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��: <br />" AFaPL1�ATl�rv FOR CONSTFtUCT�J�I PEE;M1�' °�'°�`'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />�h� <br />.¢i � r�e <br />a H C/� <br />H � �. <br />K n <br />H� <br />� H'�] <br />fp H <br />t�f O � <br />H C+ <br />��g <br />G]� C) <br />z H� <br />�HH <br />Q�H <br />C] C7 � <br />��� <br />H O [yA <br />,n,� ece,groe� <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />X DEMOLITION COMBINATION <br />ov:r+ee iAaanooness <br />Bob Boyden 7100 Bldq. E�ex <br />.�....,r IAPILAOOR[55 <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC J <br />BUILDING f MECHANICAL PLUMBING SIGN <br />CRV 'IP PMONE <br />� - ZIP PHONE <br />AnC�UiECTGRDES'�GNER IAARAO�PE55 -" <br />N/A LICENSE X <br />GEf�GRALCONTRFCTOP lAAILFDDRE55 CiT' ZIV PHONE <br />��ry Z�P PHONE LIGENSE I <br />K[fHFNICRLCONTRACTOR M�ILADOFE55 <br />N/A M4ILADDFE55 GITY ZIP PHONE LICENSEf <br />FLUId91NG CONTflaGTOR <br />N/A ` <br />CLn550F VIOPK <br />NEW ADDITION ALTERATION .� REPAIR X DEMOLITION �. � WOODSTOVE/FRPL INSERT �_: BUILDING REL �..A I <br />I tONTACiPER50NANDPHONENO. <br />WORH AND SOOnRE GOOIDGF. <br />IEGAL OESGRIPTIOI! OF PPOPERtY �SIIOvlN 9ELOYl OR ATtACH FC� � <br />LOT _ _ (3lOCn OF _ <br />South 110 feet of Lot 28, Bever�'_ <br />Washington. Situate in the County of <br />State of Nashinqton. <br />PliOJEGT ADDRE55 <br />;d7 <br />SINK <br />DRAIN <br />ITEM <br />PERMIT <br />TOTALF <br />�FOR OF—FIC—E —U—SE-rO—NLY: <br />cnnuisFIFlFCN I R@ARS[ipRCK <br />tYPEOGCONLS. <br />SIZE OF �ICG. <br />OJCIIPPNt I LOAD <br />i�b�50N FOri SPRiI <br />ItliAH[ f3'� <br />ilGL11 <br />NO.OF STORIES <br />SPRNKLERS HEO'D <br />FEE <br />5 <br />I HEREBY CERTIFY THAT I HA'JE READ AND EXAMINF.D TI!IS <br />APPLICATION AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE QF <br />WORK WILL BE COMPLEiED WITH WHETHER SPECIFIED HEREIN OR <br />h;•r THE GRANTING OF A PERMIT DOES NOT PRESUAIE TO GIVE <br />AUP.�G-11TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHF.R STATE OR LOCAL LAW RECiULATING CONSTRUCTIOIJ OR THE <br />PER°ORMi�NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TH!S PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW A"D 296200 WAC. <br />SiGNniUREOFCOt�TRAGTORORAUTNOFIZED<GENT �ATE <br />' x��/ �/l i? O <br />NiSOiY <br />ANICAL <br />AC—A <br />FORCEI <br />UNIT HE <br />CLOTHI <br />VENTIL <br />RANGE <br />WATER <br />WOOD <br />METAL <br />i5u�[5� ENSE� A��D'GGSiNE55 NnhfE <br />�� <br />TYPE OF EOUIPMENT <br />N9LG UNITS—H.P. <br />AIRSYSTEWS—BTL. M E.A. <br />�TFRS—BT.U. M <br />HEAT PL1MP <br />GAS PIPING <br />E%HAUST 5 <br />VL4N CNECA <br />vncnnT sit[ FEES <br />BUILDIhG <br />acuvn•.v xo oro�ntu�',aunns' - <br />�°""' PLUMBING <br />pASEMENT MECHANICAL <br />MEIGHTLIMIiRT10N �DDITIONALPLANCHECK <br />OTHEF <br />STATE �UILUING SURCHAfi3E <br />ninrr nr��noGre;n� CITY U( EVEREI7 PUBLICVJORKS <br />LO�ALSALES <br />� TAX CODEIS 3105 TOTAI <br />FEE <br />FEE <br />3 <br />