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H <br />x C'+] <br />��^iMj <br />��� <br />>y� <br />y z r3-+ <br />� H� <br />� fA M <br />� �� <br />UH� <br />y [�+7 O <br />4� � f� <br />Fi <br />z r-i <br />r�z <br />H H <br />8 `� <br />H <br />C] C7 � <br />� � Cs7 <br />z � cn <br />H O V� <br />c <br />APPLi�CATIL N FOR COI�lSTRIJC'��.ON PERMIT <br />everett <br />!hp Evergrcan � <br />crtvar <br />everett <br />BUILDING DEPARTPAENT <br />259 8810 TO BE COMPLETED IN INK—PLeA E PRINT <br />f' DEMOLITION �� COMBINATION !' BUILDING � ECHANICAL PLUMBING I 1 SIGN <br />owr�en unanuoness (�J�. �.1. l'�e/�.e.��l. �{�5-�rorie J�3•,a�� <br />l�trm�a ,� no n z�o(o •�uJ�A,vr� 10�3 __ <br />TENnNT MAILADDIiE55 Grv ZiP PHONE <br />/.RCNRECiOHPE5IGNER IAAILP�DRE55 LILY ZIP PIIONE <br />GENER�LCONIPACIOR MAllA00t1E55 GIY ZIP FNONE UCENSE� <br />MEG����ICALCONIMCiCR fAMLA0DRE5i CItY, IIP PHO�lE UCENSF• <br />��, �►� � ���5 ., 2u �� �ti w�-��.�a,Y,d q��H a2� �ti�4�SUNlowSl4b7�� <br />ian� nooaess cirr <br />(.l NEW I 1 ADDITION '%� �LTERATION I! PEPAIp <br />1E11ANi �MPROVEMENi Of11NTEPbP FEIAO�EI O(�uiY� r, <br />CUIrtRACL PR�CE �F VlOiiY.: �-,J,l� ' OV <br />OESCnipF WCnK NiD SOUARE GIqiAGE iNVOLVE� <br />— ��iZ+ <br />vn rosEo Use ov ou: nn+Vc' <br />� � �� �V" <br />LEGAIDESCR�PiIONOfPR t Iv�S�P 48ElOWORA�i CHfOUqCpP�ES� <br />�or n�ocK _ or _ <br />������E�,�oo�Ess 5airne, CvJ Qt�C7V�2 <br />110. TYPE OF FI%TURE <br />WAiER CLOSLT�TOILLT) <br />BATHTUB <br />LAVATORV�WASH B�SIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHN'ASI�ER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DR�NY.ING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOVlPREVENTERS <br />DEh90LITION ��' WOODSTOVE/FRPL INSERT [ i BUILOING PELOCATIGN <br />I GONTqGt PERSON ANO CHONE N0. <br />I HEFiEBY CER7IFY THAT 1 HAVE READ �ND E%AMINED THIS <br />APPIICATION AND KNOW THE SAh1E TO BE TRUE AND CORRECT. ALl <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Y/ILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PER1/.IT OOES NOT PflE5U1AE TO GIVE <br />AUiHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF AN'! <br />OTHER STA1E OR LOCAI. lAW REGULATING CONSTRUCTIOIJ OR THE <br />PERFORIdANC[ OF CONS7RUCTION.'HAT I AM AUTHOR2ED BV THE <br />OWNER OF TNIS PROPERTY 70 PERFOfiM THE WOFK �nR WHICH <br />APPLICATIOtJ IS MADE AND I COMPLV WITH THE- STATE <br />CONTRACtOPS LAW 1027 RCW AND 296200'NAC. <br />ssnnninrorco�imnr,ror�nrvnun+on¢en<c=r�r oare <br />I,.�.c� o �0 3� z <br />X su� �o�_ �-�,c . � -�(1.,�.arn <br />nnnur;nH�sr,itvuusi�ies;i.� _ . __�.� nr�nous:�+EssHnMe <br />TYPf pF F�UIPMENT <br />hC �AVINOLGUNITS—HP. <br />FORCED AIFi SVSTEMS—B.T.U. M <br />UNITHFAiE(±5—B.T.U. M <br />CLOTH[S DFiVERS <br />VENTIIATION FAN <br />RANGEHOOD <br />WATER HEATER <br />YIOOD STOVE <br />METAL FI�E°Ll.Ci2 & CHIMNEY <br />FIREP�ACE INSERT <br />N�ATPUMP <br />GAS PIPING <br />F%HAUSTFAN <br />SUBTOTAL E <br />PEtiMl7 $ —1 <br />TOTALFEE $ <br />FRONtSEIBAGN IlERR5E10�CK SIDES[10�f.N PIANCIIFCNNUUpffi <br />USE20NE LOtRIIE� �/CANt51tE FEES <br />I I ves I I No �w�niuc <br />iYPEOiCONSr.AILOWAOLE ivrEorCaN5lAtlU�l acvrerc. xnwtm�t�u�unus —.--- <br />cenio <br />PWIdI3WG <br />SITEOFELDO. NOOFSIONES B�5[MENT 1.![CHANICAL <br />I I YES I I NO —�-- <br />OCCUPANCYIOAD rinesrnr�niensneoo uei,�rtuuirnnor+ ottien <br />I! YES I I NO _ S1AiE�UILDINGSURCNA:iGE <br />RE�SON FOR Fi'RIHRlEPS � — <br />S1A7[ ENEfiGY SU�ClIAqGE <br />nrive�.nnor+ncc.er P�nrvsnrri�wennr I CITYG'FEVEP.ETT PunuCWanHs <br />LOCALSALES <br />TAR COOE IS 3105 rorni <br />SUB TUTPI_ $ t7 <br />PERMII $ I <br />TOTAL FEE $ �' <br />ree nccemrr+o <br />VA�UATION FEE <br />� <br />T <br />� <br />