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" <br />APPLICATIC'`1 FOR CONSTRUCT"7N PERMIT �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYSTEM: �{GAS U ELECTRIC IJ ___ 1 <br />259•BBtO <br />i I DEMOLITION ❑ COM8INATION �6 BUILOING pCMECHANICAL �PLUMBING I 1 SIGN <br />1 OWNfR ��//��� MI1l�WRkT55 � �7 GT/Y� �J�� 71P PIIONF 1 J�/L1 '�[] <br />NT //[A//'.J DOREaLA/C . �J ��O `I/J� �/P[�E f'�C. �Y=f.I�ID��/'S H�6�� �U ✓ J D�l S CJ Z <br />11DORE55 <br />[ONfRACi011 <br />ilUM91NOIX)HTR�GTON M�Li1DORE9`3 <br />.�if�FTS ./�l.v.o�8.n.i� _ <br />caerw�c� rN�ct a ww� <br />ANO 90U�PF FOQ}/�OE INVOIVED <br />PIqPOSEDUSE Oi <br />1E61LL pEBCPIPTION Oi PAOPFNtY (SIIOWN BELOW OR �IfALN I WO COPI[S� <br />LOT� BLOCI( — OF j�� IJ�w <br />CIIY AIIV <br />�� �ry• <br />CI1Y [IP <br />GIIY <br />GIfV <br />V�RCE T�MID NUMBER <br />�j'7S'C�vO-c�ll -oQ0 '�_ <br />CONSiRIICTION LOAN IENOEN. AOORE93, TEIFPIKMIE NUMBE R <br />AROJECTADOHE88 g � � <br />,�.sa i io� -� - .� <br />KITCHEN SINK d DI <br />DISHWASHER <br />LAUNDflYTRAY <br />CLOTHES WASHER <br />fIOOH DRAIN <br />BACKFLOW PREVENTEf1S <br />ROOF DRAINS--RAINLEAOEFS <br />SINN ISERVICE—BAR, ETC.1 <br />PERMIT S <br />TOTALFEE S <br />FOR OFFICE USE ONLY: <br />F(ION�SF.TB�CU / REM6F.7MGk <br />� <br />U9E IONE /l LOT ARk� C <br />� _ / , V O <br />rm a casi ra oF sToraes <br />2 <br />SRE OF BL00 FIRE SPRMklEflS REOD <br />/ v Sf1 /J <br />OCLUPANCYIOMD FIRE�URMREOD <br />NITAICE BY I PLAN9IIP � 0 Bv <br />D11E�/�/ / 4.^� <br />� I SIUf SF IBAC� � <br />WCMII SIIE <br />n ves n No <br />0.tiUMIY:� M OI VM���Itil/n11 <br />f I vES ffYl�lO <br />��cuNr innir�rpN <br />CITY OF EVERETT <br />LOCAL SALES <br />TAI( COOE IS 3105 <br />YIM)NF <br />NIKNIk <br />_�Q✓�t`- T�7P�A1�J��'�(%� [' 1� <br />21P PNfNaE ST�IE IICENSE � i <br />> 3�y-�l�fr � <br />IIP PIION6 51�IELILENSE� <br />3�S-LOiq .__:?2_s -oz <:�.�-r-r� � � <br />l� <br />cor�ucrvensa�,wnaMoriv�,o j5� _ .�'/'` <br />�f <br />i HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE S,�ME TO BE TRUE AND COAAECT. ALL <br />PROVISIONS OF LAWS AND OAOiNANCES GOVERNING T415 TVPE OF <br />WORK WILL BE COMPLETED WITiI WHETHER SPECIFIED HEREIN OR <br />NOT. THE G9ANTING OF A PERMIT OOES NOT PRESUME TJ GI''E <br />AUTHJfiITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANt <br />OTHER STATE ON LOCAL LAW RE6ULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZEO BV TME <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLIGATION IS MADE AND I COMPLY WITH THE STATE <br />CO CT R��W ts.?,J�j�� D 2963p0 .WAC. <br />//�� e//l<J ditJr <br />— -- �- %��$_ �7�si.'/� <br />!.M.INII�II IMI! <br />OM1 IIuhYN 551 M:1 Mi IW <br />MECHANICAL <br />VENTILA�ION FAIJ <br />WATEfi HEATEH <br />WWD S70VE <br />MF7AL FIREPLACE I <br />FIHEPLACE INSFRT <br />HEAT PUMP <br />SUB TOTAL t ' <br />PERMIT f <br />TO7ALFEE S <br />ic aa �-�- .� - — <br />PIr1NCHif.NN11M11F11 ���3. 7� flhCfl�lj�/�� <br />� 4i3i o <br />euaoiric <br />PLUMBING <br />MECMANICAL <br />ADDITIONAL PLAN CHECN <br />OTHER _ _ <br />STAiE BUILDINO SURCMIiROE <br />PUBLIC WOHKS <br />10TAL <br />