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�-.PPLICATIaN FOh <br />Ih� Eve�9��^ C O N ST R U CT I O N <br />CITY OP <br />everett PERMIT <br />TO BE COMPLET[D IN BLACK INK- PLEASE PRINT <br />evcretl <br />� <br />BUILDING DEPT. <br />259•8745 � COMBINATION � BUILDING � MECHANICAL it7 PLUMBINf; ❑ SIGN <br />owr+en r.aaAooaess arr zir m�or�e <br />Everett Chamber of Commerce 1710 �Jest bfarinc Vietu Drive Bverett 98201 252-510G <br />AqLNIlEC10R0E51GNEf1 MNLq0�RE55 Crtv IiP Vr�D�IC <br />OL'N[RALCONIpACfOR MAaP00�E5S (:Irv )IP FIIUNE IICUlSf.• <br />Cobra Construction Co. P.O. Dox 1299 Everett 98206 258-3G67 <br />MECNA111GPLGONTRACiON MAiL�DDqESS Cltt ZIP PIIUN[ LICFRSC• <br />PLUMBINGCONIP4GTOA MRiLADORE55 C�tY LP n110��E UGf1�5[• <br />❑ NEW ❑ ADDITION ❑ �LIERATION ❑ ��EPAIR ❑ DEh10l.I�lON ❑ WOODSTOVE/FRPL.INS[RT ❑ DUILDING �EIOCATION <br />wlwnuN cr wonK�cosi oP n�nieii�nls rws Uoo�p <br />2��IQ��.QQ <br />�escame woarc <br />Relocate office Build:ng <br />Office <br />G' <br />qTtAGI� f OIIR COPIE51 <br />vao�ecrnooaess <br />1710 N'est Pfarinc View Drive <br />WATEF <br />oni <br />I HEREBY CFRTIFV THAT I HAVE READ ANU EY,Ah11N[U THIS AP� <br />PLIC�710N AND KNOW THE SAIdG TO �E TP.UEAND CORRECT. AL L <br />PROVISIONS OF LAWS AND ORDINAIJCES GOVERNING THIS TVPE <br />OF WORK WILL BE COh1PLETED'.NI711 VJHE7HER SPECIFIED HER6 <br />IN OR NOT. THE GRANTING OF P P[Rh71TJ(1E5 NOT PH[SU1.1E TO <br />GIVE AUThIORITY TO VIOLATE OR GINCFL TH[ PROV'SIONS OF <br />ANV OTtIER STATE OR LOCAL LAW' RL'G JLATING CONSiRUCTIC�� <br />OR THE PERFORMANCE OF CONSTRUOTION. <br />SIGNATUREOFCONTfiAC�ORORAl4Mv"�FDApt'IT �NE <br />X <br />nvaucnrirs cnr ousn¢,s uCcr+sE r�o <br />AIR COND. UNIiS-H.P. EA. <br />DOILERS-H P. En. <br />GAS FI(iCU AC UFIITS-TONNAGE <br />FORCED nIR SYSIE1d5-U.T.U. M <br />AIR IIAtlOUNG U�IIi=QF.M_ <br />SU9TOTAL ZB OO SUOTOTAL 5 lv <br />PERMIT 5 ---PEHMIT �-----'�3 '��-'���-�-� <br />__ TOTAL FEE S__ZB OO _ TOTAL FEE __ _ _ 5 _ __ _ 14 <br />THIS PORTION TO BE COMPLETED BY BUILDING DEPT. PERSONNEL <br />PEARSEfBAGN S�UFS[TBAGR PLPNCI�EC1tNOAlOCR 1'lA9On:tr,llL <br />f[[ IPtCfiPIN:) <br />USE.C4E IOtAR[� yq�pqf5lfE <br />❑H S CNO <br />iYP[0�'LONSL OCGUPANCYGFOUP NOUipWELLINGUNItS <br />eui�o�r+a <br />SIZE Of BLDG NO OF StONiES MAx OCG LO�� <br />PWMOING <br />MECII�NIC�L <br />FIRE;iPPItJKLERS REOUIRED ❑ YL� ❑ tJ0 <br />OiNER <br />PEHALfY <br />APPI�C>t10NACC DY PLANSL116�EUOY AP(��i �OR�SSUANGlPV <br />TOTAL <br />N <br />FEES � �ALUATION I FEE <br />s200,000 <br />�-. <br />D._ <br />G83 00 <br />18 00 <br />ia oo _ <br />--- 715 OU �- <br />-----1-- _ _ <br />z <br />0 <br />� <br />� <br />m <br />.-. .-. <br />--I T <br />.. -i <br />N 2 <br />m <br />O <br />C 0 <br />m o <br />-� c <br />o� <br />m <br />-i z <br />x -i <br />m <br />.. <br />.o � <br />c <br />n -a <br />rx <br />h-� H <br />-�-I (n <br />< <br />�'I <br />O A <br />T � <br />�m <br />2 <br />m N <br />0 <br />o r <br />nm <br />C N <br />� N <br />m <br />z c� <br />-i r <br />• m <br />n <br />z <br />� <br />x <br />a <br />z <br />� <br />x <br />N <br />Z <br />O <br />� <br />c"� <br />m <br />