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L' t�y' �L' <br />x y <br />Y �l N <br />� � F�i <br />O S O <br />ro�ro <br />� y � <br />Z <br />[V O <br />H <br />�ro� <br />MM <br />H <br />� t+ H <br />N <br />F+ <br />O N <br />���]ni <br />O y <br />N <br />i���oirll �� <br />APPLICATION FOR CONSTRQJCTIG:� PERMIT � <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />��V�YQLI HEATINGSYSTEA1�.� �GAS JELECTRIC J ___ __ _ __ �I <br />!�� iiLDING DEPARTMENT <br />'' ���� `' � PLUMBING SIGN <br />` DEMOLITION _ y�COMBINATION _�' BUILDING t MECHANICAL _ <br />cttv rir r r�o�.i. <br />-- 7iA11 ALCfii.ti5 _ ' " <br />I �- ^��� � i ��_iif"J �r� 1 � <br />' ' V � - � v�. , i '—' • ., urv Ziv r��oae <br />lAAR AD�RE55 <br />CITV IIP PNONE <br />nn�,-�wELiO(1DESiGNER MMIp�DRE55 <br />CIT' Zii PNON[ IiCENSE� <br />atvluAlCON1R�Ci0R MRILI�pDRE55 <br />'�.. "• � . CiTv 21P PHONE t�CENSE Y <br />et���nwGALCONiHAGTOR MMLADDRE59 <br />; .•` CIiY 21P PNONE IICENSE� <br />p�liVfnr�GCONTR�GIDN M�iLRDDRE55 <br />n,.,��, <br />�l �s50� WOFN <br />NEW �K A�DITION K ALTERATION . REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />c� n c*r c[oFwoa��,f�no;� _ <br />CE SG��BE WOBN ANO SOUARE FOOiAGE INYOLYE� <br />vi+o��oseo use oF euiw�n� <br />-�.�1, -�:_,1 ri., <br />.IGALbE5G4i�T10N PROPE <br />�pT BLOCK <br />!1 ._.a YO l. <br />� <br />Lf <br />oF <br />� <br />�.�.�Y .I t�:� �I .. --- <br />� i�i�o�eci nooa[ss ' <br />�' <br />� III) W.1� �lni'f- <br />� �� PLUMBING <br />' �� <br />u t� <br />� <br />NO. TYPE <br />1 WATERCLOS <br />KITCHEN SINK 8 <br />URINAL <br />DRINKING FOl <br />FLOOR DRAIN <br />BACKFLOW Pf <br />ROOF DRAINS <br />SINK iSERVIG <br />OR <br />SUB TO <br />PERMIT <br />FOR OFFICE USE ONLY: <br />TONT S[ B�CY REAR SE�K <br />As NC�S <br />� �F I0� <br />�6L ZOt E LOi AFEA <br />�e-3 <br />IVPE 01 L�'115 AllOW4011 IYPE 01 LONSi PG1 <br />SIiE <br />INTArcE <br />1 �-- <br />NOAF STOPIES <br />+ <br />LOR� FlRLSPRNNLERSREC <br />1�v <br />SPRPMLLRS <br />I Ci euC nOPROVEO BY <br />� <br />� <br />� <br />e <br />S . -.:' (—'—_. <br />Slp@ SEi�nGR <br />ICONiRCT vCR50N AN� PHONE NO. <br />O.lf l.l_ �..,,..� a;'9.r. <br />I HEREBV CER7IFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICA710N AND KNOW THE SAME TO �E TRUE AND COHR[CT ALL <br />PRGVISIONS OF LAWS AND OFDINANCES GOVERNING TNIS TYPE OF <br />WORK WILL BE COIdPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GP�NTING OF A P6FitdIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCHL LAW REGULATRJG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPEf±TV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH 7HE STATE <br />CONTRACTOFSLAW182iRCVJAND296200WAC <br />SIGNAiUREOFLONiFAG10ROR�i1iMOA�ZC�AGENi U�l� <br />X �i. !.1 t v -- — <br />Apv� ICANiS CIi V AUSMC55 LIGENSE �!O'At�D BUS W E55 tlAME <br />fORCEDAIRS`.'STEMS—�.TU. M EA. i <br />UNIT HEATERS—B.T.U. M <br />L CLOTHES DRYERS �J ' <br />/ VENTILAIION FAN J` '�. <br />/ RANGEHOOD `� �_ <br />rrc.z.L <br />8 CHIMNEV <br />TOTAL <br />— TOTAL FEE 4 <br />iuunr� rc�. ivwe�r.r+�� � <br />� D O <br />z-�A��ri JG5-'� t � z� <br />�UILDING � <br />,CLup�NCv NOqGWlll�kpuM�iS —� <br />,aouv I p�UM01NG <br />1ASEMENT MEGHANICAL <br />�� — <br />1EiGHTL�M�nOry AD�ITIONALPLANCHECK _ <br />O <br />OTHER <br />tiTATE BUILOING SURCHARGE <br />CITY Of EVERETT ruc�ucwoares <br />LOCAL SALES <br />TAX CODE IS 3105 T�TA� <br />T / <br />�.' �i ,."C;v <br />