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� �� APPLICATION �FOR CONSTRUCTION PERMIT <br />fM Eveipreen <br />LIiV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN <br />I I DEMOLITION I � COMBINATION � i BUILDING <br />QWNEP \ � � \ „ MAIL �f1URE55 __ „ � � -�� GT - <br />n� i� �i 1 �i o <br />uui eooness <br />AIMI �OOAESS <br />M�II. ES � <br />�1 n._ ._)1 <br />everett <br />e <br />PRINT <br />ANICAL i: PLUMBING I 1 SIGN <br />�r�l ����i- c--��-���'-f- <br />CITY � ZIP PIIONE <br />CI1Y 21P PNONE <br />GITY 21P PIIONE <br />11l �� �/1�E 0 ll � f_�� <br />I <br />MECMANICAI CONifiACTOR M�II. ADORESS dTY '� 21 1/ ^� �� pl�p� �� _� lIC NSFj� ��—� �' r <br />�"� � L � ' <br />PIUMBINOCONTflAGTOR MPILAGORE55 CITV ZIP PIIONE LICENSEI � <br />CUSS OF WORN \' / <br />I I NEW L I ADDITION ,'yQAISERATION I! REPAIR I I DEMOLITION I I WOOUSTOVEIFRPI INSERT I I BUILDING RELOCATION <br />7ENANTrIPROVE4ENTORINTEPI(]RPEMO�ELCNIx _� CONT�GiPEflSObANDP110NEN0 <br />�, ►�tU <br />LEOAL DESCPIPTqN OF PROPEPTY �SMOWN B4lOW OR ATTACB FOUfl COPIESI <br />LOT BIOLK OF <br />rnaecr <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET�TOILET) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTFAV <br />CLOTtiES WASHER <br />URINAL <br />�RINKING FOUNTAIN <br />FRONTSETBACK I REARSETORCN I SI�ESETO�CN <br />USE 2dlE I l0T �NEA <br />TYPFOfCONSf AIlOWABIF I IYPEOfLON51 ALIUAL <br />SREOFBIOG I NOOFSTOPIES <br />OCCUVANGVl0�0 FIRESPRNNLERSPE00 <br />iIYES IiNO <br />PE�SON FOR SPRINNLERS <br />APPIICATI011�CC BY I PUNS�PPROVEOOV <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINEG THIS <br />APPI.ICATION AND KNOW TFIE SAME TO BE "i RUE AND CO7RECT. ALL <br />PROVISIONS OF LAWS AND ORDiNANCES GOVERNING THIS TVPE OF <br />WORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A �'ERMIT DOES NOT PFESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PfiOVI510NS OF ANV <br />OTHER STATE OR LOCAL LAW REuULATING CONSTR� ICTION OR THE <br />PERfORMANCE OF CONSTRUCTION. THAT I AM Al�" •`RIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE K�RK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOFiS LAW 1827 RCW AND 296200 WAC. <br />SIGN�iMEOFCON7RAGtORORAUTHLRIZEDAGENT D�7E <br />� <br />X � �C4Utl �. �e.1'1� <br />APPIIGANTS dfY BIISINE S IIf.ENSE IJID bJ51NE5S NAME <br />CLOTHES <br />WATEF HEATER <br />WOOD STOVE <br />MFTAL FIREPLACE 8 CHIMNEV <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />PIANCIIECKNUMOER � FEE <br />WCRNT SIiE FEES <br />i i YES i i NO OUII.IIING <br />IXCIIV�NC1 M1O dlN-'IipLliMfS . <br />LPpiP <br />PLUMBWG <br />6�SEMEN! MECHANICAL <br />IiYES �:NO � <br />IIEIGNTIIMIT�T10H OTIIER <br />--- — STATE BUIIDING Sl1RCHARGE <br />SiATE ENERGY Sl1RCfIAHGE <br />CITY OF EVERETT p1�ULIC WORHS <br />LOCAL SALES — <br />TAX CODE IS 3105 rora� <br />FEE <br />RECEIPT NO <br />