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� � <br />a�� <br />� Hx t/i <br />HiH <br />Ky � <br />'tlH� <br />VJ H <br />x <br />��d <br />OH <br />��g <br />QY (] <br />C"y� <br />HH <br />8 �' <br />C�C��A <br />�Wyt� <br />O� <br />W <br />� <br />� �� <br />APPLICATIC'`� FOR CONSTRUC7°"`JN PERMIT r;��� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRIN? � <br />BUILDWG DEPARTMENT HEATING SYSTEM: �GAS ❑ ELECTRIC ❑ —� <br />259-8810 <br />DEMOUTION COMBINATION BUILDING MECHANICAL PLUMBING ' SIGN <br />OWNER MAiLApUPE55 CITV ZiP PHONE <br />� ti 1�i �[r"/' �c � 3 ��'F�'(�C' - k� � C-U�2T� ��S- <br />TENANT MAILADORE55 CIiY .'IP PHONE <br />ARCHIiEGTOFD[SIGNER ,1Ad�LApDliE55��� `�C/ �/ACITYa,4 '�� J�a�3� PHONE-5,��� <br />T� .Ir� piN�= 2Ui 2�� ,lLN r q�) LyN,v ;c�e o,��� 9�v 3G '77i - S•9 i y <br />GENERAIGONiPACTOR MAILApDRESS CIiY 2iP PNONE STATELICENSEs <br />r+nLL��'uy�' ZD/Z9/�x�Y �'9 LY�.n.c<ooi� ui�4 �f'D,36 ��/-597�/ BllaC�?508e'Mk� <br />MELi1�t:�Cr1LCONiRRCTOR AIARR�DRE55 LITY 21P PH011E STFTELICENSE� <br />Ei CtEGtP�c. �/� L=2 OLvi7,tS�/E� /P5/6.�"fl.a�. elr�xw.�� rs,( ��Y-?S3i �Zctel izG�� <br />PLUMBINOCONTRFCTOR M4ilR�DiiE55 CITV ZiP PMOHE STATELICENG[• <br />� . NEW ADDITION ✓LTERATION REPAIR <br />PROPOSE� USE OF OViLDiNG <br />l3,cc�,iR�� Ctu <br />IEGRL �[SCRiPiION OF PROPER' <br />LOT OIOCK _ <br />F3LL' 00?. jJ-O/— <br />ana�er nooness <br />f/.n� �l/:�X'�-,/'..t,si <br />PLUMBING <br />NO. TVPE OF <br />WATERCLOSET <br />BATHTU9 <br />LAVATORY�WAS <br />SHOWER <br />URINAL <br />.�'ri <br />ry .asj v�.� <br />�rrvou�Eo Tt7�.4-niT' <br />iMPR . <br />DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br />I CONiACi PERSON AND PHONE NO <br />i HEREBV GERTIFV THAT I HAVE READ AND EXAMINED THIS <br />Wr7�F Bc#"�C 1�*'/NG a.F2 �PPLICATION AND KPIO\N "I HE SAME TO BE TRUE AND CORRECT. ALL <br />isr+avrt+oe�owonnrncNFountoPies PROVISIONS OF LAWS AND OROINANCES GOVERNIfJG THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER Sf'eCIFIED HEREiN OR <br />oF NCT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AU i HORITV i0 VIOLATE OR CANCEL THE PROVISIOIJS OF ANY <br />� Mcsf .va< �-x'�- ' E.�L OTHEF S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANC[ OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />� ��� ��� �` /•' OWNER OF THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br />!� APPUC N IS MADE AND I COMPLV WITH THE STATE <br />CONT 5 LAW 1827 RCW AND 29G200 WAC. <br />rrrs fs/ L°ONY tqA?�_ <br />/ ��� � � Z <br />,�a,.n�ae `- o.�c <br />i BASIN) <br />DISP <br />WASHER <br />i�a:ir,m <br />FOR OfFICE USE ONLY: <br />FPONTSETBAf.K PEAFSETBACK <br />— ,E—?C / S?7, <br />�� l <br />1VPEOfLGN15 ALLOWABIE <br />SIZpE./O�F��- <br />%L't!'J � <br />OCCUPArv TLOAD <br />Z�i''1 <br />REASON FON SPPiNrclERS <br />iTP[ O'f�W'}'N^SI 1AGIUAL <br />�v <br />NO.OF STORIES <br />I <br />FIpE SPRNq EFS REOD <br />No <br />RANS APPPOVEO BY <br />�/�c�iy JM <br />� <br />s <br />S <br />SIDE SE iBRCK <br />VACANT SITE <br />No <br />0.TpC1F^.v M1O G��WfLtiM19N0�5 <br />�r' <br />BASEI.fENi <br />�1J0 <br />HEIGHT IIMITAiION <br />CITY OF EVERETT <br />LOCALSALE� <br />TAX COOE IS 3105 <br />NO. TYPE OF EOUIPMENI <br />A�C—hHNDLG UNITS—H.P. <br />FORCED AIR SVSTEMS—B.T.II. <br />UNIT NEATERS—B.T.U. M <br />CLOTHESDRVERS <br />VENTIL�TION F.4N <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIh1NEV <br />FIREPLACE INSERT <br />HEATPUMP <br />3Y25"3 � <br />FEES <br />BUILDING <br />PIUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CMECi( <br />SPRINKLER <br />STATE BUILDING SUflCHARGE <br />PUBUC WORKS <br />TOTAL <br />FEE <br />SUBTOTAL 5 <br />r'ERMIT S <br />TOTAL FEE 5 <br />RECLIPi NO. <br />s�� s.f �Ya �a <br />VALUATION FEE <br />�— �oi �oo <br />i <br />e ': <br />