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__....... . ... � <br />❑ DEMOLITION IJ COMBINATION -! BUILDING �MECHANICAL ���U��I���RL-TT_� SIGN <br />' � ,.,--� <br />O EP�•• .mn �nnPF.Se rqV 21P PMUNE "� <br />�- � ���c.k", ���Z�gm�hl�o3�1F��►.q�3 ���� 9?��� <br />(��IµT r IL A CITY ZIP P1�UNE � <br />� � . . <br />ARCHITEC1�Jq0E51GNER M�ILADORESS CITY ZIP PHONE <br />.GE�+ERAL CONTRACTOR MRIL �DDRE55 LITY ZiP PHONE STATE UCENSE � <br />Nc�r4-E,�e�}l.��Yh��l�i 3110��1� I'�u,Z�c�r��{ ,��9-533) 1�b2T�W�-11G'�i2o2 <br />MECNNI�CALCONTMCTOR MAIIADDRESS CITY ZIP PHONE STATE4CENSE� <br />PLUMBIN(iCONTRACTOR MAIL�DDPESS CITV ZIP PHONE STATELICENSE• <br />D6fiCPiBE WORK ANC SOU�RE POqTAGE INVO�VE� <br />� _ l` � <br />r_� .. �. .. _ <br />PROPOSEJ USE OF BUILDING � <br />� lE(iALDES:RIPT10NOFPROPERTY�5110WNBELOWORAttACHTWOCOPIES� <br />LOT— BLOCK OF <br />�_►� � -��O �O� <br />PARCELTAXI.D.NUMBER <br />OF <br />OISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />' FLOOR DRAIN <br />� BACKFLOW PREVENTERS <br />r ROOF DRAINS—RAINLEA[ <br />;.INK (SERVICE—BAR, ET( <br />i ' <br />i <br />1 <br />r <br />FOR OFFICE USE aNLY: <br />. FHONTSETBACN Rf:�RSETBA< <br />. 1vPE 0� CONS'. <br />INTANE BY <br />PERMIT $ <br />SIDE SETB�CK <br />N <br />e <br />CONT�CT PERSON ANO PHONE NO. <br />` i==fd1.G�{i�ie! � 1_��� �. <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRF.CT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINCa THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NnT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHOPITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2E0 BY THE <br />OWNEF OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND i96200 WAC. I <br />TYPE OF EOUIPMENT <br />IDLG UNITS—H.P. <br />UNIT HEATERS—B. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANG&HOOD <br />WATE HEATER <br />WOOD STOVE <br />METAL FIREPLACE <br />FIREPLACE INSER' <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />� YES ❑ NO BUILOING <br />NOAFSTORIES atuvurcr noawrtwscam`s <br />tnouv pLUM81NG <br />fIRESPPINKLERSFEO'0 BASEMENT MECHANICAL <br />❑ YES � NO <br />FIRE �IANM REO'D NEN3NT LIMITATION ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />PtANSAPPROVEDBV CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />DATE TAX CODE IS 3105 . ror�� <br />0 <br />SUB TOTAL S (J ' " <br />PERMIT $ / � <br />TOTALFEE S ' — <br />FEE RECEIPTNO <br />VALUATION FEE <br />i <br />i <br />i <br />i <br />i <br />� <br />