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APPLICATIC .1 FOR CONSTRUC7^JI� PERMIT <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT ��� �� <br />]-- <br />BUILDING DEPARTMENT �EATING SYSTEM: ❑ GAS �] ELECTFIC ❑ _ I <br />� <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING ✓SiGN <br />OWNE�•v• � y��ppq � � CITY 21P FHONF. � <br />A ESS <br />/.'b 7j! 9,��1A,c.m !�/i1- y�a-�3 Sz�—o �6i <br />TEN4NT MAL�DDRE55 Ci1V 71P PNONE <br />�PGNITECTOHDESI6NER M�IL��DPE55 ��ty p�p <br />IIP <br />ZIP <br />PIIONE <br />PNONF. S1�TE LICENSE � <br />=+� s�l2. SS S�t�'.�GT/ 3/ Co <br />PHONE STRTE LICENSE � <br />PI.UM8INOGONTRACTOR M�II�DORESS CIiY 21P PIqNE ST�TEUCENSE� <br />ClAS WOqN <br />� NEW ADDITION .1LTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br />n `�� CONiAGT PERSON ANO PNONE NO <br />115E OF BUI�DINO <br />lEOAI DESCHIPTqN OF PROPERIY �SHOWN BELO'N OR'�i,T�.CIN 'F�O'URJCOPIES� <br />LOT Z� �T BIOCN �_ pf �/�/�(�y/�(� <br />��?�vNsav <br />�ooness <br />//9. � <br />NO. <br />OR ITEM <br />_ LAVA?ORV�WASH BASIN) � <br />SHCWEP <br />KIrCHEN SINK 8 OISP <br />DISHWASHER <br />I.AUNDRV TRAV <br />URINAL <br />PREVCNTERS <br />FOA OFFICE USE ONLY: <br />i110NTSETBACK qF.PR5ET6�CN <br />�� - <br />M <br />U.f ZONE LOT �RE � <br />—� � 90 �, 2, <br />tYMOfCONfS�IIOWABIE iYV[(V[ONSfAt7U�1 <br />SIIF OF BlDO <br />OCCUPANCYLO�O <br />RF.�SON FOR SPRIN14EH5 <br />INTAY.E BY <br />NO Of fifOFIL: <br />FIPE SPRNKlERS REC <br />PlANS�PVqOVE7Bv <br />��i� III <br />SIDE SFTB�CR <br />s',».,� �. �� <br />VAC�NT SITE <br />ncmo�.t. I wawnvm�w;unns <br />G�WO <br />HGIGHT IIMiT�t10N <br />�S � MM/ /s � <br />CITY Of EVERETT <br />LOCALSALES <br />TAX COOE IS 3105 <br />i HEREBV GERTIFV THA7 I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PFiUVI510NS OF LAWS AN� OI�DINANCES GOVERNING THIS TYPE OF <br />WORK WILI BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL ?HE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF GqNSTRUCTION. ThAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROP[�'TV TO PEPFORM THE WORK FOR WHICH <br />APPLICATION IS fAADE AND I COIdPLV WITH THE STATE <br />CONJAOCTORS LAW t8271 �CW AND 296.200 WAC. <br />N0. <br />A/G--A�HNDLG UNITS—H.P. <br />fOHCED AIR SVSTEMS—B.' <br />UN�7 hEATFRS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WAfER HEATEFi <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMN <br />PI�NCNE�K <br />BUILDING <br />PLUMAIIJG <br />MECHANICAL <br />AUDITIONAL PUN CHECK <br />SPFINKLER <br />STATE BUILDMO SURCHARGE <br />PUBLIC WORNS <br />TOTAL <br />FEE <br />SUBTOTAL a <br />f'ERMIT S <br />TOTAL FEE i <br />FEE IEGEIPTlq <br />`5 5— � '" <br />VALUATION FEE <br />--�JL� <br />