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APPLICA1 ,nN FOR CONSTRUL f10N PER IT <br /> � � � Ia �� �$, �I `'� �} � 1 everett <br /> ��E.�q,�� � <br /> ciTv 01: r�\ - <br /> everett �-�,_' .° � . � .,�� - <br /> BUIIDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRI� F.�.� B���DIN6 DEPT. <br /> �� �'t DEMOLITION COMBINATION BUILDING MECHA���C " PLUMBING xSIGN <br /> OWNER MAIIhDDPE55 CITV 2�� P��ONE <br /> � x <br /> G M - — <br /> �L F3 [N iENRNT MRILq00RE55 GTY ZIP FHO4E yL� �sy� <br /> I✓ <br /> �f�57YYrR c.E S'yao 0293/ . �Porma.,9h [1�� 7vz-/OdS <br /> y� � pqGHRECiOAG[SIGAER M�iIADDRE% CiTY IIP PNONE <br /> H� <br /> � N� GENENRLCOYTRACTOR MARAODRE55 CITV 21P FHONE l�C[NSE� <br /> yy ~�f.-1� (�'� �^/ INC. P9 B�c �G9 �yNNWcoD �8a46 776�$83S' �L!U1NK �S'7L0 <br /> � �R.�,i MLCHANKALGOf1iRACIDN IJAIL�ODRE55 CITY ZIP PHON[ L6ENSEe <br /> �'] d <br /> Q ~ PWMBINGCONTRACTO�. M61L�DORE55 LITY ZiP P�NE LiLENSEt <br /> � � g <br /> �Y �] <br /> CL�SS OF WOPN <br /> x y� �CPlEW � � ADDiTION ���'. AiTERATION . .: REPAIR .� �. DEMOLITION '. J WOOOSTOVE/FRPL INSERT C.J BUILDING RELOCATION <br /> � M y T[NRNTIMPROYEIAENTORIy�J.R10FR[M�ELONLY CONTA T EHSONANDPHONENO. <br /> �J �/1N GON1rlRCTPRICEOfWORR�� 20 �� �h�v� �� Nm� �Nc <br /> � �� DESCRIBF.WORN AND SOUARE FOOTAGE INVOLYED <br /> � �+ MovE CusmMc2S s/f ��Gr.l , �e1L 7�6''8835 <br /> t+� vaoroseouseoFaw�owe I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> y HO y �MM�L� _ 7k�'-""�/ '�''�"'w"���M APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECT.ALL <br /> �ecn�oescairrror+oFraovearv�sNowr+eEtowoe�n�cNFouRcoaiE51 PROVISIONSOFLAWSANDORDINANGESGOVERNINGTHISNPEOF <br /> WORK WILL BE COMPLETED WITH WHETIIER SPECIFIED HEREIN OR <br /> �oi BLOCK oF NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> ��t.� .Q�-��"� '`" �N PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ' OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> __ p� �C-c�t�c..ra�/ .[..-� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �J � CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> ��y�.u,/-y�-s���• �j/L.C.-� SIGNPtUREOFCONiFAGTOflONAUiHORiZEOAGENi D�TE <br /> �r�t-rr -je /'.,�r�u....- �.�t X �lIM1"� � `7 �0 0 <br /> PROJELTADDRE: — ' <br /> 2931 � �(�� �� �PPli��t I INE55 N SI 'ES NAM <br /> -� - PLUMBING � ���� MECHA ICAL � <br /> i �� <br /> / NO. TYPE OF EOUIPMENT Ff E <br /> � C��� NO WAT �c.�r-c-����� ' NC-WHN�LGUNITS-H.P. <br /> j � BATh FORCED AIR SYSTEMS-B.T.U. M E.A. � <br /> + ' �pyp _ UNIT HEATERS-B.T.U. M � <br /> � ._� SHO CLOTHES DRYERS —� <br /> ��I KITC VENTILATION FAN ' <br /> � , DISH RANGL HOOD <br /> '� LAUNDRVTRAY WATERHEATER <br /> � CLOTHES V/ASHER WOOD STOVE i <br /> I `�� . URINAL i METAL FIREPLACE 8 CHIMNEY �— <br /> DRINKING FOUNTAIN i FIREPLAGE INSERT � <br /> � FLOOR DRAIN HEAT PUMP <br /> � BACKFLOW PREVENTERS GAS PIPING <br /> �, ='� ROOF ORAINS-RAINLEADERS EXHAUST FAN <br /> � SINK(SEFVICE-BAR,ETC.) <br /> _ <br /> '='�' i <br /> � <br /> I �, SUB TOTAL 5 ; SUB TOTAI $ � <br /> � PERMIT $ � PEFMIT 5 �_ <br /> 1 l TOTALFEE S TOTALFEE 5 <br /> � FRONTSETBAGK � �NSETBRCN� 510[SETBACN PLANCHECNNUMBER F[E RECEIPTNO. <br /> S�7A% <br /> usezoruec,fi►J LOTARER vntat+rsite FEES VALUATION FEE <br /> _ �/FC•� Ll YES ', NO BUIL�ING (�z� D <br /> iYPEOiC�NS[AIIOWnBLE IYCEOfLONSiALiUAI acuwMx NO.mwrtuiNtuxns <br /> tp�P PLUMBING <br /> SR[OFBLDG. NOAFSTORIES 9ASEMENT MECHANICAL <br /> f_i YES ❑ NO <br /> OLGUPANCYLOAD FIRESPPNRLENSREO'0 HEIGNTLIMITRTION OTHER <br /> i <br /> ,.I VES ❑ NO STATE oUILDING SURCHARGE � <br /> REASON FOR SPRIIlNLERS <br /> STATEENEflGYSURCHARGE i <br /> APPLICATIONRGC.DY PIANSAPP VEDBY CITYOFEVERETT PUBLICWORK$ <br /> �' LOCAL SALES � <br /> TAX COUE IS 3105 T�TA� 5 � ' <br />