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��� <br />H <br />�Hm <br />H�H <br />�H� <br />�H� <br />H� <br />x^ <br />O � d <br />H(��70 <br />�w n <br />C y Z <br />HH <br />g �' <br />C] (7 N <br />� � L•J <br />zym <br />HOtn <br />APPLICATf01 .�FOR CONSTRUCTI�,.,N PERMIT ''`f«'�' <br />,. ,, TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITY OF <br />everett HEATING SYSTEM: ❑ GAS ] ELECTRIC ❑ — � <br />BUILDING DEP�RTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECIIANICAL PLUMBING SIGN <br />�H��cq IAAILADDRE55 GTV ZIP FHONE <br />_,j��g�t�hin 1809 Mci9UJ;a� �v�rnrr 9R7.(11 '{39-7h9p_. _ <br />i[NANT MNLADDRE55 CITY IIP PHON[ <br />MPIL ADORESS Qiv ZiP <br />r�CULRALCONTRRGiCii AIPIL��DR[55 UTV 21P PHON[ UCE�ISE/ <br />Gverett 1luilders, Inc. 5606 Everrmen Wav Gverett 98203 353-71�*397nit <br />6'.[.c:nANiCALCOI.iPACiOR I.IAiLA0DRE55 Cliv Z�P FHON[ UCENS[♦ <br />�s or woaK <br />NEW ADDITION <br />PqiCE OF <br />raoroSEo u5E oP OwtowG <br />r.�ni� nonHess <br />. ALTERATION )( REPAIR <br />5,234.00 _ <br />)LAGEINVOIVE� <br />IEGAL OESGFiPtiON OF PROP[RLY i9�D1YN DEIOW OR NtAGN vOUR CA�iES <br />�or 5 e.i.ocn _�{z2_ or EYL'iS:,'_t Div P <br />Tax Acct IE 4384-362-005-0007 <br />WATER <br />LAV4TORY (1VASH BA: <br />SHOWFR <br />KITCH�=� SINK 8 DISP <br />DISH'.VASHEfi <br />I LFU�ORY TRAV <br />URINAL <br />dG FOUNTAIN <br />�RAIN <br />�yw:� <br />Iii�:J <br />❑iY ZIP PNONE IICEN$E• <br />� SUB TOTAL� <br />PERMIT S I <br />TOTALFEE 5 <br />FOR OFFICE USE ONLY: /I,oY� 1:0y��� �x.� <br />FRONiSE�DALH AEARSEIDAGK S��[SETB N ` <br />�70 c7v S S- <br />utif ZONE LOT AREA VACANT SILE <br />a��n,5 A��FA�E <br />Si[ OF BLDG � NO <br />rsrraem <br />armxst at�uni <br />g_�- <br />JF STO'RIES <br />SPRN� ERS HEOD <br />�� <br />iN*AhEpv PLRNSAPPROVE�OY <br />JI� 2�,y�4L <br />DEMOLITION WOODSTOVE;FRPL INSERT �� BWLDING RELOCATION <br />I CONiACi PERSON f.ND PHONE NO <br />Dan Mann - 353-7161 <br />���P���. w�o�,,.�„.,,�..,,, <br />r.coun� <br />�-3 a _ <br />BRSEMEYT <br />HEIGHT l�M�iATION <br />�' <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED TH'S <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OF+DINANCES GOVERNING THIS T�YPE- OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OFi <br />NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LA1Y REGULATING CONSTRUCTION OR THE <br />PERFOfiMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEfiTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATC <br />CONT CTORS I.AW 1827 RGW AND 296.200 WAC. <br />SIGNA U�EA�CONiRACTOROAAU1110(��2[DAG[NL ❑�iE <br />X ��L �; /' �� ��t.��.,� Z — �� , �i 2 <br />APPUCANiS dTV 9USMESS II�ENSE NO ANp OUSME55 N�ME <br />�7y <br />FORCED AIR 5`.'SiEMS—B.T.U. M <br />IINITHFATFRS-9T.U. M <br />GLOTHES DRYERS <br />VENTILATION FAN � <br />RANGE HOOD ._ �— <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />GAS PIPING <br />ExHAUSTFAN <br />C �) <br />S <br />FCE R[CEiPTK� <br />5�.tv`.� G��13� <br />oui�owc _ �5/a52_ X � ' � <br />r�urnoiNc <br />ldECHANICAL <br />ADDITIONAL PLAN CH. CK <br />OTMEfi <br />� <br />STATE OIIIL�ING SUPCIiARGE ,' j � <br />PUBLIC WOFKS <br />TOTAL �� �; SV <br />