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APPLI�CATI �`h FOR CONSTRUC7 r�� N PERfMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />in� ererorea� <br />CIiV OF <br />everett � <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />Ne <br />CT OR DESNINER <br />� A/G <br />r.ua <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING <br />ci � <br />�� <br />CITY <br />arv <br />❑ MECHANICAL ❑ PLUMBING <br />YIIVrvt <br />rnone <br />v�e <br />❑ SIGN i <br />OENERALCONTORAGTOR MAILADOPESS CITY 21P PNONE UGENSEII <br />90�a�el�epqiR S�Qv��� Bor, ab�Fs" F�✓�P�`r 9�a63 337-�a�-z D�mA�I z3PD3 <br />MELMIN ALCON MCTOH MAILADDflESS CITV 21P PHC IE UCENSEI <br />PLUMBINOCONTflACTOR MAILADORE55 CITV ZIP PHONE LICENSEI <br />�� //��..."__., i�%i0iifu.�lr <br />C1A880FW0i11c .. <br />O NEW ❑ ADDITION I I ALTERATION <br />LOT <br />NO. <br />I WATER <br />BLOCK <br />8 DISP <br />irrvaveo <br />FOR OFFICE USE ONLY: <br />FROHT6ETBACK NEARSETBACK <br />U6EZONE LOTAREA <br />REPAIR I I �EMOLITION I I WOO�STOVE/FRPI INSERT ❑ BUILDINQ RELOCATION � <br />CONT�CTPERSONANOPHONENO. �� a 2 <br />C..(� /Yla��,rore d 337 - <br />� I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AtL <br />LOW OR �TTACHFWRCOPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIfI[D HEREIN OR <br />oF NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISI0IJS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTiON. THAT I AM AUTHOflIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPL'f WITH THE STATE <br />CONTHACTORS LAW 18.27 qCW AND 296200 WAC. <br />SIGNQUREOFCONTMGTOflOHAUTHORIZEDAGENi OATE � <br />X �.� '1 �i, <br />�/v� <br />SUBTOTAL S <br />PERMIT S <br />TOTALFEE S <br />OF EOUIPMENT <br />UNIT HEATERS—B <br />CLOTHES DRYERS <br />VENTIUITION FAN <br />RANGEHOOD <br />WATcR HEATEF <br />WOODSTOVE <br />ME1AL FIREPLACE <br />FIREPLACE INSER' <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTFAN <br />PIAN CMECK NUMBEN <br />BUILDING <br />TYPEUiCONfS.AIIOWABIE 1YPEOftOHSCAC7UAL o[cuwnc� xoaowtuixauxrts <br />. cnao pLUMBINO <br />BREOFBl00. - NO.OF6TORIES BASEMEN7 MECHANICAL <br />� OCCUPANCVLWD FIREBPRHKLERSPEO'0 HEIOHTIIMITATION ADDITIONALPUNCHECK <br />OTHE�I <br />flEA80N FOR 6PRINIfLERS <br />STATE BUILDINO uURCHARGE <br />WTAIfEBY �UNSAPPROVEDBY CITYQFEVERETT PUBLICWOHNS <br />. LOCALSALES <br />TAX COUE IS 3105 TOTAL <br />..�-.:..�....-.;., , �.. . .-c . . �� . . _ . . , _. . -- .. .... . . . .:r«.r.� . . . . <br />- <br />M E.A. <br />RECEIPT NO. <br />� <br />� <br />a <br />a- � 00 <br />i <br />� ; p 0 <br />i <br />i <br />N <br />I av` �m <br />:.. . . , <br />