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�r� <br />ay <br />,D�x <br />q H <br />�HC/� <br />y�H <br />�H� <br />Hx�t' <br />L�O� <br />OH�(y <br />H/1 [�+]O <br />y�V C] <br />�H� <br />HH <br />gy <br />H <br />n d � <br />� � � <br />7 yfn <br />�3 O C/� <br />/�� <br />i <br />e <br />APPLIC/.6ti �ONi FOR CiDNSTi�UeeTaON F�fEP3MIT �',°'°" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />� ,o eeo,,v��'��, <br />C:ITYOf _'__- . .. --- <br />everett I �{�qTING SYSTEM: GAS J ELECTRIC J__ -- --� <br />BUILDINu DEPARTMENT � <br />259-8810 <br />CEMOLITION COMBINATION BUILDING <br />01VNER I.rNI AOLF65 CITY <br />��.Q.,r ��zf��ur/ � yf,�-f V �J <br />tEr+�r�r � i!ni�nuoFeYs eirv �� <br />�oB l�DDP�ss��t �-a9�7 �� <br />I.��il ADOfiCSS Ciiv <br />nRCNtt[Cl OR DESiG��EP <br />ldAll FOOFE55 ���� <br />GENEHALCONTR4CiOR <br />CITY <br />�'.ECHANiCA ONiPACiOR MARApORE55 �C ��� <br />��� _�"/t/C /Y'l( /a7� ti � <br />PLU�.I�INGCO iRACTOR IdMLA0�NE5ti C�iY <br />LI.4550F WGRK `, <br />NEW ADDITION 7-ALTERATION <br />CONiRnGT�RICEOFWOPN� /�/[/�CIO_ <br />�[S:.RiBE WORK AN� SOt1APE FOOtAG[ iNVOLVEDU <br />aaovo -ous�oir� _--j% , , <br />ICGALDe: <br />lOi <br />EZti <br />CiiOVE�iiv <br />�LOCK _ <br />F�na=cr nuoness <br />PLUMBING <br />Np, TVPE OF <br />WATER CLOSET <br />LAVATORV 1WASH 9 <br />SHOWER <br />KITCHEN SINK & D�: <br />DISHWASHER <br />LAUNDFYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAI <br />SINK <br />�ow on <br />or <br />REPAIR <br />SUBTOTAL S <br />PERMIT S <br />FOR OFFICE USE ONLY: <br />U�C�iGETeACK R'cAR5E19ACN <br />u51 ZONE LOTAPEA <br />��'�'i0�L01R5.0.110YlFBlE 1YPEOFtOp4.AGID�L <br />SiZ=OFOIDG. NOAFSTOfilES <br />OGCUPANCVl04D FIRESPPNKLERSFEO'D <br />i(ASONFOR �PqINRIER$ <br />vlLV�EflY PiAtlShCPFOV[ODY <br />f7� <br />/ MECHANICAL <br />Zip vN011E <br />I�o�O/' � <br />ZiP PNONE <br />ZiP PNONE <br />ZIP PNONE <br />ZIP NHONE <br />9��as Gs'l� <br />ZIP PNONE <br />PLUMBING SIGtJ <br />DEMOLITION WOODSTOV6FRPL IMSEHT <br />� CONIDGT PEFSON AND PHONE I�0 <br />L�GENSE • <br />LICENSE n <br />Cc�,eBY��raE�s <br />I�CLdSE e <br />BUILDING R'cLOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION F� ���?W THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS l' i AND OR�INANGES GOVERNING THIS TYPE OF <br />WORK WILL B_ ., �;dPLETED WITH WHETHEF SPFCIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br />OTHER STA1 ' OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE hND I CUMPLY WITH THE STATE <br />CONTr1ACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGr1NUREOFccNTRncroRonauiHORREoncE:T oalE <br />N0. I TYPE OF <br />FORCED AIR SYSI <br />UNIT HEATERS-E <br />CLOTHES DRYER! <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTUVE <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />8 <br />no ar�oeusiNessNn�•e <br />SiDESETBACK PIFNC��ECr.^iu1Jf3FR PEE <br />vncaNr sirE FEES <br />BUILOING <br />O(NCRY:V t00°f/:R1'.:tl'e'S — <br />rxnun pLUMBING <br />OnSEMENT MECHANICAL <br />HEIGHiu1uTATiON �DDITIONALPLANCHEGK <br />OTHER <br />STATE BUILDING SUfiCHARGE <br />CITY OF EVERETT PUBLIC WO(iK5 <br />LOCALSALES <br />TAX GODE IS 3105 TOTAL <br />�B.T.U. M E.A. <br />M <br />IOTAL 5 <br />v11T S /S��Q� <br />\L FEE 5 S'�� t�'. �`_ <br />PEC[IPT NO <br />JATION FEF _ <br />___i— <br />— "_ —�� <br />