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AP�'L�ICAT10.� FQR CONSTRUCT�JN PERMIT ��«P�' <br />the Evw9reen TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITY OF <br />ev�rett HEATWG SYSTEM GAS IJ ELECTRIC U <br />BUILDING DEPARTMFNT I --- - --- -- -�----------_ � <br />259-8810 <br />i I DEMOLITION COMBINATION BUILDING ��MECHANICAL � i PLUMBING i SIGI <br />ow�iee `�� i.wn,9noness.._._- C___-_..--' „rtv �I 7iN � ! � �r�one � <br />_��i�_��_�,;�C}�(�L� - , ��0_ � i rlill Cfr�� {�� �� -��!_ 1'��C�l ��'�5�, _';/a_, l <br />TENANT I.IAIL A�I1PG55 CIiY ZIP PHONE <br />/�n�l���� <br />AflCMITECTOR0E51G1lER IAAiLApOR[55 GTY 71P PH01lE <br />'�' VAttEY-NAFUi�ALs ^ - ciiv ziv <br />�CiEI�RALCONTRAGTOq � CAS� I�1L �/ �i ��n� E I.ICENSE I <br />259�5432 - 355�7730 - 742�29JJ __���. J�1 �� 1� � J- .Y i.l �� ���-', <br />r.ie,;��nr�icaicor�rnacTon 2606.f.!aEtnugall arv zm vi�oue IILENSE• <br />Ever�tt, Wuningtan Jdanf <br />PIUL161NGGONTPACiOA 1.1NIAD[J11[S9 <ll/ 1iP PNOtlE LICEIISE/ <br />_" ___ __ __ ...._.._._..._ ___.—_. .-._ _._ .-. _____ <br />CIASSOf WOflN <br />�� NEW , � ADDITION �, �� ALTEHAI�IOM � FEPAIR UEMOLITION i� WOODSTOVE�FRPL INSERT �. BUILJING RELOCATIO� <br />� _._____ _--__-.. _ __-._. __— ._— <br />j7 .. ' ��' I CONTACi PEP50�! Al1U PI101lE NO <br />GONTPFLiWFRICEOPWORN �1/. � �_ . __ . .._ _. ____ "_" <br />DE$cl'�/IINA_l!� (�A� E FOOiM1G ItIY � V' ��' �^ �� i' V tl_�_ _ 1_r I�.f �\) l <br />� � — <br />rnoNoseousEorounninc; ``-,��� i1 <br />� _. <br />LEGAL OESCRIPTION Oi PROP[RTY �SIIOYd� 0[l JY/ Oq N iAq I fOUR COPIESI <br />lCr _ BIOGrc OF ____._ <br />PPOJECiA�ORG55 <br />i HEREOV CERTIFY THAT I HAVE READ AND ERAMINED THI <br />APPLICATION AND KpOW THE SAME TO BE THUE AND CORflECT. Al <br />PROVISIONS OF I.AWS AND OPDINANCES GQVERNING THIS TYPE 0 <br />WOHK WILI. BE CGMPLETED WIThI WFIETHEF SPECIFIED HERFIN O <br />NOT. TF1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIV <br />AUTHOHITY TO VIOLATE OR CANCEL THE PROVISIONS OF AN <br />OTHER STATE OR LOCAL LAW REGULATI�:G CONSTRUCTION OR TH <br />PERFORMHNCE OP CONSTRUCTION. THAT I AM AUTHORIZED BY TH <br />OWNER OF THIS PHOPERTY TO PERFORM THE WORK FOR WHIC <br />APPLICATION IS M�DE AMD I COMPLY WITH THE STAT <br />CONTRACTORS LAW 1927 RCW AND 29fi200 V;AC. <br />Si(illAIIIHLUh�'UNiRAC10RUf1AU1110NIZEUAGENi ❑q1E <br />— — _ — - I '`_,,��� t!�tc�-�,� ����t� b��ITcfrf <br />���'� � ./_����'li'�II �� �'�l'. APPLICPNiSC11Y01I5PlL�SIICENSENOANOFIIISME551lAIAE <br />T l.11 7 <br />PLUMBING <br />NO. TVPE OF FIXTURE OR ITEI,� <br />IVATER CLOSET(TOILET) <br />BATHTUB <br />LAVATORY(WASH BASIN) <br />SHJWER <br />KITCFIEN SINK d CISP <br />DISHWASHER <br />LAUNDAYTRAY <br />DRINKING FOUNTAIN <br />. .._._.. _. _ .... <br />_ _ _ .__-.____. . . _ .. _ _ . _ .. _. _ _ __. _ ___. i . - <br />�ACKFLOW PREV[NTERS � <br />_ __ _.__ . _L� <br />ROOF DfiA1NS- RAINI.EADISRS <br />_ ______ __-_.. ._ _--.__ . . ..__.. .__ ... ..__. � . _ <br />__ SINK (SEflVIC6 - �AR, GTQ) i V <br />_ L <br />PERMIT ^L $ � <br />TOTAL FEE 5 . <br />FOR OFFICE USE ONLY: r <br />FIICNiSGIDAC.F � /IEARSEiOACN 1 p'IULSET�ACK <br />USEZONE <br />IYPL Of CfitllS AI I OWAIlI f <br />S�LE OF OL[Ni <br />OGCUPAIlGY LOAD <br />REASON FOF SPNINNI E: <br />INTr1NE f1Y <br />LOTM[r1 VnGnlRSITE <br />IYP[OFLONS1Af,I�IAi ix:curmi.v unniu.vun:�,in�b <br />iJwim <br />NDOFSTORIEti-..�... IiASEMENI�— �._. .. <br />lIRESPRNNI[It511LU"U I IICIGIIIIII.IIT4TION <br />ri aNs nrrnrn�cn nv <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CO�E IS 3105 <br />UNITHEATERS-B.TU. M <br />CLOTfiES DRYERS <br />VGNTILATION FAN <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING - � <br />EXI�IAl1ST fAN <br />1 "?.: y� . .7 _ —j � <br />�i.�11, �� )��_�_ L_ <br />PtFIIC11H:hIllIldflfR � (E[ <br />13WLDW(i <br />PLU67f31NG — _ <br />lAECNANIrpI. <br />AUDITIONAL PLAN CHGCK <br />OIHER <br />SIATE BUILDING SUPCHARGF <br />PU�UC WOFKS <br />TOTAL <br />U. M E.A. <br />L.1=LJ. !. _ . .. <br />SUB TOTAL <br />PERMIT <br />TOTAI. FEE <br />FEE <br />