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APPLIC,�,TI�r� ��R 4:CTN�YI�9J�,°7�r��ON PERMIT <br />the Evorgrcen <br />cirv or- <br />everett <br />BUILDING DF.PARTMENT <br />259-8810 TO BE <br />Cl DEMOLITION i I COMBINATION <br />owNe� � �i�nooress <br />rnna aooness <br />� <br />unaaooaess <br />r�� <br />A7ECNANICALOBIITi7AC70F MAILA�D.lES���„L�T� <br />PLUM9INGCONTR4CT09 Mr11LA'�;RE55 <br />CLASS OF WONN <br />❑ NEW f_I ADGITION DCpLTERATION <br />TENANTIMPROVEMENTOBMTEPoO�0.co.G.,fLON � <br />cor+rnncrvaiceorvronK: . �i'Ji_�r_. 1n <br />DESCRIDE WORK AND SOUAfi� <br />. ? T'_ <br />� �%/4iG <br />LEGAL DESCOIP110N OF PROP! <br />l0T BLOCE <br />PPQIFCTRD�RE55 <br />/1J/) <br />':F <br />TYPE GF FIXTURE OR <br />WATER CLOSFI� (TOILET) <br />9ATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWEfi <br />KITCHEN SINK 8 DISP <br />JiSHWASHER <br />LAUNDRYI'RAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRA�N <br />BACKFLOW PREVENT <br />ROOF DRAINS—R LEADER; <br />SINK ISERVIC AR. ETC.1 <br />FRONTSETBAGK <br />USEZONE 7) <br />�`Il\ <br />ttPE OF f.ONSI ALLOWABLE <br />SRE OF 6lDG. <br />� � J�U � � <br />OGCUPANCVLOAO <br />REASON FO�qINNI <br />APPLICATION ACC. BY <br />�LEl'ED IN INK—FLEASE PRINT <br />BUILDING i IMECNANICAL <br />urv z�r ----- ��nor:= <br />jr�cl� /n�1-L � <br />cirr 21P PIIONE <br />_�t'irrl�l/7.+AEL ��'U' ��ti` i� <br />cirv zi rxot+e <br />CItY 21P nHJNE <br />J8L3/ -�fi� /z.s`��,p� <br />'•--9M1T� ZIP PHONE <br />Ff/- »`d <br />GTV 21P PNONE <br />I I PLUMBING <br />everett <br />� <br />I I SIGN <br />LIGF.!!5[ � <br />,i i Ya �' �-- <br />LICENuE � <br />u,� L.ie�. ic� � <br />LICENSE � <br />I. 1 REPAIR I I DEMOLITION I) WOODSTOVEIFRPL INSERT L 1 BUILDING RELOCATION <br />CONTnCTPER50N <br />,�%u/�a <br />Z�� <br />I HEREBY CEFiTIFY THAT I HAVE READ AND EXAMINED THIS <br />A?PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />FOURCOCIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WiLL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NQ7. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTFIORITY TO VIOL�TE OF CANCLL THE PROVISIONS OF ANY <br />OTHER STdTE OR LOCAL LAW REGJLATING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTflUCTION. IHAT I AM AUTHORI2ED BY 7'HE <br />OWNEN OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />— APPLICATIC�N IS MADE AND I COMPLY WITH THE STATE <br />CON?RACTORS LAW 18.27 RCW AND 296200 WAC. <br />S'GN�TUREOFCON�RACiOAORA117HORIZEDhGENT �BTE <br />X. <br />3- ^ � .� �--� <br />���C'[� �^PL CANT , USME55 LIG[NSE NO. �ND BUSM[55 NAME <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />� NC—A/HNDLG UNITS—H.P. , <br />� <br />' FURCED AiR SYSTEMS—B.T.U. J.d E.A. � <br />—i– — <br />� UMIT HEATERS—B.LU. M ; <br />' CLOTHESDRYERS � <br />i� VENTILATIONFAN � <br />� RANGEHOOD , <br />; WAiER HEl,Tk � <br />SUB TOTAL $ I ; <br />PERMIT $ � <br />TOTAL FEE $ �_ <br />REARSETBACN SIDESETEAr,N <br />/ <br />IOTAPEA VACANTSITE <br />'� I-! YES � NO <br />7VPEOfWNSTACiUpL CtNvaucr xoa�pnnuxal <br />' - ►� � -e- <br />NO.OFSTORIES BASEIAENT <br />I ❑ YES NO <br />FIRESPPNKLERSREO'D HEIGNTLIMIi�iIUN <br />�YES ❑ NU '� <br />PUNS r1PPRpyED BY <br />ii �� <br />i 'v�-�i <br />CITY OF EVERETT <br />IOCAL SALES <br />TAX COpE IS 3105 <br />M FIRGPLACE 8 CHIMNEY <br />IREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN � <br />a <br />BUILDING <br />PLUMBING <br />MECHANIC�L <br />OTHER <br />S7ATE BUILDING SURCHARGE <br />STAIEENERGVSURCHARGE <br />Pueuc wonres <br />TOTAL <br />FEE <br />�S <br />RECEIPTNO. <br />333 8 <br />a3��3a- <br />