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APPLICATI� FOR CON'STRUC7'�N PE6iMIT��� <br />CITY OF EVERETT • BUILDING DIVISION <br />3200 CEDAR ST!lEET • EVERETT, WA 9�201 • 257�8810 �TT <br />y,< DEMOLITION �. COM[11NATION il EL'I'AWG ❑ MECHANICAL C7 PLUMk31NG �-I SIGN <br />PFOJ:CfA�DRESS C���� ��i� AJC. �-1 ��UPYc'�j� W.Q• <br />ovn:c:� �uuoor�css cnv zr rroirt <br />1'.,.�.� [1vJ'icf'��fri Cw-�,�y�,�ku�. �IO�I IJE �`�1 S'F. S..�F.. �L�:. Rfl�Wd; 4'L�'1�'i (SL�)a(i4�i/)O <br />mur�r r.u��woaess cin . � rnour <br />ano-aimronucsaucn rnniuoon[ss cirv zw rnoue <br />R..a.i Ct'v"io(�Y�' CS•�•«�1 2liDJCLOyy GF _ <br />. � n� �n.��n���r�n ����. �rv�neee fltY IIP I�IIONF SlAti IILENSF � <br />!��fi..a���:�CONtflAC10� AUitA00PEvi GIiY dIV VI�OpC S�e1fJCC�fL• <br />V_V`..•uCONIPI.LIOF NAILAOOREiL Glb Lil' P��011�. .�tiCVCV4E• � <br />��.anncTvecro�xroi�x �.i �.— '— <br />Il�...cil.l- `--��'- I�P]�Nr:9�n t'1(YU< <br />�-� p<�, V J 9J�-/ <br />rr�orocm u;E Oc om�o.nr, <br />lE Wl'J'ESQCNPIION C£ PPa1'CRtY �SHUKI! pCION OR �jiAl:M 1W0 COi <br />LOi � 9LOCN pf ItiTL VC� C <br />'{Y,N � <br />Y�CG�-[i4- oz�- [Xk�Y <br />�. r.xio rwr.ioen <br />.� �..,. �,.:P <br />c.:�:cir�ocnou�o.+rnervoEn,moecssr[icvnorveriurnocn <br />P W MBING <br />?l0. TYPE OF FI%TUflE OR ITEM <br />I �vATE4 CLOSET (TOILET) I <br />1 UFINAL <br />BACKFLOW PREVENTERS <br />SINK ISERVICF — �AR ET <br />PERP.IIT <br />FOR OFFICE USE ONLY: <br />�:.�:`_LIpT^,F I:IA:�SIipALM <br />V`-J.201:1 LCiAIiLa <br />I�i i��. i�I.li1P11ON 110 f[ �`hFlll•I � <br />{1�1115 <br />�r i�i:;��cr I�40� SipeES I OI.COFnNRO<� <br />� <br />S <br />SIOL SRBRC6 <br />HEATING SYST[:vl: i i GAS i-�. ELECTRIC I�� <br />couucircnsor+u�ow�o�.iuo <br />f�ltil' IJINUP i-4 � ZJ�{' �f�l( Pf <br />71n✓� fLdc� �G Ees'•ESYI <br />I HERE�Y CERTIFV iMAT I HAVE PEAD AND E%AIdINEO THIS <br />APPLICATIOH FND NNOW THL SAIdE TO �E TRUE AND COflRECT. AlL <br />PROVISIGNS OF LAVlS AND ORDINANCFS GOVLRNING TNIS TVPE OF <br />WORH WILL �E COIdPLIED WITH WHETHER SPEGFlED NEHEIN OR <br />NOT. TME GRANTING OF A PER1d1T COES NOT PRESUIdE ?O GIVE <br />AUTHORITY TO VIOLAT[ OR CANCEL TME PROVISION OF ANY <br />OTHEF STATE OH LOCAL LAW REGULATI`�G CONSTRUC?I04 OR THE <br />PFRFCRP.IANCE OP GONSTRUCTION. THAT I Ald AUTH091ZED DY THE <br />OVlNER OF THIS PROPERTY TO PEFFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COh7PLV WITH THE STATE <br />CONTPACTORS:AW �827 RCW AND 296200 WAC. <br />x�� 4/r��(ii <br />SIGN4iUli[ C<I[ <br />CI�Y �115111L551 �C[f15[ IIn <br />fvC — A'H4DLG UNITS <br />FORCED AIR SYSTEtAS <br />HEAT PUIdP <br />UNIT HEATERS <br />CLOTNES DRVERS <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METALFIREPLACE�W( <br />FIREPLACEINSERT�W <br />CaAS FIREPLACE <br />GASRFNGE <br />GAS PIPI�G <br />rLnN ��ECKr� MeU� �EE <br />;� ln/n-�03 <br />� "YC5 � ��� BWLOixG <br />92LO�I+Ltt:ll <br />PWFl911q <br />�45GRIE11t YCCII�NIC4 <br />f1YE$ Cl fIJ �— <br />AOUII lOfl>L PLNI CNECN <br />�111CP <br />SLRiF: BUILOItq $UPCIIAPGE <br />CITY OF EVERETT rue�w�+on.s <br />LOCALSALES <br />TA% COOE IS ]105 TOTAL <br />f 5 <br />FEE 5 <br />