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APi+LICATIf `Y FOR CONSTRUCT'9N PERMIT ���� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPAFTMENT L <br />259-8610 <br />DEMOLITION COMBINATION <br />11 Na1Ji �� <br />aRC��11FCi OR p'_SipN[R <br />PAQ� i�flt— <br />GF?lFR� ONiqRCt <br />C� R <br />MECv�NIULCONPd OR <br />SSOC A1r <br />PIUMPING CEN1iRACTOR <br />vK �Lu�„�v� <br />cuss or Yronn <br />%�NEW A�DITION <br />MAII AODRC55 <br />. �e•� <br />M�iL RDpRF55 <br />Mnll PppRE55 <br />IMA�L Aa 8 n le ss <br />� �3 <br />M411 �DDAE55 <br />ALTERATION <br />UFtif,R19F WORN AND SOU�R( iMipCE INVOIVED <br />�11 - � �,i��4u a� � ow� _ _ <br />nnnroSED USE OF BUIIDIN , <br />S 1 N9 �R �W rv+ ��-- <br />I F GAt DESCRIPtION OF PROPERTV �SHOWN BEIOW OR RTT�LN <br />10� ��_ Bl0(:N OF <br />NL" %y NW%y ,SFe .�A <br />HEATING SYSTEM_ ,� GAS J ELECTRIC J_._ __ .. <br />_ X BUILDING <br />cirr <br />9—�x i 3 ; ,: <br />f,liY <br />Crtv — <br />7! `�:_S1�F; <br />'� � uo�,o+� <br />Qiv <br />lp�n�l_P� , _i <br />��,� <br />�;��•t', f�IA <br />� MECHANICAL <br />tn' PNONC <br />s�tNOhon� �at� , G <br />Z�P PNONE <br />PLUMBING �.,GN <br />II� PHONE <br />� A 9�'� 3y?-o 9y y <br />ZiP PNONE 5l�iE IICENSE � <br />�A %��9t y&�-I l9 CwBai�.w�o: <br />ZIP y�" p��ONF S��TE IICENSE � <br />�t� �1+� 9 2,y� .�vtlu Asso� i� 3 q R 9 <br />2�� �HpNE 5'QE IICENSE • <br />REF'AIR DEMOLITION WOODSTOVE�FRPL INSERT <br />CONTACi PERSON �ND PHpry[ NO <br />si <br />� �S <br />��o� Lors+ St�_ �E <br />PnOdr^.t�ooREss <br />v„' TYPE OF FIXTURE OR ITEM <br />WATEF CLOSEi �TOILET) <br />BAThTUO <br />LAVATORV IWASH BASIN) i � ' <br />SHOWER <br />HITCHEN SINK 8 DISP <br />DISrIWASHER <br />LAUNDRVTRAV — <br />CLOTHES WASHER � <br />URINAL <br />DRINKIiI � FOUNTAIN <br />F! OOR DRAIN <br />BACHFLOW PFEVENTERS <br />ROOF DRAINS--RAWLEA�ERS <br />SINK ISERVICS—BAR. ETC.1 <br />SUB TO <br />PERMIT <br />TOTALF <br />FOR OFFIC�3 USE ONLY: <br />fpnNlSFt[i�CN � qE�RSEiBACN <br />��>� a,� <br />U :F 7oNF lor �qEn <br />�' -5'� 7�v <br />IVPF.Sf.ONIS�IIOW�RIE fYP[OfCUH51AL1uAt <br />Z�S_z sF c <br />IX;CI1PpNCY I.ORp <br />lERS REO'D <br />N' <br />iNuxEBv I rinNserrnovener <br />I �����,, <br />BUILDING RELOCA"ION <br />i HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SA�v1E TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYP� OF <br />WORH WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE CRANTiNG OF A PERMIT DOES NOT PRESUME f0 GIVE <br />AUTHORITV TO VIOLAiE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OA THE <br />PEfiFORIdANCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PEFFORM iHE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH 7HE STATE <br />CONTRACTORS LAW 13.27 qCW AND 296200 WAC <br />s,��. � � 6��1 �`� /�1pI93 <br />��Je " o��[ <br />Cnr B�S�NL55 t iC[ NhL Ma <br />�N=1VMl <br />TVP[ OF F.0 <br />A�C—A�HNGLG UNITS- <br />FUFCED Alri SVSIEM; <br />UNIT HEATERS—� T U <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE HOO,� <br />WATER HEATER <br />WOOD STOVF <br />FAN //r/ <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />SIOESE/B�CN PIANC�ItCnNUA1HFn iFf <br />� � ��� � y��� �� <br />V�CANTSITE FEES VALUATION <br />BUIL�ING <br />amr�4n Mn w exi,. �...i e..s _—_--. "'_. '_--_'— ' I�'-�_. <br />90p� PWM9ING <br />� �– _ — <br />B�SEMENI MFCHANICAI <br />�((J — <br />MEIaHiuMirAnorv ADDITIONALPLANCHECN <br />Zf,'�_ .c�ax+«cr�� L��I�° _ _ — <br />'=iATF O111L01NG SURClIARGF — <br />CITY OF EVERFTT PUlil IL WORNS <br />LOCALSALES <br />TAX COUE IS 3105 TaT�� <br />� <br />� <br />-�, <br />a <br />