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H��� <br />m�x <br />C � <br />ta" S � <br />Has <br />y zH <br />F: r� `.d <br />� �� <br />Oy� <br />H L�] O <br />yn V � <br />ay� <br />~HH <br />b N <br />Q H <br />fC], t7 U. <br />[sJ � trq <br />z � v� <br />�-3 O f/� <br />pa- � <br />ca.: � <br />�e.c, <br />� � <br />,A���Q�,�a°i"1�� _ ��� �:�ir��`� ��JC7'i�_ Jd PE1%PAl7' ��,-��«�« <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />:��� e�<�,�,�•��� <br />cuv oF <br />everett � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION <br />OWNGR h1Aill.ODRE55 <br />,/�/y /� �,. <br />j+(�1��)I� � (�:.I[ �. i - �� <br />`iCNr1NT` MAILADG�ESS <br />/ {// 1 ^v � � � _ - <br />nH ITECT OP OESIG�JEP 6�RiL AD�RE55 <br />HEATING SYSTEM: � GAS ❑ ELECTRIC 'a <br />BUILDING �MEGHANII;AL <br />crtv -ZiN r..-.r� PL��E" <br />� � <br />1���1 �l�� � ._ �): /L� <br />Grtv ZIP PHOME <br />GTY 21G rnvne <br />PLUMBING SIGN <br />��n, i '�p -�� PHONE I.ICENSE< <br />.;er�e[ RALGOyTa`S�AtiEY NATb�1qL10��; INC. �/' I /l -� • i � ' � � �! � � <br />259� 492_=�S�n�n �e,. � \ 1 / �����....� � � )�` �� � <br />� �-E444 \ �— I/ �ITy' / ZIP PHONE LICENSE <br />rnecHnNicn�courancror�G05 M�c�ouQajiss <br />EveLQit,�lnehinglpn.-98201— �in, ZiP pHONE LIGENSE II <br />PWM&NGLONTRACTOR RNLADDRESS <br />CLASSOF WORK ' - <br />NEW ��. ADDITION ,%ALiERATION REPAIR DEMOLITION . WOODSTOVEiFRPL INSERT �. BUILOING FELOCATION <br />1 W NiACi PERSON AND P��ONE N0. <br />LONi'dACTPRICEOFWORR �' /�I�GC' � <br />ULSf,FIgC.� ORKANOSOUAREFOOTRGEINVOLVE�/� ` /�� <br />� � / �/ �� ��f� �� i� /��� �' <br />I , �i �.�� � � . �����i_ � TiV`-' . �O' " % • � <br />`vroaoseouseoFe }oinc �� I HEREBY CERTIFY THAT I HAVE REA� AND EXAMINED THIS <br />ICFTION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LF.GAL DESCRIFTION OF PROPI <br />LiI �LOCK <br />P��O�ECT ADGRE55 <br />��'I/ <br />PLUMBING <br />NO. TYPf:OF FIXTU <br />WATER CLOSET �TOILE <br />BATHTUB <br />LAVATORY(WASHBAS <br />SHOWER <br />KIiCHEN SINK 8 DISP <br />CLOTHES WASHER _ <br />URINAL <br />CRINKING FOl1NTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />oF <br />POUR GOFIE51 <br />/' --� /. <br />1Q � , � /� �1 - �. <br />APPL <br />PROVISIONS OF LAWS AND OPDINANCES GOVERNING THIS TYPE OF <br />WURK WILL 8E COMPLETED WITH WHFTiiFP SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIOtJS OF ANY <br />OTFIFR STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFGHMANCE OF CONSTRUGTION. THAT I AM AUTHORIZED BY THF <br />OWNER OF THIS PROPEflTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 29d.'?00 WAC. <br />,;r,��qi:�REOFCONTPnCTOAORAUtHO��iZE�AGE'r' DATE <br />�i., i 4 u� 't, , _/l�_'' "!l ' ��"l <br />�� , �_� � � --�---- <br />r.r-tni:.nu f5 arr eusiness ucEu;e no nso eusv+[ss rvnMe <br />ITEM FEE NO. l'YPE OF EQUIPM1 <br />A,�C—�A�HNULG UNITS—H.P <br />— ' FORCED AIR SYSTEMS—B <br />-- UNIT'.-IEATERS—B.T.U. M <br />-- CLOTHES DRYERS <br />— ��� VENTILATIOt: FAN <br />-- RANGENOOD <br />— WATER HEATER <br />-- ', WOOD STOVE <br />METAL FIREPLACE 8 CHIM <br />FIREPLACE INSERT <br />HEAT PUMP <br />-- �-. GAS PIPING --- <br />S ' E HAUSTFAN <br />I �ir�f.��'JL-�--- <br />SUB TO <br />PERMIT <br />FOR OFFICE USE ONLY: <br />11'O�dSETd�LK �EARSET�ALN <br />� � tONE LOtRREA <br />�.� pPLONiS AILOWABIf tYPEOFCONST ACIORI <br />..,[i OF BLIXi NOAF STORIES <br />O.-GUPANCYLOF� FIflESPRNNI[I <br />i'[n£ONFORSPflINNLEPS <br />',�;ic.�EO'! PlRNSFPPRO' <br />PcOD <br />pv <br />Si0[SETOAGN �'LnpGMEcrcrvUl.�n�-�� <br />vncnHr srte FEES <br />�UILDING <br />CC(Vr�h'1 NO O�U'FILL�4Fi1•PIS -- <br />caour PLUG7BING <br />BnS[MENT MECHANICAL <br />MEIGHT UMITATION ADDIiIONAL PLAN CHECK <br />OTHER <br />STATF BUILDMG SURCH.UiGF <br />CITY OF EVERETT pua�ic a�onns <br />LOCALSALES -- <br />TAX CODEIS 3105 TOTAL <br />E.f,. <br />rorn� s v� <br />wr s �f � <br />1L PEE 5 S � ' <br />nEceir� r�o <br />JATION FEE�_ <br />�S � i <br />r <br />i <br />