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��y <br />ti'"�f rt <br />9 H Cn <br />y �H <br />tt C� <br />H �f <br />� H "�-7 <br />VJ H <br />ti1 O � <br />H t7 <br />H�O <br />� V (� <br />a y� <br />r HH <br />gy <br />H <br />O C7 N <br />��� <br />z H V� <br />H O Cn <br />' O� <br />'-m�.�. <br />... w <br />APPLOCATIt+c�l FOR COMa,T1�UGT�ON �E�3MIT � <br />TO BE COMPLETED IN BLACK ItJI<—PLEASE PRINT ��� <br />HEATING SYSTEM: U GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />i!DEMOLITION COMBINATION BUILDING ' MECHANICAL PLUMBING SIGN i <br />ldAIL AOORE55 CITY 21P PIIONE I <br />OWNER „ <br />' ���/ i- '�;? /llqi1,C �-,;.- /i.,�n.^ ?',i-�1i4'�i" — i <br />. d : 7 J <br />TENANT MAILAC�RE55 GtV� Jo PHONE <br />nRCHRECTGR0E5iGNER MRILAODRE55 CITV ZIP PMONE <br />GE��EFALCONTRALTOR I.IAILRDORE55 <br />��1y 21P PHONE STATELICEIJSEY <br />MECHANICALGONTRACTOF �AILRODRE55 CrtY ZIP PHONE STATELICENSEtl <br />PLUMBINGCONiRAGTOP IdARP��RESS CITV ZiP PHONE STATEItGENSLu <br />NEW . �' ADDITION . ALTERATION <br />JTPAGT PRICE OF WORH <br />�CRIBE WORK AND SOUARE FOOTAGE INVOLVEO <br />.n . _ _ _ . .. ,, i. .... � <br />PROPOSED USE OF 9UILDING <br />�EGAL CESCRIPTION OF PROPERTY <br />LOT pLOCK _ <br />—L�LL��'� <br />�.O nr -O. <br />BELOnOR RTTACN <br />OR <br />. <br />REPAIR ��EMOLITION �� WOODSTOVE/FRPL INSERT �'. BUILDING RELOCATION <br />GONiAGT PERSON AND PHONE NO. <br />C�(� a� <br />I HEREI3Y GERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TflUE AND CORFECT. ALL <br />acowes� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOHITY TO VIOLATE OR CANCFL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW FEGULATING CON�TRUCTIOIJ OR THE <br />PERFOR�dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOF WHICH <br />APPLICATION IS t.1ADE AND I COtdPL� WITH THE STATE <br />CONTRACTORS LAW 1627 RCW AND 296200 WAC. <br />�'- ��? /%'�'<� �: �,i ST, G !-'%1-L I % <br />PIiOJECTADPRE55 <br />CLOSET <br />SINK 8 <br />ROOF DRAINS-RAII <br />[�L'1 <br />`• - FOR OFFICE USE ONLY: <br />FPONiS[TOAGH PEAR SEfOACN <br />USEZONE ��T���A <br />TYFEOfCONiS.ALLOWABIE IYPEOFGGNSi.fCtUAL <br />SIZEOFBLOG. NOAFSTORIES <br />OCGUPANCYLORD FIRESPflNK�ERSNE <br />PEASON FOR SPRI�lN�ERS <br />iu.nwrav PLANSAPPROVE�� <br />0 <br />1dECHANICAL �� <br />NO. I TYPE OF <br />F <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />FIREPLA(:EINSERT <br />TOTAL S <br />v11T 5 <br />SIpES[i(iACK PLANGNECNtlUM1�tlC�� <br />355so <br />vncnrut sirE FEES <br />BUILDING <br />OCLVVASIX M1OOII::AW1GW:i15 <br />pPQ9 ' PWG7�ING <br />BASEMENT MECHANICAL <br />HEIGHTUM1I�TATION ADDITIONALPLANCHECK <br />SPRINKLER <br />STATE FiUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODE�S 3105 TOTAL <br />�B.T.U. M E.A. <br />M <br />�EE <br />s <br />NO <br />