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-� /lPPLICATIa� FOFi CANS'�6�ilCT�`':1N PE�iMlT eV� <br />TO BE COMP�ETED IN INK—PLEASE i'RINT <br />� �'� <br />'r> � <br />.o�x <br />aym <br />r <br />'3 � H <br />� H xl <br />�TJ H'TJ <br />H r� t' <br />� 0� <br />O H d�y <br />H �C�+] O <br />4]u n <br />9 H� <br />g�y <br />C] Ci N <br />� � trsl <br />z y v� <br />HOm <br />�•�_� _ <br />� ` <br />m � <br />� � <br />the Evergmen <br />CITV OF <br />everett HEATING SYSTEM: GAS d ELECTRIC ❑_ <br />BUILDIN3 DEPARTMENT <br />259-881L <br />DEMOLITION COMBIS�AI'ION BUILDING MECHANICAL -: PLUMBING -: SIGN <br />�WNER MAILACJRE55 � � CITY 'iP PHONE 1 1��" <br />� ��� ���12��(//1. �G[,cj �2��� i%%LCi � i�l� 2�'0� �l,/i%i1GLG� �� �- �r�i�,y-' ���7,��� <br />__..._ i ...�� .nnoccc CITV 21P PHONE <br />.��LU <br />MECNRNICFLCANTRACTOF MAILRDDRE55 CITY ZIP PHONE UGENSEt <br />PLUMBINGGONTRACTOR MNLRDORESS CITV ZIP PHONE IIGENSEA <br />L1A550F WORN .-� <br />!�: NEW L 1 ADDITION f_ ALTERATION y 1 REPAIR C1 DEMOLITION ..�. WOODSTOVE/FRPL INSERT �_; BUILDING RELOCATION <br />�nvTRRCTPRICEOFWOPN � /��j/`�(/ILJ �� �L � CON\Gtp�PS�PHON��/�� l .,n�_��� <br />j � a/ v ni <br />LOT <br />6UILDiNG <br />BLOGH <br />�ISHWASNER <br />LAUNDRYTRAY <br />1�7:➢J 11QR] <br />SINK <br />IAGEINVOLVEO ��/ �i� �,� <br />�u � '/ � c <br />ISH0IYNBEL�OWORATT�uCN'FO�;OPi� �/U <br />� <br />7 < � <br />�5./��! %YaCf" �i <br />',���5 , � �J!�� <br />�P��/ILQ.. /L.� �/liL�/�/' <br />�L /v �'��r� C�� ,�'E� <br />la�,u,l �i�( �'DL <br />�I%TUflE OR ITEM FEE <br />fOILET) _ �_ <br />��' <br />BASIN) ZD ' � <br />..,.., in � <br />FOR OFFICE USE ONLY: <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINEf? THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND GORRECT. ALL <br />PROVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLeTED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OF THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BV THE <br />OWNEfi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGNATOREOFCONTRAGTORORAUtHORt2E0AGENT �ATE <br />� FRONT SETBACK REAR SEiBFGK SIpE SETBACK PLAN CHEC% IJMBE <br />� 5ee s��� PCHN � oi5 7 <br />115EZONE LOTAREA VACANTSITE FEES <br />- 7 � /� .,J <br />iY <br />� � �� <br />TVPEOFLONiS.ALL�WAFIE 1YPEOFLONSt.ACNAL <br />512E OF BLDG NO. OF STOR1� <br />I�IJI 50., fT�' 7� <br />y3 S.F. GhR <br />OGCUPANCVLOAD FIBESPPNY.LERSREO� <br />--�0�0+ <br />fiEA50N ORSPRINKLERS �� <br />ilrtAK[ C+ PLANS RPPPOVED UY <br />.�i'�' �(2 <br />i5 LIGENSE NO. AND HUSiNE55 NAN <br />E OF EOUIPMENT <br />i UNITS-H.P. <br />i`.'STEMS-B.T.U. M E.A. <br />S-B.T.U. M <br />lERS <br />FAN <br />"R <br />.ACE & CHIMNEY <br />BUILDING <br />OLCpi.1V v NO qpNEL4NGYPoR <br />0P0U° PLUMBIHG <br />2"3 , <br />BnSEMEr+T MECHANICAL <br />�� <br />HEIGHT LIMITATION ADDITIONAL PLAN CHECK <br />1 <br />J OTHER <br />STCTE DUIL�ING SUFCHARGE <br />CITY Or EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX COOE IS 3105 TOTA� <br />TOTAL <br />�= <br />l� <br />