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x C'7 <br />� � <br />z�zx <br />(^ H <br />ay�n <br />rs <br />Haa <br />y zH <br />�e � <br />H xl <br />o xo <br />� V1 H <br />y r <br />�i o �i <br />Hq <br />��1 �g <br />y� V Cq] <br />rHz <br />�-+ y <br />S`� <br />H <br />C� C7 f� <br />� � [r�1 <br />Z H cn <br />�-3 O fp <br />APPI.ICI�TII..d FOR COI�lSTRUCI .ON PERMIT <br />everett <br />�v�. E�.�„g: �,�„ e <br />arv or <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />DEMOLITION COMBINATION -% BUILDING MECHANICAL PLUM[31NG SIGN <br />p15T'EN MAILADDRE55 LiiY )IP FNONE <br />1/�n�ES � %�ofSF2 %3'�.�J. Mu�;cr�� B����,Fvc�t�-rT, w� ,7S3-3z /Z. <br />TENANT 1dAILRDDHE55 CITV ZIP PHONE <br />ARCN�tECTO�E5IGNEF MAILADDRESS GIiV 21P PNONE <br />S6 L <br />GENEqALGONTRALTOR MAILRD�RESS CITY ZIP FHONE LICENSEs <br />SE� �' <br />AiECMANiCALCONTRALTOR MAILADDRE55 GiV ZIP PMONE LIGENSE/ <br />PWM8INGCONTRACTOR MAiLA0DRE55 LITV 21P PMONE LICENSE� <br />CLRSS OF WORK <br />� NEW � ADDITION � . ALTERATION <br />i[NANT iMPROVEMENT OR INTERIOR FEMODE.ONLY <br />CONiRACTPFICEOfWORN: � <br />DESCFIpE WORN pN� SQUARE FpOiAGE INVOLVED <br />D�ck �yxzs '�5����- .r-�� <br />PROPOSED USE OF BULLDiNG <br />�tz/c � l.fhGG7Z.S�Nt.f9� <br />LEGALD;SCRiP(iONOFPROPERTY�SNOWNBELOW VTACN <br />lOT BLOCN OF <br />(.5Cl� Vv(7 L"C <br />ciT -vc�2� . <br />�.so.�zz�2�z B� <br />aFoiecrnnoness <br />`/.�L- �,� ��v/r�[ T <br />PLUMBIMG iVJN� <br />NO. TYPE OF FI%TL <br />WATER CLOSETITOILE <br />BATHTUB <br />LAVATORV�WASH BAS <br />KITCHEN SINK 8 <br />DISHWASfiER <br />LAUNDRVTRAY <br />CLOTHES WASH <br />URINAL j <br />ORINKING F,bUN <br />FLOOR DF�IN <br />FRONiSETBAC�t <br />r� or cox� t nuownnie <br />V-� <br />SIZE OF BLDG <br />35�� <br />OCCUPANLVLOAO <br />RLAS�SPf11NKlEl <br />aarucnnor+acc.nv <br />REPAIR DEMOLITION .. WOODSTOV6FRPL WSERT .. BUILDING RELOCATION <br />y1 ��CONi1CT PERSON ANO PNONE NO. � <br />«_f/.�cr� I J/�i'1ES /✓. �IUl=SE2 .25{�-32/Z <br />� A Pi iv � l, T/�/ <br />/�L✓ct! E v 1, <br />ORITEM FEE <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW TNE SAME TO BE TPUE AND CORRECT. P.LL <br />PROVISIONS OF LAWS AND ORDINANCES GOVEFNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESU�dE TO GIVE <br />AUTHOfiITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERPORMANCE OF COYSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY \VITH THE STATE <br />CONTRACTORS LAW 1027 RCW AND 296200 WAC. <br />SI�I:AiUREOfC09iFPC10RORAtIiNORIZEDRG[NT D4iE <br />X��i'ZG"LG�( t,yYt,� �art•- o...•n.32 <br />����*C�NiS C�iv F1Ui:HE SS I�CENSE NO AN� �USiNE55 NA61E <br />FORCED AIR SYSTEMS—B T.U. M E.A. <br />UNIT HEATERS—B.LU. �A <br />CLOiHES DRVERS <br />VENTILATION FAN <br />fiANGE HOOD <br />WATERHEATER <br />HEAT PUMP <br />SUB TOTAL 5 ' <br />T -- <br />PERMI7 $ <br />TOTALFEE 5 <br />REAR SEi�AC�f SIOE SETOACK / Vl A4 Q�I f_K 1 Ill li <br />G .��� <br />IOTAPLA VPCANTSIiE FEES <br />i��/��� I� vES � NO pui�niNc <br />rv6torcoxstaCtun� aar.rc. xoarnvuus,��,+�s —__ _ _ <br />GBW> <br />Pl UIdUING <br />NOAF ST RI[5 �45EMENT MI'CHANICAL <br />�6GK x ves Ho —. <br />iIRES RNKIER.RLU�II HEIGIITIIMITRiION �TH�� <br />/ <br />�, '� YES Jl NO L STATE BUILDING SURCHAflGE <br />STATEENERGVSURCHARGE <br />r�nNsnranavcoov CITYOFE�ERETT PU�LiCwoRKs <br />9,� LOCAL SALES <br />TAX CODEIS 3105 TOTAI <br />8 <br />SU6 TOTAL $ <br />PEFMIT $ <br />TOTALFEE S <br />r�e ne <br />� � 5U <br />8 <br />� <br />