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APPLICATION rOR CONSTRUCTIOrI PERMIT <br />the EverOreen //^77 /' <br />CITV �F / �Q/' ; / � /� <br />everett �= ��{' ��- <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PIEASE PRINT <br />259-Bd10 <br />f, DEMOLITION COMDINATION x BUILDING MECHANICAL <br />Eq MAI��D�RESS CITY 21P PNONE <br />�EN rn���isT�� � �5r /��.v �u9m� <br />TEN�ryT M�I DDRESS �! CITV ZIP PMONE <br />�D �� ���" � /CItY 0��o�21P PHONE <br />A HIIECT OESIGNEH IL�ADDRESS <br />�G /���/ �/�-�Y11f:f'i� Ili <br />d �ry �J 21P r PHONE <br />GE�NE�CONTR�� MAILADDR 5 I�O �OX 7�0�/� �//G/-L1/ i <br />✓ � In � r,o, hIl 1 � <br />ME��NI��LLON;R.�CTOR/ M�IL�DDRE55 �%�C� Z�P PMONE <br />/ � . � <br />MRIL <br />SSOFWORK � <br />NEW f' ADDITION i- ��� ALTERAT�ON <br />TENANTIMPROVEMENIORMTEPIp EMODELONLY <br />CONTRIICT FRICE OF WORN: �� � <br />nccrn�nc wnAK �N� SaURE FOpi�GE INVIX.VED <br />LEGAL DE <br />LOT � <br />� <br />ADDRESS <br />� � <br />PROPERTYISNOWNBELOWOR <br />BIOCK OF _ <br />DRAIN <br />FPONTSETBACK <br />USE20NE� <br />� <br />TVPE Of CONSi. ALL WABLE <br />� ti <br />SIZEiFBSWSf f, <br />��'�i�f G4a <br />OCCUPANCVLOAD <br />RE� 'FORSPRINKLERS <br />pPPUC4T10N ACC. BY <br />8 DISP <br />SUB TO' <br />PERMIT <br />TOTAL F <br />REARSETQRCN <br />�� <br />LOTAREn _ , <br />/ <br />ttPE OI LO�i. �LTpAL <br />�`hi <br />NO. OF STORIES <br />I <br />FlRE SPR4KLER5 REO'D <br />YEs x �o <br />PlANS FPPROVED BY <br />J � . i3, <br />Z�p vnOrvt <br />� <br />PLUMBING <br />= 3�3 <br />"3Q�� <br />UCENSE� <br />� <br />UCENSE• <br />everett <br />e <br />SIGN <br />REPAIR �. DEMOLITION �. - WOODFTOVE/FRPL IIJSERT ,� BUILDING RELOCATION <br />CON/T �CT PEFSON Np PNON�.+O ,/ �} ` <br />'�1 ?n� 1'.0,� I�l�C ( a� r<�Fr� ��/.Y—�C'Jc% <br />i HEREBY CERTIFY THAT I HAVE READ AND ExAMINED THIS <br />APPLIi.ATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHEP SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T�� GIVE <br />AUTHORITY TO V�OLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHEF STATE OR LOCAL LAW REGULATING CONSTRUCTION qR THE <br />PERFOFMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED 9V ?HE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICN <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTURS LhW 1827 RCW AND 296.200 WAC. <br />SIGNRTUFEOFLONID4GtORORRUTHORIZEDAGENT D�7E <br />f. �. / Vl � 4 dr'n� ;�/51:�_ <br />�PPLI NTSdTYBU5ME55UCF.N5t1q�ANIlBU51NE55N�ME <br />MECH NICIIL <br />NO. TYPE OF EOUIPMENI <br />- A/C—A/HNOLG UNITS—H.P. <br />- FORCED AIR SYSTEMS—B.T.U. <br />, UNIT HEATERS—B.T.U. M <br />CLOTHES DRYEHS <br />VENTILATION FAN <br />� FANGEHOOD <br />WATER HEATER _ <br />� WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />SIOESETBACK\ PLA� CKN'�UM§ER' <br />i � � 7S <br />vacnnT sire FEES <br />/"VES �. �. NO BUILDING'S`77'� <br />occuv�Mcv xnamrtwxsuxns �/.L-3 C��••. <br />�°J� I PLUMBING <br />BASEMENi MECHANICAL <br />YES DC NO <br />HEIGNTUMITRTION OTHEfl <br />� STATE BUILDING SURCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT PU9LIC WORKS <br />LOCIIL S11LES <br />TAX CODEIS 3105 TOTAL <br />M E.A. <br />TOTAL FEE $ }� <br />3 J,� ' S RE��N� / <br />s'7, /� ayc <br />VALUATION FEE <br />� %`�' S :�/� <br />�00 <br />�� po <br />7 i _] " <br />p �dQ <br />;� <br />