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APPLICATI�I FOR �ONSTRUC'�N PERM17�} <br />CITY OF EVERETT • BUILDING DIVISION I� <br />32U0 CEDAR STREET • EVERETT, WA 8�201 •?57-8870 � <br />�i i <br />DEh10LIT10N �'�COM8INATION ' : BUILDING �. '. 67ECHANICAL � �. PLUMBING S�GN <br />PROJECT ADDRESS ���� � <br />��'�S - / l w� �il.'Ez'1 �-ct�l�r-'�7 �L%� � t�. <br />rnau�ocr�[u cnr b., ru.,u[. <br />� i [ / <br />��iC i� �yZt � �CSY�' i7 s�r'rzi ( l,r'kC')i" l.�� `'lSZol t/�i -7 , i - ,-i/ E-- <br />i.�:>u� u��uocaess c.nv e�n m�aue <br />���c��c.�i�rr�:::u: i�_.uum,u; cirv nr, r��oin: C�S-2)�' ��l/ <br />�9/�IC �" �c- lr1 z";� c-' z � z��c:rc F�t ��?.h.t L'1%zrrze7i' `rYZ[� 1 <br />�e:�w•�.naucn u.n>oo��ess cirv ni, �+�om cureuccnsr. <br />�!i�l�= O �'�' 1=L� ��/%"7Y1F _ — <br />o.c��cr.�c:.�mr�uuac� uniuoone,s cnv iir vuor.r sn�c�¢[usc. <br />ii L!�or�<cron �u��wn�ss cnv zm ir�ur.� s:ainiau�ac. — <br />�' / <br />L( �. ..or vRJne nr:p 50WnE <br />�C l�le �ii/�% <br />, � i Z �s � <br />c. <br />I�f�riiJ`_IJt•�F .T�t11LC',1Y3 <br />F,-1 ��AG,� <br />' .�_�_.o-:ou.ev�e0vi <br />o�crn <br />�') 1—Z`1 i _.`� K(1�F- F� <br />� .,.�.-o-. or�ur.�nen <br />_ (.�C'lrC'`>L1003c06U71 <br />��. :i�';�::�NIC<rRErIDER �DonE5s.1¢crnoN[�mr.NER <br />1' L. <br />PLU!ABING <br />NO. I TVPE OF FI%TUflE OR ITEM <br />� CLOTHES <br />_ UBLVAL <br />DRINKING <br />SINH <br />TGTAL <br />HEATING SYSTEM: 71 GAS �-` ELECTRIC I"� <br />crn:i.+an�:.�:nie�:nrnuqqrio ' <br />l�riCl�IC �.�`��T�'•,� lf-�C— <br />�I7S—Z�--I�// <br />I HEflH�� CER7IFY THAT I MAVE HEAD AND EXAIdINED THIS <br />qPPLIGAiION AND kNOY! THE SAldE TO �E TRUE AND CORREGT ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />YlORK WILL �E GO!dP�IED WITH WHETHER SPECIFIED HEPEIN OR <br />GOi THE GRANTItJG JF A PERA:IT UOES N0T PRESU!.tE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISION OF ANV <br />OTNER STATE OR LOCAL LAW REGULATING CONSiPUCTION OP THE <br />PERFOR�.IFNCE OF GONSTFLICTION. THAT I Atd AUTHORIZ[0 �V THC <br />OWNER OF THIS PROPERTY TO PERFORId THE WORK FOF WHICH <br />APPLICATION IS L1ADE AND 1 COI.7PLY WITH THL STATE <br />WNTRA ORS LAVJ 1027 RCW AND 296 ^.00 WAC. �//� /e � <br />! <br />� .t�' 1_L� T--��-- � <br />5(Iy 4i}y1L f!niC <br />(?{.S"/i'J _ <br />cnv �ms,ia.sc o.:� r.tivio <br />.�crunuirni <br />CLOTHES DRYEPS <br />RANGEHOOD <br />WAT[P NEATER <br />VlOOD STOVE <br />ldETAL FIREPLACE (WO00 �URNING) <br />FIREPLPCE INSERT (WOOD BURMNG <br />GAS FlRE^'ACE <br />TO7PL FEE S � � � <br />FOR OFFICE USE ONLY: � -p �(7� � <br />r crrwo +a sco:cn sm[ sow,.K e� o�¢x n, oc�� <br />._. ' 1_����'3 <br />zo� �. , O�wS. <br />. . ._ n _ i�:;ma���.v.:nrsrtt FEES <br />I�� :'rts '� emio��ie <br />��.ir�a:m:;v ��oovonnuus s¢[armu;*i <br />�_, ��„S 3 Z s F. �,�,,,,� .,: <br />� - , <br />oc�ur+.� ioao o+scr.vrt i.¢cMnrvKn� <br />L , I .:, I ., ,.1. . � - � <br />PD�rtiOxnl PUN CMECK <br />� . b..LLqi.✓]L nLZAdI <br />I011�CR <br />—� —� Si?iEBNIOPMa611RCNMOf <br />, , . .. ;.,,�.u�w I pTYOFEVEflETT ,�fl«���c:,s _ <br />� LOCALSALES <br />�—/f._._II.._�/��//_____ TA%CO�EIS3105 TOTAL . <br />PERI.71T <br />� ����a �� � °E«,or.ro <br />� <br />