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A.!�PLICATIG.J FOR CONSTRUCT. �N PERNIIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRI�T <br />I HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ � <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOUTION ! I COMBINATION I 1 BUILDING I 1 MECHANICAL IJ PLUMBING i!�S�N <br />OWNER MAILAD�RESS S4ZTE 1 Do CITV ZIP PHONE <br />EVE��REFi�/ C�Am0u5 �sN �B�S EH57GHKE AvG E, �dtl(e W9 9g�v1 —" � <br />TENANT MAILADDRESS CITY ZIP PMONE <br />n � EVE�'E. %s W/J . .3 S' 3-�{-!o G o <br />rRYLESS S�10E�C+YC(� %BO% EVECC��CEEN W ( <br />ARCHITECTORDESIGNER MAILADORESS CITY ZIP PHONE <br />GENERALCONTRACTOR MAILA�DREGS CITY ZIP PHONE STATELICENSEA <br />�. . _ �i ... . n� G...���o ��i� 4xz�F yd�,.384-ibts �6GLLz5/� 110P8 <br />PLUMBING CONTNNGTOH <br />CL�A SOFWORK <br />f-V1 NEW ❑ ADDITION <br />MAIL <br />AODRESS <br />1 ALTERATION i REPAIR <br />/0. og5"�� <br />OESCRIPE WORK AND SDUARE FOOTAGE INVOLYtu <br />SNs Ti4 C� F� TERsd � S.r 6N5 <br />PPOPOSED USE OF BUILDING <br />; � �a�.f. �%io E cS� oP <br />. LEGALOESCRIPTIONOFPROPERTV�SHOWN�ELO�'�ORATTAC4 <br />� LOT BLOCK OF <br />LITV <br />CITV <br />BSp #7�5 Recorded in Book 1 of BindinQ Site <br />51 Auditors File #8512315001 being a portion of <br />78 0 � f� <br />TYPE OF FIXTURE <br />W�TER CLOSET (TOILE'f) <br />BATHTUB <br />LAVATOFY (WASH BASIN) <br />iINK & DISP <br />iER <br />TRAY <br />WASHER <br />UR�NAL <br />FOR OFFICE USE ONLY: <br />USEZONE <br />TVPE <br />BLOG. <br />INTAHE BV <br />SUB TOTAL S <br />PERMIT S <br />TOTAL FEE S <br />LOTAflEA <br />TVPE Of CONST. PCTORI <br />NO.OF STORIES <br />FIRE SPRNKL@RS REC <br />PLANSAPPflOVEDBY <br />SIDE <br />ZIP <br />PHONE STATE LICENSE 0 <br />PHONE STATE LILENSE p <br />DEMOLITION I I WOODSTOVE/FRPL INSERT � I BUILOING RELQC- 'ION <br />IGONTAGT PERSON AND PHONE NO. <br />i_.. .Q;,U,¢� ixv) 3�i°-/�sz <br />CUC�r�77`– <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND 1CNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES 30VERNING'HIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHtTHER SPECIFIEJ HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOFITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 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 />i� q <br />X �Ci�, /0�'9 — / � <br />_._........���i'�/�L�.7 onre <br />PLAN <br />FORCED AIR SYSI <br />UNIT HEATERS—E <br />CLOTHES DRYER: <br />VENTILATION FAN <br />RANGEHOOD <br />WATEfl HEATER <br />\VOOD STOVE <br />METAL FIREPLACI <br />FIREPLACE INSEF <br />HEAT PUMP <br />GAS PIPING <br />EXHAUST FAN <br />EMS—B.T.U. M E.A. <br />T.U. M <br />& <br />VACANT SITE �cw <br />BUILDING <br />OCCUVIJlLY NO OfPNCLL1Y6Lqif5 <br />cPO�P � PLUMBING <br />enSEMENT MECH'�NICAL <br />MEIGMT IIMITA7loN ADDITIONAL PIAN CHECK <br />SPRINHLER <br />STATE BUILDING S�RCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />TAX COOE IS 3105 TOTAL <br />SUB TOTAL S <br />PERMIT 5 � <br />TOTAL FEE 5 ' <br />RECEIPT NO. <br />;/. �v / l oo / <br />VALUATION FEE <br />��n � O� <br />i <br />i <br />i <br />i <br />i <br />i <br />I ' <br />� '�U <br />� <br />� <br />i <br />� <br />� <br />/3� � `�O <br />