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APPLICATION rOR CONSTRUCTIO... PERMIT <br />Ihe Evergreen <br />TO BE COMPLETFD IN INK—PLEASE PRINT <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-6810 <br />i I DEMOLITION � � COMBINATION <br />OW�N//pR / A�/� Mnll. �OPI1FSti -- <br />l�/..:'L /"li �nv �J �! % � ��ff <br />IENANi � ^'�°� <br />ARCIIITECTORDES�GNf:R M1�A�� <br />CENERALCONIMCIOfi MAIL <br />MECIIANIC�lCON111�C1Op MML <br />. N . c:. C.�,• --f�� <br />VI11M01Nf.CONIMCiOq R���� <br />CUSS OF WOaK <br />I I NEW I � ADDITION � I AITERATION <br />����J— <br />CONI RACT PRICE OF Y.'�JRN <br />DESGflIBEWOfiNANDSOU� fO0ID6[INVOIVEO <br />� _ _ � ., - _ ia _/..� <br />�ea�i <br />l0T <br />PROJEGT <br />PROPEOlY�SHOWN0E�0� <br />BIOCN OF <br />LiC <br />OF FI <br />KITCHEN SINK 8 <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />FLOOR URAIN <br />BACKFLOW PRE <br />ROOF DI7AINS- <br />SINK (SERVICE- <br />HEATING SYSTEM: <br />I REPAIR <br />U ELECTRIC IJ <br />BUILDING �MECHANICAL <br />_—CIIY _ ._"'—___71P ..___.___._'".PIIONF <br />� v�.�•��f ;',4�0 �s �YY— <br />arv zm PHONE <br />CIIY <br />CIIY <br />CIIY <br />,��; <br />CIIY <br />lIP 1'110NF <br />�: %l � l� ?-S <br />nr rrioric <br />everett <br />e. <br />PLUMBING ' SIGN <br />LIC[NSE I <br />� <br />LC"��3�r <br />� <br />DEMOUTION '� WOODSiOVE�FRPL INSERT I I BUILDINC ��EIOCATION <br />CON1�L1 PfI1GON ANp PIIqSIF NO <br />i1.9�1 /. _ /C:_V'"�/: <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPL�CAT�ION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS iVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING 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 CONSTRUCTION OR THE <br />PERFORMANCE OP CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS Ml�DE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGNNUf1E Of CONIMC10f10f14UI110111iFD�GENT 041E <br />X �// . �r�r1l-��` 1Pt (. -�l� 7 '� y �!/ <br />pPPLiC4N75 CII V Ol15iNFS5110ENSE NO AND BUSMBSS N4ME <br />NO. TYPE OF EOUIPMENT <br />fUC-NHNDLG UNITS-H.P. <br />fORCED �IR SYSTEMS-B.T.U. M <br />UNIT HEATERS--B.T.U. M <br />PLACE 8 CI <br />INSERT <br />�—I � EXSAUSNf-AN � t - <br />__.__'__-_ —__ ___.-___ -_ <br />_ _-_-_--___-__-_ — � <br />� _.___ ____--_._-_._ <br />SU� 70IAL $ _ _ __ SUD IUTAL $ <br />.. _ . _ � .__. - __'_--_ ._. ___ <br />— —___.—._-__._._ __ . ..�_ __ <br />PElitdli $ � PERMIT $ <br />----�------ ------. - .. .- ---'--- -- ----- ---- �------�---- <br />IOIAL F[E $ iOIAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONfSE7B�CR nFnnsemnck - sinesFmnr,K rinucuFcr.riun�orn ree ne <br />usezor+e ioinnrn vncnr+�snr FEES VALUATION <br />PUIIUW(; <br />IYPlOf1:ONIS �IIOWAflI! IYPI Off.11NS1 M1CIIIN �*'ai�nr�n �MMlnviii�:��n•rts --_-- -' -�- -� - " -- --""-- - ------ -"- <br />�,n°"�� PLUIdRI1J(: <br />__—_-___. -._". __- -_ <br />__'_'.-'" _" -_—_.'_"._-'____._"_ <br />517E O� OLUG � NP f�� S101U[5 � O�SFIAfNI M[�I IANICAL <br />___....___._ _' <br />-------'----'-----'-'-""--'-'--' AUUIIIONAI.PLMJCIIfCN <br />OCCIIP�NCVIO�U IIIIFSPfiNNIP�511fq1� I�PI�BIIIIt.111MION <br />O111ER <br />-__ ____ _. ' _..____ '__-._ ___ _ <br />IIEA501lfOI15V'RINNI.ERS —'-------� " � � <br />sinie ouuuiric suncnni��e <br />---- ----- ----- — <br />_ _ ----------- - <br />wmkr m ri nNs nrrnnvrnnr CITY OF EYERE7T i�uta ic wonks <br />I I �OCAL SAIES <br />TAX CO�E IS 3105 totn� <br />i <br />L <br />� <br />� <br />� <br />