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�+7 t�1 � <br />A�x <br />C. N <br />9 H [n <br />4 <br />H H <br />FC i7 <br />OpCO <br />� F-1 �ii <br />t/] H <br />Csl � � <br />HC <br />OH <br />H�g <br />�V n <br />�H� <br />z <br />HH <br />gy <br />n d5 � <br />['! y � <br />H O fn <br />c `' �, ^j": <br />l jv+.v <br />AP"r�LICATION FOR u'.OPiSTRUCT�Oiii PERMIT <br />Ihe Eirorgreen <br />CITV OF <br />euerett <br />BUILDING DEPARTMENT <br />259-8810 TO BE CUidPLETED IN INK—PLF_ASE PR�NT <br />I 1 DEMOLITION I� COMPINATION I J BIiILDING I_ I MECHANICRL I I PLUMBING <br />I,pLNItECT OB OESIGNER <br />n na <br />zir vnorve <br />� t�n.rdr 7�7n<'7 �7/3�' <br />CIIY ZIP <br />arv zm <br />LItY ZIP <br />crtr zm <br />PlIONE <br />arioee <br />imune <br />LIGENSE � <br />LILENSE t <br />L�CENSE � <br />everett <br />� <br />❑ SIGN <br />I I NEW I-1 AODiTION I 1 ALTERATION I I(lEPAlfi I I DEMOLITION I I WGODSTOVE/FRPLINSERT I7 BUILDINGRELOCATION <br />TENANtIMPpOVEMENTORINiERIORFlEMO�ELONLY GONLACTP[RSONANDPNONENO. <br />LONTRACT PPIGE UF WOf1N: <br />❑[5Gfl�8E WORN AND SOIIRIIE FOOIAGE INVOLVED <br />LEGn� <br />LOT <br />PpOJECT <br />BLOCN <br />FfiONI SEtOAGN <br />USEZONE <br />IYPE Oi LONSI ALIOWABLE <br />srzeoFo�oc. <br />occuvnncrtono <br />f1E�50N FOqSPRINI(LERS <br />pPPLICATION ACC. BY <br />OF <br />I HEREBY CERTIFV THAT I HAVE READ AND ERAMINEO THIS �I <br />APFLICAT17N AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL � <br />rrncNFouncoPies� PROViSIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF �i <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH � <br />NOT. THE GRANTING UF A PEPMIT OOES NOT PRESUME TO GIVE �'i <br />AVTHORITY TO VIOLATE OR CANCEL THE PROVISIO�S OF ANY ' <br />OTHER STATE OR LOCAL LAW PEGULATING CONSTRUCTION OR THF � <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE , <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH I <br />APPLICATION IS MA�E AND I COMPLY WI1H THE STATE I <br />CONTRACTORSLAW 1827RCW AND296200WAQ I <br />SIGH4iUREOFGONiRACtO110R4UI110RRE0AGEN� �AIE � <br />�t / / 4P1 tSCIiY01151NE55LICENu N.� USINE� ME �!I <br />n ti ri <br />NO. <br />UNIT HEATERS—B.T.U. M <br />lilV Il1CJ Vlll CIIJ j <br />VENTILATION FAN � <br />RANGE HOOD T— �� <br />WA7ERfi:ATER ///) :is/1 '� <br />,s <br />RE�85ETO�CN SIpE5El0AGN PI�NCHELHNtIMO[!i II <br />�ornnen vncnursire FEES <br />❑ YES LI NO pUILDWG <br />lYPE0fC0115t.AL711A1 aaurer,r in.anxuuncuxns — <br />GPWI' <br />PLUTA�ING <br />NOAFStOnIES OnS[M[.•1i MECHANIL'4L <br />C I YES I I NO <br />FinesrnHKiinsr+eo�o rieic�rtimnrnno�� oTiaEr+ <br />❑ YES ❑ NO STATG BUILDING SURCNARGE <br />STM�ENERGYSURCHpqGE <br />PIANSAPPfiOYEDOY CITYOFEVERETT PUHLIC VOfiKS <br />LOt;AI SALES <br />TAX COOEIS3105 TOTAL <br />5�0 T� <br />PER�d1T <br />�Ee I neceiare+o. <br />�i <br />