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APPLICATIO� FOR CONSTRUCT dNi PERMIT <br />fhe Evergrcen <br />CITV OF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />1 DEMOLITION I' COMBINATION X BUILDING MECHANICAL <br />OyWNEH � MAILApORE55/ GIIY ZIP PHONE <br />h� � '�'- �a I (i �, � � CD�Yr J�l�i l�ox � �` L . � ��n ��, <br />IENANT M�ILADORESS LITY IP PHONE <br />PLUMBING <br />everett <br />e <br />SIGN <br />NEW ��,_; ADDITION ALTERATION REPAIR <br />TENRNTIMPROVEMENTORIMERIORREMOD[LONLV <br />CONTPACT PFILE OF WONK: <br />DES RI�E WORK P% SOUARE FOOTAGE INVOLVE� <br />I�� I�J l l+A'YSi <br />P 0 EDUSEOFBUILDING <br />E�S� 5��. <br />LEGRL OESCNIPTION OP PROP[Rtt �SHOWN BCL01V OR <br />iot ?i e�ocK or � <br />/�n�_ i7 _Q4 <br />RDDRE55 <br />1 I '9 <br />� WATER CLOSET �TOIL <br />> BATHTUB <br />� LAVATORY�WASF'BA'� <br />� SHOWER <br />KITCHEN SINK 8 DISF <br />/ DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVEN'� <br />ROOF DRAINS—RAIN <br />SINK 1SERVICE—BAR <br />FRONTSETBnCK REARSETBACN <br />ao' � <br />�E LOTAREA�-7 � <br />� 7 <br />iV1'EOfGONSi.ALLOWABIE 7Y �OiCONSi.AGiUAI <br />' �'� <br />SIZ[ OF BLOG. t qlt NO.OF STORIES <br />Z. T27 Se 2 <br />OCCUPANCYLOAD FlRESPRNHLERSREO'D <br />XYES J NO <br />. <br />RLASONFOPSPHINNLERS <br />APPLICATION FCC. BY P�ANS nAPPRD/VED �Y <br />//7i` <br />FOUR COP E5� <br />�_ l/�_ � <br />�EMOLIIION . . WVVUJivvtmnr�mocni <br />CONiACT PEr� ON 4ND NONry NO. <br />Y—., Ml n,l��-.—in <br />ITAL $ <br />f $ � <br />FEE $ <br />SIDESEiBACH <br />c' <br />VAC4Nt SI1F <br />VES NO <br />OCLOIPNCY NOMDWRliN61 <br />BAS[MENi <br />��. � YES x NO <br />NJGHi LIMITA710N <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />�. ouu.uuv� <br />-�3 <br />I HEREBY CERTIFY ThIAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLE'fED WITH WHETHER SPECIFIED HEREIN OR <br />IJOT. THE GRANTING OF� A PERMIT DOES NOT PRESUME TO GIVE <br />AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAV! REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CON;iTRUCTION. 1 NAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPE.RTV TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br />SIf.NANfiEOFCONTf1ACTONOHAUTHONIZ[�AGENT DATE <br />X <br />' 1zOQ, 4— <br />APPLIC NLSGTYBUSW[SSLIG[NSENO.ANDBUSMESSNAME <br />FORCED AIR SVSTEh <br />UNIT HEATERS—B.T.I <br />CLOTHES DPYERS <br />VFN�i ILATION FAN <br />RANGEHOOD _ <br />WATER HEATER _ <br />WUOD STOVE <br />METAL FIREPLACE: 8 <br />FIREPLACEINSEflT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />a yv3-� <br />BUILDING <br />PLUMOING <br />MECHANICAL <br />oriier� ��Qn r�'�O.r��C. <br />STATE BUILDING SURCHARGE <br />STATE ENFRGY SURCFiARGE <br />PUBLIC WORKS <br />rora� <br />B.T.U. M E.A. <br />M <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />FEE <br />ya N � P <br />RECEIPT N0. <br />333/ <br />C�7J <br />