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�r�a <br />ay <br />iozx <br />C H <br />>Hq� <br />y <br />�H� <br />"�i1 H'� <br />fA H <br />H <br />�O <br />HC <br />��g <br />fj] V �] <br />9H� <br />t� z <br />HH <br />g�' <br />H <br />oarn <br />��m <br />HOV� <br />��� <br />APPLICAT �ON FOR C�NSTRUCTION PERMIT <br />; �„ r, �..r,.,:,. <br />piY OF <br />everett <br />BUILDING DEPARTMENT 70 BE COMPLETED IN INK—PLEASE PRINT <br />°59-8810 <br />DEMOLITION COMBINATION BUILOING MECHANICAL <br />C�WEF <br />r.mi�nccr,ts: - r.��— —:.� _� r-i�c"c <br />U/Av .7YJi 1/�r.�,n;,a r Ve_c.l � .�7 J- <br />liltF/7il7/'Y ND urv ziP cNorve <br />iEr+ar �ani�nooness <br />0�=t <br />Aq[�Y:fGTO/VOESIGNER MPILRDORE55 GTY IIP PNONE <br />�-- - Pa fic �`i b1Hn���v�uc `i2�z7u G•S`i" <br />PLUMBING <br />-z � <br />:r, � �..t � <br />everett <br />� <br />SIGN <br />L E CiiY Z P P O IE L�Lervse • <br />GcNERALCON1FPGiOR A1RhADDRE55 <br />u'�im I�n .�-� , Pu, Pn;x 3` n� • %1''-'7J G-f5 f, �i C,� c 3 P7- - <br />M1IECNANICRLCONTRRGT R MR�IP�DRE55 <br />CI IIP PHONE LICENSE • <br />DF� � FHONE LICENSE� <br />GWMB�NGCO4iRAGiOH 1d�ILA�OPE55 CITY T�P <br />N�N <br />anss or woeK <br />NEW ADDITION �CALTEFA?ION REPAIR DEMOLITION WOODSTOVE�FRPLINSERT BUILDINGREL <br />iEN4NtiMPROVLM[NTORiHtFRIORPEMOD[IONLV t�v/ti� CON'RCiPCR50NANOPNON[N0. _ <br />cor+TnacTPaiceorwor+K: d j�d' 'f %3e- JFs f'N�-�.:E-•, GSti-�s1'i' <br />nrccu•.n�wnRKANDSOt1AREFOOTAGE�NVOLVED _ � <br />PI:JVO5EpU5EOF8UILDING ' <br />�'.NItDi7EU5 '7l � Rd)�l <br />LCGAlO[SCR�PiIJNO(PP PERLY SNOIYNAEL01 <br />��, Z'� � 7 v a�«� ��4s �F <br />� �� <br />' ' � <br />LAVATORY(WAS <br />SHOWER <br />KITCHEN SINK 8 <br />�HONL 5[fEiACK <br />�� <br />USL ZO�IE <br />� <br />ivi'IcrCoxsr altoWaBlE <br />jl'-/J <br />S�ZL o: BIOG. <br />16l SF ADJN <br />O:GUPApCYL0A0 <br />SUB <br />aenaserencK <br />� <br />LOTAPEA (���yj/�/ <br />_��+ � .`i_=— <br />tvre�oyrcor�si naun� <br />�l- /✓ <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />�d �.F2 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7 ALL <br />�rucnrouacories� PFiOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WI7H WHETHEF SPECIFIED HEREIN OR <br />%�U[kE�:'� NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY 70 VIULA7E OR CANCEL THE PROVISIONS OF ANY <br />OTHER SfATE OR LOCAL LAW REGULATWG CONSTRUCTION OR THE <br />PERFORh1ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICAiION IS MADE AND I COh1PLV WITH TNE STATE <br />CONTRACTOF75 LAW 1827 RCW AND 29G200 WAC. <br />sr,•�at rcor+ta�c*oao�aumoi;izEoncerrt onrE <br />- �Lt�� �� �-.-� =C• I 3 7 � <br />n��r�ucn��rsrnvous�.rvt_sucu�s!-no nr�neusmssrmt�e <br />sio[ sEioncrc <br />5• S <br />VACANi Sli[ <br />YES NO <br />o¢r.�iw.. r.orvi:n�.o•.�.� <br />NOOFStOiiiCS BASEMENT <br />2 •f�s• VES NO <br />FlRESPRNHL[RSPEO� HEIG11il�MiiAilpy <br />2 � <br />A G—AHNULG UNI <br />FORCED AIR SVSTI <br />UNIT HEATERS—B. <br />CLOTHES DRVERS <br />VENTILA�ION FAN <br />RANGEHOOD <br />WATER HEATER <br />p�nH <br />B111L�ING <br />PLUM0ING <br />M[CNFNIG�L <br />' YES NO � STAT[ BUILDING SURCHARGE <br />..� � <br />n[n50Nf0l15PPiNKLEPS <br />STATE6NERGVSURCHFRGE <br />�a�r-c� iaccm ruNsnacnovronr CITYOFEVERETT rut�i-icwoi�ns <br />�",� IW- � �� LOCRLSALES <br />/��� I �'' p�3 TARCOOEIS3105 ro�n� <br />T.U. M <br />Y�. �O <br />VALUAT4 <br />� 6�+0 <br />FEE <br />� <br />G yr, <br />