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APPLICATIC 1l FOR CONSTRUCT"'°`)N PERMIT �� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />DEh'OLITION COMBINATION <br />OWNER MAILAOURE55 <br />/.���l�o�q, �. 5�.,4..:�'iz.. 3'Fza la2h�1 �l sF <br />TENANT M�ILAD�RE55 ' <br />HEATING SYSTEM: jd GAS ❑ ELECTRIC ❑ <br />RN� h 1�n.17y �� <br />GEOIE�IAL CONTRAGTOP <br />MI11L HV VMtJJ <br />244 �.J 4� <br />MNI.AOORE55 <br />MFIL NWHt55 <br />PWMpINGCONTRACTOH MAIL���RE55 <br />BUILDING <br />CITY <br />MECHANICAL PLUMBING SiGN <br />Z�P PHONE <br />�7 nST 2zQ_ dC� 1 <br />�,��r r�N y3SE SS/4- <br />/� /�•1 <br />� C17Y ZIP PHONE STATE UCENSE k <br />CLASS OP WOFK <br />X NEW I'. AGDITION AITERATION REPAIR <br />CONTFACT PRICE OP WCRK <br />OESCRIBE WORK AND SOL'APE FOOTAGE INVOLVED <br />/�w R����e..<e ��4Z8a S.r I.i��I 134D SFy�.�;�:� <br />PROPOSED USE OF B�ILDING o d <br />S�1yIC {4M� �� a`f_?�.�[_.�C. � <br />LEG��SCFlIPiIONOF ROPERTV�SNOWNBELOWOFATfqLHFOUFCOPIES� , <br />�or 3 BLOCK oF 5.-:6ro�ke ��44 <br />QGGJ�d�t"4 � iL1a ��q� 7�7, <br />� n �G �4 �n v. ✓r' r A?' '/Y�9 1-S ? <br />_�`,� �ti�.�.,s.✓c. 11-�ca�-.LS a-Y <br />/�l � / - O(�t7 - �C) � <br />PRQIF.CTADDRE55 <br />'?/1/57 _ C i� I �%� CI . 1 <br />7. TYPE OF FIXTURE OR 171 <br />WATER CLOSET (TOILET) I � I � <br />� BATHTUB li' <br />�J LAVATORY(WASH BASW� ny.i <br />� SHOWER <br />� KIl'CHEN SINK & DISP <br />1 DISHWASHER <br />I LAUNDRYTRAY � <br />I CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTP:RS <br />ROOF DRAINS—RAINLEADERS <br />'_ SINK (SERVICE—BAR. ETC.I <br />GIIY 7.IP <br />GIiV <br />C/" •��t�o@P�C <br />:s �=� i�HA-�{ <br />�T <br />�LMti�>� �A.�w <br />FEE <br />� <br />—� <br />� <br />0 <br />SUB TOTAL $ ; <br />PERMIT $ <br />TOTAL FEE S � <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN REFFSETBACK <br />z-5' � ' <br />USGZONE � LOTAREA <br />iVPE0FC01 .ALLOWABLEv iYPC0�L0115i.�y <br />Tt ,. i _ J <br />SIDE <br />VAC�NT $ITE <br />� y� BUILDING <br />xo uv ov,Ew•,e wers <br />I PLUMBING <br />MECHANICAL <br />'�ION ADUITIONAL PLAN CHECK <br />� I <br />SPRINKI.ER �. �.; I;�,�� <br />STA7E BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />rnvn� SiAiE LICENSE M <br />PHONE STATE LICENSE M <br />DE�dOLITION WOODSTOVE/FRPL INSERT ' I BUILDING RELOCATION <br />CUNTACT PEPSON AND PHONE NO <br />_ N��k../-s 5��.:.fZ �.�s..% 266-�s'SG <br />I HEREBY CERTIFY THAT 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 TYPE OF <br />WOflK WILL BE COPAPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT ?qESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNEF qF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />x l�...��. Q� l-/� �l'3 <br />SiGN�iI1RE OAtE <br />NO. TYPE OF E�UIPMENT� FEE <br />NC—A/HNDLG UNITS—H.P. <br />2 FORCED AIR SYSTEMS-6.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />I CLOTHES URYERS <br />I VENTILATION FAN <br />2 RANGEHOOD <br />1 WATER HEATER <br />WOOD STOVE <br />�. METAL FIREPLACE & CHIMNEY � � � <br />FIREPLACE IMSERT " <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN / - <br />PLAN <br />�—. <br />t NO O� STORIES BASEMI <br />RA E 2 <br />FIRES!�'.NHLERSREOD MEIGHT <br />REASONFORSPRINKLEf75 � <br />INTAKEBY PIANSAPp�E��V <br />._...i <br />SUB 1�OTAL 5 <br />PERMIT $ <br />TOTALFEE 5 � <br />� 7v. �� <br />� REC T NO. <br />�/ �5 ��c��/7 <br />9 <br />