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� r � <br />ry ;� <br />��x <br />C� H <br />1ti� <br />rx <br />y zH <br />K o <br />o xo <br />� Cn H <br />y r <br />��� <br />HG <br />O H <br />H t�] O <br />�� n <br />9H� <br />r z <br />r-+ y <br />� N H <br />C'] C C/� <br />� r� r <br />n e� <br />H O (�/� <br />APPLI�r.�`�i'���N ��R COP1�`��ra��`�°A�� <br />P�RMIT <br />Ihe Evo�J�cen r�ru�ll <br />(dTY OF <br />everei� <br />BUILDING DEPARTMENT <br />259•8870 TO BE COMPLETED IN INK- PLEASE PRINT <br />owrvea mni�aooaess cur nr� vuorve <br />Gary Gross 82�08-9th P1 W ➢7 Eeerett _ _ 355-1653 <br />TENANi 1!AILAD�FE55 Clrv LiP PNONE <br />A�CNITfCiCPpE51GNE� fAAILAO�P[55 C�1Y 21P PMONE <br />GRlERAICDViPALTOP MAILPODRE55 � LIiV Zln PHONE LICIiN`_.� _ .. <br />�G}o..odJe�� C+a{n.�s�t Inc 11z17-60th St NE Lk. Stevens 98258 3;4-926z NDRTHG 124L0 <br />MECNM0IC�.CORIR4L'1V�e9���arB�� MARAD�REcg — Cltt ZiP PIIONE LICE1:61 = <br />PLUM1�BINGGONTRACTOR Id<f_q0�FE55 GITY ZIV PHONE LILEY`il: � � <br />p� NEW ❑ pO�ITION ❑ AITERATION ❑ REPAIR ❑ D@dOLIT10N ❑ WOODSTOVE/PRPLINSEFT ❑ BUILOINGRELOCPTION <br />n RANi IMPROVEMENT OR INiERIOA A�EMOOEL ONIT COYLPGi PERSON ANO P�fONE NO <br />CCViRAGiPPICEOFWOPF �9�j,VO �%�0�� Gcade Const Iftc 3�4-9z62 <br />❑ESCPIpE WORK iN0 SOCAitE i00TAGE INVOLVED <br />24 x 20 9arage 480 sq P � _ ---- ---_--- ---. -- <br />ic.. 8.— e�oc� or <br />_�ec_ 1 <br />_ _-- - - -____. . .. <br />n 7�" �/ i. ) <br />PLUMBING <br />NO. TVPEOFfIXTURE <br />bYAI C' QLGSET (TOILETi <br />� BATHTI�� —'- <br />0 KITCH[N SINKB OISP. <br />� <br />DISHWASHER <br />�� � —_ — <br />_ LAUNDRYTRA� <br />CLOTHF.StYASHSP <br />�t �o <br />��d <br />FLOOR DRAIN <br />BACKFLOVJPREV <br />ROOF CRAINS— <br />SINK�SERVICE— <br />I HEl7EBVCEfiTIFY THAi I HAVE READ AN� E%PMINEDTHISAPPLICATION AkJ <br />KNOV."HESAMETOBETdUEANDCORFiECT ALLPROVISIONSOFLAWSAND <br />ORDINANCES GOVERNIM1� THIS TVPE OP WORK WILL BE COh1PLETED WITH <br />V�HETHERSPECIFIEDHEREiNORNOT.THEGFANTINGOFAPERIdITDOES NOT <br />PRESUME TO G W E AUTHORI fY TO VIpLATE OR CANGEL THE PROVISIONS OF <br />AN� OTM ER STAT E OR LOCFL LhK' REGUTATING CONSTRUCTiON OR THE PER- <br />FOPI.IANCE OF CONSTRUCTION. THAT I nM AUTNORIZED BV 1 HE OWNER OF <br />THIS PROPERNiO PERWRM THEYJORK POR WHICH APPLICATION IS MADE <br />F�ND I fpMPLY WITH THE STATE CONTRPCTORS LAW 1827 �7CW AND <br />296 200 WAC. <br />S�GNPIUPEO�GONIRACiORnuavib0��12[paGENi �AtE <br />:�, ,J, ,�"�iJ � .�� -E ;___L/t�_N <br />4 fSC�lep'; ,ICE'SLYO�ND 51 S5�1AVE--- <br />�:ECHpNICAL <br />M FEE NU. TYPEOFEOUIPMENT <br />I A,'C—A/HNDLGUNITS—HP. <br />_ _ _._ . <br />_'__-__ ._ _. __ _ _._ —__— __— --_-- <br />FORCED A'a SYSTEMS— B.T.U. IA EA <br />. — —___ — _'_ <br />.__—___'__._'______- ___ <br />l NIT HEATGFS— BT.U. M __ <br />� GLOTHESOFVER$ <br />VENTILATION FAN <br />aANGEHOUD <br />VJAIER NEATER <br />. 'NOODSTOVE <br />�dETAL FlPEPLACE 8 CHIIdNEV <br />°IREPIACEINSERT _ <br />HEA1 PL'?AF' <br />— -- —� � iA5 PIF'ING -- —'_' <br />-- — -- "' � �.. . E%H:W:��T FAN -- <br />SUB TOTAL <br />PEF.MIT _ <br />iOTALFEE <br />FRONTSBiBALe A[PRSEf0A6. / <br />/ �` <br />� _�_,t/ <br />us[zon[ iorrn[a <br />CPEOFCONSi OCCU{�A4CVGItOUP <br />ALLOWAJjJACiUPL _ , , <br />.l{ �I 4�Y —� <br />S�ZEOLOLOG NOAFStON[5 �SMI. <br />�Ff�'� SF _ � � <br />�Il1[SPPINNLLRSBEOOIPED '!YES �N(1 _ _ <br />:.I'i'II!::.11(]'!:.(".-I� ��PLPNSAPGRBY l <br />J � � /»1�r3 ', <br />5 <br />IITES "110 <br />SUB TOT�L <br />__ .. __ _._ __—_. ___—_—_ _— <br />PERh11T <br />__ ._—._--__. ___. <br />TOTALFEE <br />PLPNCNECNNUMBEN fE/En <br />iJ (/�_)/ V '� <br />BWL�ING __ <br />PWMBING _ <br />MECHANICAL <br />OTHER <br />STATE BWLOING SURCHARGE <br />STATE ENERGV SUPCHARGE <br />PUBLIC WORKS <br />TOTAL <br />7�V_�_ <br />FEE <br />� I <br />5 <br />EC�TNQ C ! <br />S ��''� � _ ��� <br />FEE <br />—�_ _G=�`-1 � ,. <br />,� M1 � . . . . � . <br />. . . . . . ,.i .. . . ...� .., . . � .. <br />