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��� <br />ay <br />.��� <br />C H <br />9Hf/� <br />rx> <br />H z� <br />tC n <br />H �7 <br />'��] H'TJ <br />fn H <br />y r <br />�i o �i <br />O H C7 <br />��g <br />4] • C] <br />Y H� <br />r z <br />HH <br />gN <br />� <br />C] C7 fn <br />� � C=7 <br />��� <br />�PPLI�ATIOh �OR CONSTRUCTI:.N PERMIT �'�"�"" <br />r�e E,c�,,�,� TO BE COMPLETED IN INK—PLEASE PRINT � <br />GRYOF <br />everett HEATING SYSTEM: GAS J ELECTRIC J—_ _ � <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION 7( BUILDING MECHANICAL PLUMBING SIGN <br />OVRiER fAA1LAD�RE55 CIiY DP PH01:E r-, <br />�,O/IMA% �c��E/rT' �(66S S-2QJEN 1 S7"df�v 000 �/Ra`).2 �S�SX`l� / i'J/1l ie"20��� <br />rFrurii uni�aooaess cirv zia o��o�+e <br />n�lp�rtECTORDESiGN[R 61AaP�DRE55 GrtY ZiP FMONE <br />. 731-.7�o sT. <br />IJiS rA/11+�v5�LT.4�175 �ss r�B M�����rc� %Sa'7.S— iu�i� PR�.Ccr,r"wA. �/�}_ <br />G!NLAALCON1RAGtOR NAILADDRE55 CITv 2�P PMONE L�CP6E• <br />it � s�l r iP /(.�o t=�� ' .i7 w Sr,a.�� oo n/r�2ye2 7�-89v'7 — <br />MECNANICAIGONiRACiON MAILADOFE55 LIiY 21P PHONE UGENSEI <br />PLNABINGCONiRACTOii MMLP�UNt55 <br />iO,a%NSonl <br />C1A550F WORN <br />,� NEW ADDITION . ALTERATION <br />� �f � ! ./t .1�+-.... �n� <br />C05iRRCi RICEOF WORK '� ��/ �% L <br />"DE;LFipE WOAN AND SOUARE FOOTAGE INVOLVEO / <br />� 11uu1T �_ONh(l. 1 . <br />rncroseo use oF <br />L[GAL �ESCRIPiION OF PROPERTV �SHOWN BELOW OR ATTA <br />ior.:t 7-+�s oioc� c�_ oF e C%, <br />�Sr. <br />NneJe � q� n/ •'/ — <br />�Jo 'T que <br />31NG <br />TYPE OF FIXTURE OR ITEM <br />WATEH ClOSET (TOILET) <br />BATHTUD <br />LAVATORY�WASH EASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRV TIiAV <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR DRAIN <br />L— � FOR OFFICE USE ONLY: <br />FPOfliSEil'.AGN AEARSEiBALN <br />,, �:o���d �ora�0 <br />REPAIR <br />CIiV ZIP <br />DEMOLITIUhJ <br />LICEI6E • <br />WOODSTOVFJFRPL WSERT . BUILDING RELOCATION <br />uly vNONENO // <br />>/L.� . /n�a —/i/ 1�( <br />`/ J F- �p _ <br />„� ,u �% � S O i�7 ' 2F F�G'��� <br />I HEREBV GERTIFY THAT I HAVE READ AND EXAM ED THIS <br />APPIICATION AND %NOW THE SAME TO BE TRUE AND CORRECT ALL <br />��PiEsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />'S NOT. THE GRANTING OF A PERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOR�dANCE OF CONSTRUCTION. THAT I AM AUTHOAIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR VJHICH <br />_ APPLIGATION IS MADE AND � COMPLY WITH THE STl,iE <br />CONTPACTORS LAW iB.27 RCW AND 296200 L'!AC [ <br />SiGNAiU(iEOFGOytRACiOROBPUI��OF'ZEDAGEY.i U4TC L'�� ���� <br />PERMIT 5 <br />TOTAL FEE 5 <br />SiDE SEiBA <br />S� <br />VACANT Sli <br />R-Y � <br />i�naicornsuiawneu rrP�orcousiuiu<i <br />,�� - r✓ V- ��/ <br />•.�zr.ocetoc r�oorstonres <br />/� OOSQ� � <br />t£IGUPANGYLO�D FlRESPRNKLENSflE <br />b1ACiONFORSPflINNLERS <br />occorwn xooimu.u+�m::is <br />2l.AU�I �/ <br />i �r <br />g�� <br />'�';11�xE0V PUNS�P f10VE0PY CITY OF EIIERETT <br />� � LOCAL SALES <br />�j � ��� TAX COOE IS 3105 <br />�/6TLGlC ��� � <br />APPLICk"Ni5 UiY pU5ME55 �iCENS[ NOO��US'bE55 �+��"= <br />i� <br />FORCED AIR SYSTEAtS— B.T.U. M E.A. <br />Ti7Y�� <br />HEATER <br />METAL FIREr'LACE 8 <br />FIREPLACEINSERT <br />—HEAT PUMP � <br />GAS PIP�NG / <br />SUBTOTAL S <br />PERMIT 5 <br />TOTAL FEE 5 <br />�✓I.a i <br />CUNCNECp"Nl1MBER �[- � AEC[iPi1:0 <br />y//.=� l io v io ,Yo L 5 3) �-/ i� s o <br />oun.oiNc 57G (��� _/1 !•� � �o. <br />PLUMBING <br />MECHANICAI <br />ADDITIONALPLANCHECK � � � �S� J <br />OTHER <br />— --�— <br />STATE BUILDING SURCHARGE �Q i S� <br />PUDLIC WORKS .-7D � °'�' <br />TOTAL . . ��y' � ' I <br />