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� � � <br />Q � <br />��� <br />� �� <br />� <br />xp <br />ON(�� <br />� M <br />Qr <br />N <br />�y <br />H <br />fi0 <br />M <br />���'" <br />dW <br />� <br />1 C� <br />r� <br />�I�� <br />APPLICATIOh OR CONS�RUCTIt��I PERMlT <br />mo [veroreen <br />GITV OF <br />everett <br />BUILDINC� DEPARTMENT <br />�J <br />everett <br />� <br />259-8610 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br />p�yry�p M��UVOR[SS f.�TV Z�P PMONE <br />BRESHEARS CONSTRUCTION INC. 111 S.E. EVERE'PP MALL LVAY, C201� EVERETi, WA 98208 347_&4R4 _ <br />iENANi MRI�AOOBE55 CI�V IIP PIIONE <br />♦RCHRECTOROE9GNEP MML�DD�iE55 CiTv 2iP PHONE <br />GENERRLCONTRACTO9 MAILAODliE55 Ci�Y Zia PHONE LICENSE� <br />BRESHEARS CONSTRUCPION INC. 111 S.E. EVEREPP MALL WAY� D201, EYERETT, WA 98208 347-8484 _ <br />MECHANiULCOHiRAGTOR Mm�pD�RE55 CIIY ZIV PHONE UCENSE• <br />TO BE DETERMINED <br />PLUMBINGLONiH�CiOR MAiIADDRE55 ��n' Zi� PHON' LICFNSE• <br />TO BE DETERMINED _ <br />C1�S50F WORK <br />g NEW . ADDITION . 1 ALTERATION . REPAIR DEMOLITION WOODSTOVE/FRPL INSERT ��: BUILDING RELOCATION <br />TCN4NT iMFROVEMENT OR INiERIpN REMOOE� OHIv CONi�Ci PERSON AND PIIONE NO <br />0[SCHiBEWORNAND50UAREF00inGER1VOLVEO Qj/0-S/� ���'d <br />f;=;�;— "��f�,,,-„� '�-- �--� — <br />vaocosm use ov aunon+c <br />SINGE FAMILY RESIDENCE <br />LE[�i <br />ATi0.�N FWR LOPIESI <br />wr 1 eiocK 3 0� SM� :'H LAND COf4PANY'S <br />SECOND ADDITION 7q EVERE'!T, ACC'ItDING TO THE PLAT <br />THERDOF RECORDED IN VOLUME 4 OF PLATS, PAG_E_2�_ <br />RECORDS OF SNOtiQMISH COUNTY, W-\; 1C7GEPHER WITH TH <br />PORTION.OF VACATED GR1�D AVE� [�ING AGIACENT THER <br />AND h3[TITING THEREON, AS VAG fED UNDER ORDINANCE <br />p25��• ar,� ���HER WITH �H "_AJR�ION OF VACATED <br />CHARLES STREE.T LYING ADJACEN_' THBFE'IO 6 ABUPIING <br />PR(UEGiA0DRE55 <br />yDo f x-ti <br />PLUMlING <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET) <br />BATHTUB <br />LAVATORV (WASH BASINI <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />, LAUNDFiV TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOP DRAIN <br />BACKFLOW PREVENTERS <br />- ROOF ORAINS—RAINLEADERS <br />SINK (SERVICE—BAR, ETC � <br />SUBTOTAL <br />TOTAL FEE 5 ` <br />FRONI SETpRCH REAR SET04CN SiDE SETBaCN ` <br />i �- i <br />❑SE20NE IOTAqEA VACM1i5iTE <br />Y ( Q � ,r ves <br />rvMOiCONSiALlOW1BlE i\P[OfWNStACiUA� • �%�°�w« ��� <br />SiZE OF BIOG <br />IS +k�3 <br />OCGUP/JiCY lOAO <br />RE�SO� A SPRINNlERS <br />qPPLICAT1pN�CC B\ <br />NO OP STOR�iES <br />riPE S�NlERS REO� <br />�Es xNa <br />PlANS APPFO'J[ G 9Y <br />YES <br />I HEREBV CER7IFV THAT I HAVE READ AND EXAMINED 7HIS <br />APPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL OE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTI�(i OF A PEFMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO \�IOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOHMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COAIPLV WITH THE STA7E <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />Sif.N�TJR[O�'GQ4'R�C10�ORAUINOPIZEOnGENi pnTE <br />X <br />RRRSHF.GRS �iSTRI1Cf`TON TN('_, Fi01-1 S—Q18 <br />APPIiCANiSLrtYBU5MF55LiC[NSENO AND9USMESSN�ME <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENT.�ATION FAN <br />RANGEHOOD <br />'NATER HEATER <br />WJOD STOVE <br />METAL FIFEPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT aUMP <br />GAS PIPING <br />ExHAUSTFAN <br />nr� 4]U,�u�Qr�gpQs � <br />SUB TOTAL 5 <br />PERMIT 5 <br />PUNCHE NNUMBEfi F[E <br />`'0 2 y� J <br />FEES <br />N'� DU'LDING <br />NO <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />PLUTABING <br />MECHANICAL <br />OTHER <br />STATE BUIL�ING SURCMA 7GE <br />STATEENERGVSURCNARGF <br />PUBLIC WO(iKS <br />TOTAL <br />OECEIPT NO <br />�y� 3ss2 <br />