB <br />LAVATORV �YJASH BAE <br />SHOWE.7 <br />) KITCHEN SINK 8 �ISP <br />FOR OFFICE USE ONLY: <br />FRONISEtOACN FEARSEI <br />US[EO��E LO�MER <br />IIEIGHL IIMIT�i10f1 I fl0 OF OWELLIM1q <br />UNI15 <br />OLLOCANCY MCF51011£5 CCG�IPNIflOAO <br />.� <br />HEAT�NG SYSTEM: �i GAS ❑ ELECTRIC ❑ <br />corv*�cr vcnwri nNo r�roi�[ ra. <br />3n � <br />�(JN ���Y85• Jrlfi'7��J <br />.i �_ �� I HEREP� CERTIFY iHAT I HAVE READ AND E%AMINED THIS <br />APPI.ICF JN AND K�OW THE SAME TO OE TRU[ AND CORRECi ALL <br />� ,/Y PROVISIb.:S OF LAWS AND ORDINANCES GOVERNINCa THIS TYPE OF <br />A WORK WILI BE COMPLIED WITH WHETHER SPECIFIED HEPEIN OR <br />��annnc��nvocowes� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />D A AUTNOFi1TY TO VIOLATE ON CANCEL TNE PROVISION OF ANY <br />OTHER STA1E �R LOCAL LAYJ FEGULATING CONSTRUCTION OR THE <br />PERFOFiAANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BV TY.c <br />OWNER OF THIS PROPERiY TO PERFOFId THE WORK FOR WHICH <br />APPLICATION IS M AND I COMPLY WITH THE STATE <br />ON RS IB2 PCW �AND 296200 WAC. <br />x��ua�� . . mr �.U11(/r% — ��'uZ$—!y <br />OF EQUIPMENT <br />FIREPLACE <br />GAS PIPING <br />SEIBACN PIANCMEC8INMBEfl LEE <br />%� �i%/ 7 � %%1� 1 <br />I WCu�iSrtE 1'th5 <br />❑YES � ��� BWLOiN� <br />$IS[ O� BID.NI I. <br />n PLI1401Np <br />&.5 MENL MCClIANICQ <br />I]YES 10 <br />- ADDIilON0.PLANCNECN <br />011�Ed <br />SiA�E BOiIDWG SUPLNNIGE <br />CITYOFEVERE7'f wot�cwonKs <br />LOCALSALES <br />� TA% CODE IS 3105 TOTAL <br />SUe <br />S <br />PECE�Pi�q. <br />