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�i r-: � <br />�� <br />[�H <br />r x `� <br />�>a <br />y zH <br />k � <br />O x0 <br />� (/� H <br />Hx yC <br />t7 O C�+7 <br />H C7 <br />G H <br />xi C� C <br />H LT] O <br />�i V C <br />�'; H <br />t� y Z <br />� � <br />g H <br />C] C7 C� <br />� r� r <br />HO [L/� <br />� `�' <br />��s <br />;�'�!✓c� <br />APPLI�ATIO�d �0�3 CONS'�FilDCT1.JE'�1 PEF�Nl�OT eV�"P"� <br />l0 BE COMPLETED IN INK—PLEASE PRINT U <br />C,,� Eveigman <br />Glf�'OF <br />everett HEATINGSYSTEM: ❑GAS ELECTRIC lJ l <br />BUILDING DEPARTMENT <br />259-8810 / <br />DEMOLITION %\COMBINATION � BUILDING MECHANICAL ' PLUMBING SIGN <br />r r�ni� aooa[ss a cr e �-7 <br />ov:rvEa �%MKti'�N}XG• �cirv 2/ �S'-'[-�i �%= [.'33Z�� <br />Ye �'� f3�rli�;r /�c- ,3c �r ��/ � < < r rr I�l" CC �, i- <, � _ � <br />r�vnrvt <br />MAILA�ORE55 GITV ZIP PHOM1.. <br />��n, Z�p PHONE <br />.v:CMrtECIOFDE5IGNER Id�ILA00RE55 <br />,� � ��„ _�:,� ��,_, . ;;����r;- LLir %���'�/. <br />j%l-/OG /Y'/1� %�+�ti ou� iir. [ PHONE ueer+se <br />G[NLPALGONTRACTOF MAILAODRESS CIN ZI <br />-- . _ -, _ . , rr-. _ .�- .ii,�.-r �iL,�r/�4 f'/Jnr�L R/�///r�l-1 <br />NEW ._� ADDITION �. ALTERATION <br />CLSCRioE <br />�ROPOSEL USE OF BUILOING <br />?//��Fi< <br />l[GAl �ESCRiPbON OF PfiOPE <br />p} 6lOCN <br />rvi{OJECT <br />Wy <br />LAUNDRY <br />(SHOWN BELOL <br />OF <br />!G FOUNTAIN <br />DRAIN <br />) <br />REPAIR <br />'� � <br />rrncN roua coPies <br />IYi� ;I <br />17�:1dd11 <br />FOR OFFICE USE ONLY: <br />fNONTSETBACK fi[ARSETBAGH <br />za� za' <br />USEZONE lOThq[A <br />2-Z 9 S� � <br />IVPEOi[ONtS.ALlOWASLE 1VPE11�CONSi.ACIWI <br />OCCUPRNGY <br />ir+*nve iar <br />NO. OF STCe•,'.ES <br />FIRE SPRNNLEFS FEO'� <br />No <br />s7 lY <br />nr <br />GTV Zli+ PNONE LICENSE � <br />���, Z�p PNONE L�CENSE � <br />DEMOLITION �.. WOODSTOVE/FRPL INSERT �. . BUILDING RELOCATION <br />I CONiACTPERSONANOPMONENO. „ <br />rv, _ , i.>-.i-. <br />I HEREBY CERTIFY THAT I HAVE HEAD ARD EXAMINED THIS <br />APPLICATION AND KfJOW THE SAIdE TO 9E TFUE ANU CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINAPICES GCV�RNING THIS TVPE O� <br />WORK WILL BE COh1PLETED WITH WHETHER SPECIFIED HEHEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES P�OT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THi. PAOVISIONS OF ANY <br />OTHER STATE OR LOCAL LAN REGULATING CUNSTFiUCTION OR 1NE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFOFM TNE 6VORK FGR WHICH <br />APPLIGATION IS �AADE AND I COh1PLY W�TH THE TATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. //��+�ij <br />SIGNAiUREOFLONiRACTOPORAUiHORREOAGENT OATE I`� <br />Ll'Lc -F �</7�✓/C <br />)(.Jf3�1 .l3/-fi.tiK,v d/f�t�ir�.Po,�f>r�':�� <br />�5'� i��c %�/��1�«� <br />;.pp� iLl�NiS GitV �USME55 UC[NSC NJ. RND DOSINE55 NAME <br />FOFCED AIR S`.'STEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M <br />CLOTHES DRVERS <br />METAL <br />FIREPI <br />HEAT F <br />GAS P <br />� <br />FAN <br />SiD[5[ipACN �'LANCHECNNUMtlt�+_ <br />s/ � , C <br />vncnNr sirE FEES <br />6UILDING <br />CCN�R::r NO O�DA[1t'JILIIM1i15 <br />uou> .� p�UM01N6 <br />�:� � — <br />onSErAENT MECHANICAL <br />N� <br />HEIGHTLIIAITRii�rN FDUir��1`�q�p�NCHEGK � <br />2'� OTHEH <br />STATE BUILDING SURCH;,niE <br />CITY OF EVERETT PUDLIC f.'7RKS <br />LOCALSALES <br />TAX CODEIS 31D5 TOTAL <br />SUBTOTAL 5 ,�s-a ' - <br />PERMIT S <br />�,.-�.� e .��„ i � <br />F[E R,E[CEIPTNO[ <br />. .'���I LCO � . 7��/S <br />�2� <br />p � od <br />c> ' va <br />� 1— <br />�9 �Sg <br />---__E ',s-° <br />�,t0 �cn <br />---�— <br />,. a9s'iss <br />