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APPLICATION . OR CONSTRUCTIO► _ PERMIT e�«Pcc <br /> rne E,�e�,ee„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett �ATING SYSTEM: O GAS ❑ELECTRIC ❑ —� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION �.� BUILDING MECHANICAL PLUMBING SI(iN <br /> OWNER M�IL�DORE55 Il/ ZIP VNONE <br /> �� BoE�NG G�.� }7, b. gUX 3'707 /k S O�-7G , $�411(,�4" ,GUq. qF�zy <br /> TENANT MMI�DORE55 piV ZIP PNONE <br /> OWuE 2 <br /> ARCNRECTORDE5IGNER MAILAO�NE55 �/ CItY 21P PHONE <br /> USTIN Go .� �Oo SW /L �" S-f. 2E�.r�N w� 9�o.f.f �2G - ��Oa <br /> GENEHAI GONTRACTOP MAIL ADDflE55 /� CITY ZIP PIqNE 4CENSE/ � <br /> q-usriN c.o.� 80o scv ���=� 5� lZs�rroa, �,vR yPoS-� 3z.6 -P�'oo <br /> /1� c�ic 7?77.d.7 <br /> MECHINICAI CONiR�CTOR MAIL ADORESS CILY ZIP PNONE LICENSE• <br /> PLbMBINOGONTPACTOR M�IL�DDRESS LITY IIP PNdIE LIGENSEI <br /> C1A550F WORN <br /> X NEW � AODITION . � ALTERATION � � REPAIR � DEMOUTION � WOODSTOVE/FRPL INSERT . � BUILDING RELOCATION <br /> II � <br /> CON7ALT PEPSON�ND PMONE NO <br /> CONTNACTPRICEOFWORN 36 247� ono L�ONAt/[� �� 'rLT/v�BO�[SKl <br /> OESCPIBE WORK AND SOUARE FOOT�GE INVOLVED � � 2 FAG'�D/y <br /> MASoR- ASSnMB�Y BbD� � 7-lU 000 S� Z66 _z�S63 <br /> PROPoSEDUSEOFBUIlOING I HEREBV CERTIFV THAT I HAVE READ AND EXAMINEU THIS <br /> /�-/2G2/Lee T /ukN�G,t cr�2d: APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEML DESCRIPTION OF PPOPEHTY ISIIOWN BELOW OR ATTACH FOUR GOPIES� PROVISIONS OF LAWS AND OHD�NANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF NOT. THE GHANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> — PERFORMANCE OF CONSiRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> S1GN�TUIIEOFCONTR�CTOROq�U71qHIffDAUENT U�TE <br /> PqQ1EGTMDR'E.5I5 D(�. nT... � ��I• ��� ���'l� ' <br /> L� �{v� CAS/d/O ,"J� APPLICANTSCITVOUSINE 10ENSENONlDBUSMF.SSNAME <br /> PLUMBINO i � (�,,� f . . '��' •�i•• .. <br /> NO. TYPE OF fl? i , �J t � ' I . I . � �' �� FEE <br /> WATER CLOSET(TC �' j� � � � I ' i • ' � <br /> BATHIUB p�.� I ( I i I � <br /> UIVATORY(WASH B O� ' �1� ' I �.� �+ :.A. � <br /> 1 I � <br /> SHOWER �1 ` ' : <br /> KITCNEN SINK 8 01: �' '� ` ' I � i i �i i <br /> OISHWASHER � , � ' �f �� � � - ,�! <br /> LAUNDRVTRAV �\ I ! I j `� ' <br /> CLOTHES WASHER �, � ; � � I I i i h��j � <br /> URINAL ` ! � � ' ' i �(i; ' <br /> ORINKING FOUNTAI � � J � ' . , i`� j � <br /> FLOOR DRAIN � O , � �' � 6 � <br /> BACHFLOWPREVEI � � � � ^ �o ;\I ,,? . � <br /> ROOF DRAINS—RA +d � � <br /> SINK(SERVICE—BF � ` D, �� �: � ' 3 i ' <br /> — y, � �, O: ^ i M; N ; ; <br /> n�' � \� � Q � �, M'� ; , <br /> � p� �`;� � <br /> �i't5 , � � �c � k � . - , <br /> � � ` <br /> ' Y � � a <br /> � ;, � � - S , <br /> , <br /> I a <br /> FOR OFFICE USE ONLI i <br /> , i <br /> FRONT SETBACN PEAR SETBACR SIDE SEiBACK PL�N GMECN NUMBER iE FECEIPT N0. <br /> �j � 1�e �n„r <br /> use z E l0T AREA vecu+t srte FEES VALUATION FEE <br /> �Z BUILOING � 3 � ; <br /> tYVFOfCONISUOWABIF IYVEOfCOh57AtIWl a<uwMr rqaoWtwMGUN�•5 � <br /> II � � �� - /� �wa'� PLUMBING i <br /> B-2 <br /> SRE OF BLOb NO OF STOPIES B�5[MENT MECHAMICAL � <br /> � ' <br /> ziu oov sq Fr o � <br /> OLGUP NCYLO�O FIRESPPNNIERSREbD NEIGNTIIMITATl011 �P�PUNCMECK <br /> UB� TB�. JJ A YE S 01HER ' <br /> � <br /> PEASOH FOP SPfiINNlERS <br /> (JQ` STATE BUILDING SURCMARGE i S��J <br /> INi�KE BY VUNS PHOVE00Y CITY OF EVERETT PUBLIC WORKS ' <br /> � LOCAL SALES ^ , <br /> TAX CODE 18 3105 TOTAL (/ <br /> 5' , yv� 68 <br />