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� <br />APPLICl�T1..�N FOR CONSTRUC . ION PERMIT <br />fhe Evnrgreen ' E'VelC'I[ <br />citv or � <br />everett �� � S�,�� 273/ L(�z��-r�nre� 3�.�-�'�/�o <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />I 1 DEMOLITION I I COMBINATION BUILDING � ECHANICAL PLUMBING �! SIGN <br />OWNER ^ M411,ADONESS -- - <br />�SA'-. � _ / . ' CIIV 11P nunu-_ <br />TEN/.NT <br />MAIL <br />zir <br />zm <br />J L/L o,e NAi(/ <br />GENERALCONTPqCTON MqIIADDRESS CI1V �ip <br />PHONF IILENSE • <br />youre c.e�re �,�,er,v�,es 2�3 i WETMoQ� AV s me svo EVE,FE-�. �✓q, y87�� <br />MECHMlIC/�I.CONTq�CTOP MAILADDRE55 CIIY ZIP <br />�w�. �_., ..._ _"_ ^ " _ " _ � ,_ PIIONE UGENSE• <br />CUSSOF WORK <br />I l NEW I l ADDITION <br />TENANTIM�HOVEMENTORINiEf <br />CONiRACT PAICE OF WOf1N: <br />LOT <br />AODRE55 <br />BLOCK <br />TYPE <br />I l ALTERATION <br />RE1fjlDEl ONLY <br />DISP <br />OF <br />i LAUNDRVTRAY---��--'----' <br />DRINKING <br />FRONT SETBr1CK <br />USE 20"!E <br />tme or consi nuowaeie <br />SIZE OF BIDG <br />OCCUPANCVLO�� <br />RE�SON fOfi SPBINNL[PS <br />nrrucnnoNncc.nr <br />REAq5E1BACK <br />IOi�REA <br />7YP[ Of CONSt. AC1UAl <br />NO.Of S10RIE5 <br />FlRE 51'RNKL[f1S ItlbO <br />I I YES I I NO <br />rin nrvnoveoov <br />� :,,� � <br />I I REPAIR <br />O� <br />s <br />I I DEMOLI710N �' WOODSTqVE/FRPL INSERT I 1 BUILOING RELOCATION <br />CONL�Ct PEq50N AND P�ION[ NO <br />_ �03� �zs— �so-7 -- — <br />I HEh[8V CERTIFV iHAT I HAVE READ AND EXAMINEC 'HI <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRE� ALI <br />PROVISIONS OF IAWS AND ORDINANCES GOVERNING THIS T. _ OF <br />WORK WILI BE COMPLETED 1NITH WHE7fiER SPECIFIED HEREIiJ OF <br />N07. TI{E GRANTING OF A PFRMIT OOES NOT PRESUTAE TO GIVf <br />AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF qN1 <br />OTHER STATE OR IOCAL Ll1W REGULAiING CONSTRUCTION OR THE <br />PEHFORMANCE Of CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTY TO PERFORM THE WORK FOR WHICF <br />APPLICATION IS MADE AND I COMPIV WITH THE STATE <br />CONTRACTORS LAW 182i RCW AND 296.200 WAC. <br />SIGNAtUREOFCONIPACTORORAU�THOBI2EnDGG,E�NT O�tE <br />X ��c � i/�Cc�c� S�i9- 9�t <br />s-rF_� __r.�r���_��_ <br />�PPIIC�NiSCIIVBUSMF.55UCENSENO GNpAUSME55NAME <br />NO. <br />OF <br />I UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />_I VENTILAl10N FAN <br />� R�Nf:F IIOOU <br />� _-� � WAI ER I lf_N�ER--- -� -- <br />WOODS70VE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />G�S <br />$ <br />$ <br />SIDGSEIB�CN I PInN <br />vncnNt srte FEES <br />I�YES 'iN0 <br />ouaoiroc <br />ncmrnxcr xnmrnuuxr,uxnc ._ <br />rnnun � ----- <br />I'L111d13U�G <br />O�SEMEHI-- — — —� " -- — <br />Mf.CHANICAL <br />i i YES I i Np _._ _._—. __—_ <br />HFIGIRLIMItNION O711CH <br />SIATE UUILDIIJG SUNCIIARGE <br />Slnlf: GNFI1Gv SUHCIIAHGE <br />CITY OF EVF.RETi ruiai ir, wonks <br />IOCAI SALES <br />TAX COOE IS 3105 toin� <br />fEE <br />PERMI <br />TOTAL <br />E.A. <br />REC[IPiNO. <br />