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� h � <br />,O�H <br />H <br />aycn <br />y ZH <br />� H� <br />"�� H'TJ <br />(p H <br />[x+9 O t7 <br />OH��y <br />H C��1 O <br />(�] u Gn <br />r Hy <br />g�' <br />H <br />��� <br />r <br />C�7 <br />HOy <br />� � <br />i�' <br />�.,.�� <br />0� ' : 1 <br />/APPLICAYIOIN FOR �Oi�ISTRUCT�V�I PERMIY <br />.,,. e,,.,,,����,� <br />cirv or <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 MECHANICAL <br />DC•MOLITION CO!dBINATION X BUILDING <br />an zu, m <br />p�':tJ[fi IAAILPOD.'.°�3 nn�.�-� � <br />Zlf� <br />PLUMBING <br />���«�« <br />� <br />SIGN <br />_ I' <br />iL1.dVi " m��....,....�... I <br />h Cltt 21P PHONE <br />p�ICniiEGTUP0E51GNER MAILAC.NE55 -- <br />�Id. GITY 21P PHONE UCE16E i <br />Gf:r.[liA�CONTPA:TOR M�RAOORE55 j�� 3�g k� .y�,�,,rc.11�F8 <br />��m�_ ��538 Fremor�� N � Se�1NlP __ 96133 ! <br />��n, Z�p PNONE LICENSE i <br />IdCU1nNICK�' FFGTOR MAILAD�RES$ <br />CITV ZiP PNONE LIGENSE � <br />PIUTA�INGLONTRRCTOR MRiL��DRE55 <br />CU55 OF 1VORK . <br />ryEW ADOITION X ALTERATION REPAIR DEMOLITIOH . WOODSTOV6FRPL INSERT �. ' BUILDING RELO <br />CONTAf.T PERSON AND P��ONE NO <br />iLtNNiIMPROVEMENiORINTERiORRElAOQELONLY �c_ I���1�^ T` �.,,cc _��-1-1 -�-1�n89 �r 38FS-3;'��3 <br />DESCRIpE 1VO�K ANO SOl1AfiE F W i <br />CiMG�YIY} [A ��' ��ae <br />pi:OFl05[D USE OF BUiLDiNG <br />�p1�_ BLOCK <br />iW EQ A�ORESS <br />311 �Al . H1qh� <br />PLUMBING <br />NO. T' <br />WATER G <br />BATHTUB <br />LAVATOR <br />SHOWER <br />KITCHEN <br />DISHN'A.` <br />LAUNDR' <br />CLOTHE: <br />URINAL <br />DRINKIW <br />FLOOR C <br />• BACKFL( <br />ROOF DI <br />SINK (SE <br />� � <br />I HEPEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />„r-'� APPLI�.ATION AND KNOW THE SAME TO BE TRUE AND COFRECT. ALL <br />��� PROV1310NS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OP <br />�SNOWNBEL01YOflRTTACNFUIIRCOPiES� y�ORK ��ILL BE COMPLETED WITH WHETHER SPECIFIED HEiiEIN OR <br />or 1 •Z NOT. THE GRANTING OF A PERMIT DOES NOT PRESUPAE TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />G1� f� A OTHER S I4TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMnNCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF� THIS PROPERTV TO PERFOFM THE WORK FOR WHICH <br />_��c� 2, f f4vd.S i-i' ' APPUCATION IS MADE AND I COAIPLY WITH THE STATE <br />C� CONTRACTORS LAW 1827 RCW AND 295200 WAC. <br />iwhon,,��3� �- �b5 �D 9GNArUPF.OFt:ONiRACTORORpUtHORIZEOAGEVT �ATE <br />X � � . _�-r <br />„�•n 9�'%.%1 '` '� — <br />u �Q� � pef�tJCANiSCifYBUS�NES UCENSENO.A��D�USiNE55NAAlE <br />p��� A�HNDLG UNITS-H.P. <br />FJRCED AIR SYSTEMS-B.T.U. M E.A. <br />UNIT HEATERS-B.T.U. M <br />\TION FAN <br />HOOD <br />METAL FIREPLACE 8 <br />FIREPLA%EINSERT <br />PIPING <br />� � <br />SUB TOTAL S <br />fRONT5ET0ACK <br />u5[ ZONE <br />R[�B SET�ACK <br />IOTRREA <br />iYPEOiCON5iAL10WABlC I 7YPEOiCONSt.At10A1 <br />S12E OF BLDG <br />OCCUP YLOAD <br />R[ASONPo SPRINKL <br />APPLICATiONACG HY <br />NO OF SIORiES <br />FlNE gpqN /LERS REO'0 <br />I YES �10 <br />PlI.NS APPROVED 6Y <br />SIDE SEtOFCN <br />YRCANT SITE <br />VES XNO <br />acevu:. �marm+uuxci <br />�,on;v � <br />�_ 3 <br />OASEMENi <br />YES Y NO <br />MEIGMT LiM111tAT10N <br />CITY OF EVERETT <br />L�CAL SALES <br />TAX CUU[ IS 3105 <br />PL�NCHEGNNU6'�f.R PCE � RECEIPiNO <br />DUILDING _ � <br />PWM�ING <br />MECHANICAL <br />OTHER <br />STATE BUILDING SURCHPRGE <br />STATE ENER i� Sl1RCHARGE <br />PUBLIC WOFKS <br />TOTAL ' <br />