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� � � <br />C N <br />��� <br />��� <br />� <br />�p <br />HC <br />M [�0 <br />�H <br />M <br />W <br />W <br />�� <br />Ow <br />� <br />APPLICATIONi�fOR CONSTRUCT14�1 PERMIT <br />�"'" <br />everett <br />tne Sve.a.�en � <br />GTY Of <br />ev�rett <br />. BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />' DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SI�N <br />QyMEq MAILNODRESS CIiY IiP PHON[ <br />BRESHEARS CONSTRUCTION INC., 111 S.E. EVEF2ETT MALL WAY, D201� EVERETT, WA 98208, 347-8484 <br />TENANT MAIL RDDPE55 CrtY Z�P PNUNE <br />ARGHITECTORDESIGNER MtiIADDPE55 pTY ZIP CIIONE <br />GENER�LCONTP�CTOR M�LL AO�PE55 CiiV L� P�ONE <br />BRESHEARS CONSTRUCfION INC., 111 S.E. EVERE'1T MALL WAY, D201, EVERE'1T, WA <br />I.IECHANiC�ICONiP�GiOR MAIL�ODRE55 C'iy 21P PnONE <br />TO BE DETERMINED <br />PLUMBIIIGCONTRACTOR MRR�ODFE55 CiiV 'tiP PHONE <br />TO PE DETERMINED <br />UGENSE• <br />98208, 347-8484 <br />IICENSE � <br />LICENSE � <br />cuss or vroaK <br />X NEW AODITION . ALTERATION �. REPAIR DEMOLITION . WOODSTOV6FRPL INSERT ..-I BUIIDING RELOCATION <br />IENRNT��PROVEMENT..dINiEPIORREM00ELONLY - �'^'S7Y�'� CONTACTPERSONRNDPNOHENO <br />CONTR�CTPRiCE'�FW�pN: LS/1SG '/Yp0 ` . — <br />DESCRiBE WORr AND Sd1ARE fOO1�GE iNVGIV[D <br />,-, �/,'r ; �lE✓l :.r..,.. _ ' 1 uG 7 -. <br />reo�iseousea :+w�oir+c <br />lEWlO[S���tPT10�:Of PfiOPEPiY ISNONM B[lOW O!i �TUCH f"OUA COPIE51 <br />�or 2 e�oc� 3 oF SMYTH LAND COMPANY' � <br />2ND ADDITION TO EVERETT� ACCORDING TO THE PLAT T <br />OF RECORDED IN VOLUME 4 OF PLATS, PAC�E 25�RECOR <br />OF SNOHOMISH CO., WA; TOGETBER WITH THAT PORTION <br />VACAfED GRAND AVENUE LYING ADJACENT THERETb � <br />ING THEREON, AS VACATED UN�ER ORDINF�I�E A2555; 5 <br />TOGETHER WITH '�AT PORTION OF VACATE� CHARLES ST <br />LYING AA7ACFNP THERETO ABUTPING THERON, AS VACAT <br />PPQIECT ADDRE <br />yo a -� <br />SINK <br />SINK <br />FRONi <br />USEZONE <br />-g=�- <br />LVPE OitO,H/Sf At,l,OYI <br />SRE OF oL�c. <br />OGCUP�NGYLO�D <br />REASON FOR SPRINKI.EP" <br />�PPLk.AT10N �CG. OY <br />pE�N SETMGR <br />�� Q <br />LOT �PEA <br />� s� <br />IYPE Of C009 iUAI <br />NO.OF SiOP�ES <br />FIRE SPRNNLEH55E00 <br />YES i NO <br />Pi NS AP�PCVEO BY <br />I HEREBV CERI IFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CCRRECT. ALL <br />PROVISIONS OF LAW� AND ORDINANCES GOVERNING TFIIS TYPE OF <br />WORK WILI BE COMPLEiED WITH WHETHEF SPECIFIED "EREIN OR <br />NOT. THE GfiANTING OF A PERMIT DOES NOT PRESUMe TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br />PERFORMnNCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAC�E AND I.�'.OMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW ANC 296200 WAC. <br />SIGN�tUPEOFCGNIRAC10fiONAU1110�1ZE0AGEH� DALE <br />g$p$HReRS C(NISTR�j�,`j'ION INC" nam_795—Q18 <br />APPL�UNTS CITY BUSINESS LIGENSE NO AN� 9USM[SS NAAIE <br />— FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEAtERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATIOI. FFN <br />RANGEHOOD <br />^ WATEFiHEATER <br />� WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLAGEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />S��E SETBRCK <br />`s <br />VAC�NT SITE <br />:�''YES . �. NO <br />c r,acr xoaowtwxouvn <br />FW> <br />41EMENi <br />_ YES .'i NO <br />�4ANT LIMITATi011 <br />�o- / <br />0 <br />CITY OF EVERETT <br />LOCALSALES <br />TAX COUE IS 3105 <br />PLAN CHEc <br />-L� <br />BUILOING <br />—� <br />SUB TOTAL S <br />PERMIT S �� <br />TOTAL FEE 5 ' � <br />: NU�BER FEE REGEi�i N0. <br />a v�9� a 9 a. s i 3ss-z-i <br />�EES YALUATION FEE <br />/� � 4a-(� �{8'!v'�� <br />PLUMBING <br />MECMANICAL <br />OTHER <br />STATE ILDING SURCHARGE <br />STATC:ENERGVSURCHARGE <br />PUBLIf, WOPKS <br />TOTAL <br />� <br />i4 <br />