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' i. <br />APPLICATIO.J FOR CONSTRUCT.JN PERMIT eVefe1 <br />rne Ere,p,ec,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITY OF <br />everett r HEATING SYSTEM: ❑ GAS U ELECTRIC � NON• H/ s17'F,A <br />BUILDING DEPARTMENT -- <br />259-8810 <br />DEMOLITION CdMBINATION x BUILDING MECHANICAL pLUMBING SIGN <br />OWNER MARqODRESS QTV ZIP PHONE <br />NARK ViLKONDFF ?.221 sTarE sr. r_vFR� 9820/ 334 • 945¢ <br />TEN�NT MAIL AODRE55 CITV ziP PNONE <br />NRRK VICKONOFF 2221 STATE Sr• EV�E�Qf7T 9k2o/ �39-9454- <br />AfiBIMlEBP OR DESIGNER MAIL pDDRESS LITV ZIP PNONE <br />JEa,/PNFFR vpKA q2A N• !3p t8 SCA7TCE_, wA 98/33 362'S02S <br />GENERAL CONTR�CTOR MAIL �DDRE55 GITY ZIP PNONE LILENSE t <br />AU'IN6 GUSipN B�.DF,q q2a N• �30'"�4 SEATlZE, WA 94133 362-5015 i4�/NCd l5/M9 <br />MECNANICALCONTqACTOR MRIL�DORE55 GTV ZIP PHONE LICENSEI <br />VLpMBMGCONTR�LTOR <br />SS OF WORK <br />NEW f . ADDITION <br />WORK <br />M�IL ADURE55 <br />.� ALTERATION . REPAIR <br />� 7�LQ0 ^ =� � <br />�o. �� a 12- a��K 403 � <br />PRQIECTADDRESS <br />WATEH CLOSET (TOIL <br />BATHTUB <br />LAVATORV (WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />OISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />FOR OFFICE USE ONLY: <br />FRONT SETBPCN REAR SETBr1C1S <br />� / <br />USEZONE LOTAREA <br />� �� <br />TYP[OiCONiSAIIOWABIE iYPEOFf,ONSi.PGiWI <br />SRE <br />INTAKE <br />NO.OF STORIES <br />I <br />FIRE SPRNKLERS FEO'U <br />�u <br />PLANS�ROVEO BY <br />H <br />dTv ZIP PHONE UCENSE � <br />DEMOLITION �. WOODSTOVEJFRPL INSERT . J BUILDING RELOJATION <br />— ICONTRCT PERSON AND PHONE NO. <br />_IENNIFf�C ✓OQ.A- -' 362-SD2S <br />5�6 sF <br />I HEREBV CERTIFV THAT I HAVE READ nND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO 9E TRUE AND CORRECT. ALL <br />ATTACN FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNIN� THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEiiEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THF PROVISIONS OF ANY <br />7/l • OFb I OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNRIDRE OF GONTRRCTOR OR �UTMOHIZED �GENT DATE <br />SIT[ <br />occw.ecr xoamnwxcuxrts <br />awr <br />'' <br />BASEMENT <br />AI o <br />NEIG�I.�ITRTJON <br />/ / <br />CITY OF EVERETT <br />LOCAL SALES <br />TAl( CODE IS 3105 <br />X�-�---. <br />A�PLIC�NTS f.ITY BUSINE55 LICENSE N0. �ND BUSINEFS N�M4 <br />TYPE OF EOUIPMENT <br />NDLG UNITS-H.P. <br />AIR SYSTEM�-B.T.U. M E.A. <br />1TERS-d.iU. M <br />FAN <br />EXHAUST <br />BUILDING <br />PWMBING <br />MECMANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />8 CHIMNEY <br />FEE <br />$ <br />$ <br />NO <br />Io <br />