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l <br />�- ° APPLICATI�.N FOR CONSTRI!C1.ON PERM17r � <br />` everett <br />��� <br />a�� <br />xv <br />H Z� <br />1� C: <br />� H'� <br />VJ H <br />[sl O � <br />H <br />OH <br />��g <br />9 H [s1 <br />r� z <br />yy <br />g H <br />c� t7 y <br />��� <br />x y �n <br />H O V� <br />� <br />w .� <br />�� ' <br />tMi E�e7;reen �, <br />CITY Of <br />everett • <br />BUIL.DING DEPARTMENT <br />259 8870 TO BE COMPLETED IN INK—PLEASE PRINT <br />: DEMOLITION COMBINATION BUILDING �ECHANICAL PLUMBING SIGN <br />1..� ��^ ^1Cli�� �,l�.Q�Q.���s— ��-�S�q ��1Ct.�tit-f' ��Z�> �,l ;-L�LQt��o��355— � -��l S� <br />`L.I� <br />TEI.PNT MAILAODRESS C�TV ZIP PHO'IE <br />�C.�i�Q.- <br />APCHrtECTORDEFiGNER MAI�A�ORE55 CITY I�P FNONE <br />I.ECHANI�pLGONTARCiON r.�n��nuunma <br />PWiABMGC0.NiRACtOR MRRRD�RE55 <br />CLASS OF WORN <br />NEW . � ADDITION �TERATIC <br />TENANTIMPROYEM[NTOPMTEP�ORREMODELONIY , <br />....�.e.�.00��cnc.annv -r�'i" ' _ <br />PROPOSEDUSEOFBUIIgrvG �� <br />/ <br />LEWlDESGRiPT1pNOFPROPERi HOWNBELOWOR <br />�T JLOCN OF _ <br />CN71 <br />URINAL <br />�a <br />FRONTSETBALK <br />USEZONE <br />1VCE 0( CONSi. AIIOWABIE <br />siz� oF owc. <br />OCCUPANCVLOAO <br />REASON fON SPRINeLERS <br />�PPIiCATION ALC. OV <br />8 <br />rc�,� <br />OiV <br />FEPAIR <br />� <br />21P PIIONE <br />2iP PHOYE <br />DEMOLITION . ` WOODSTOVEIFRPL INSERT <br />� C JTRGTP[RSpNRNOPNONENO. <br />LiCEu"E • <br />V I4L-1�I1'fs /53L1_ <br />LICENSE • <br />�-�a3 ��j�� � <br />IICENSE • <br />� BUILDING RELOCATION <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA?ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />covies� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WOFK WILL BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV I <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUGTION OR THE � <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORRED B7 THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WkIICH <br />APPLICATION IS MA�E AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1627 RCW AND 296.200 WAC. <br />SIGNATOREOFCONipACTORORAUTHOHIZEOAGENT OATE <br />.% A PLIC�N� SSU ENSENO. � UiINE55NAME -(-����/ <br />7J � � <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT FEE <br />A/C—NHNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. �vt E.A. <br />, lJ� ' HEATERS—B.T.U. M � <br />RANGEHOOD <br />METAL FIREPLACE 8 <br />FIREPLACE INSERT <br />HEATPUMP <br />GAS PIPING <br />EKHAUSTFAN <br />REARSETBRCK YD[SET9RCK PV.NCHECNNUAIBER FEE <br />IOT�REA VAC�NTSIiE FEES <br />�. VES � � NO pUILDING <br />TVPEOfLONStACfpqt acuo�x�• noa�nfuircuxn5 <br />L9�� PLUMBING <br />NO.OPSiORIES OASEMENT MFCHANICAL <br />�. �. VES f�! NO <br />FlR[SPPNNI.En3HE0'D HEIGHTLIIAITATION �THEH <br />�.��� YES .. NO STATE BUILDING SURCHARG[ <br />STATEENERGVSURCHARGE <br />PLANSAP�ROVE��V CITYOFEVEflETT PUBLICWORK$ <br />LOCAL SALES <br />� <br />PECEIPT N0. <br />TAX CODE IS 3105 rorn< <� '�"� { <br />� <br />