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APPLICATlvN i'OR COI�i�TRUC'� �ON PERiVII (`/�� <br />Ihe E'verpreon �I �/ <br />everett <br />cirvoF ����� � <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—/PLEASE PRINT <br />fJ DEMOLIiION I I COMBINATION I � BUILDING l`Lc1�jE6HANICAL I I PLUMBING I I SiGN <br />�%'NEp M�ILAOOAF^^ CITY ZIP PIIONE <br />,t�A�� N,� p'��=�-� �'�i �'�'�h�.l,r i1Yl — G� I � <br />� CITY ZIP PIIONE <br />�flLNRECTORDE5IGNER M�ILAO�NESS CI7Y 71P P110NE <br />IIP <br />��� — � l��c. <br />--� -^ rrvnt LILENSE I <br />u_/3-� <br />PlI1MBMULONTR�CTOR IAAILADORE55 GTY ZIP PIIONE <br />UCENSE I <br />CUSS OF WOpK � / <br />❑ NEW C] ADDITION ,D:`AL7EqqTION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT f 1 BUILDING RELOCATION <br />TEN�NTIAIPpOVEMENTORMTEflIORPEM00[LON CONiACTPEP50N�NDPMONENO. <br />�FI I�li-��1 i�/� <br />rnoroseo <br />LOT tlLOLN <br />SHOWEF <br />FRON7uEf8�CN <br />c IUNE � ' —' ' — <br />IVPE Of CON57 ALLOWABIE <br />SIZE OF BLDO <br />OCC'1oANCYLOAD <br />1`EASON FOR SPlIINKLEPS <br />APPLIC�iION ACG. BY <br /><<,a.r [e��-I����r. <br />__. �// I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO dE TRUE AN� CORRECT. ALL <br />iOWN BEIOW OR �RAGI FOU(i COPIES� PROVISIUNS OF LAWS AND ORDINANCES GOVEqNING THIS TVPE OF <br />oF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />— NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO aIVC <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCA: tAW REGULATING CONSTH�IC.T10N OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT, �.(�h:a1.ITHORI2ED BY THE <br />OWNEF OF THIS PROPERTY"SUY�EHKORM THE WORK FOR WHICH <br />-- — APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW IB.27 RCW AND 296200 WAC. <br />_ SIGNAIUREOFCONiR�CIOflORaUIHONREOAGEYT D�IE <br />A .., i <br />_ � <br />OR <br />GAS <br />IICENSE NO AJ/p'911SINFFS N�ME <br />fERS—B.LU. <br />DRYERS <br />ON FAN <br />PLACE 8 <br />INSERT <br />SUB TOTAL $ — <br />P[RMIT a � <br />TOTAL FEE $ � <br />RE�P SETBRCK SIOESETBACN PLANGNECKNUMBER FEE <br />LOT �RE� VAGANT SITE FEES <br />I I YES I I NO BUaDING <br />TYPEOFLONSI.ILTUU accuvurcr xaurowmixcuxns <br />dFWP <br />PLUMBING <br />NOAFSTOfiICS B�SEMENT MECh1ANICAL <br />I I YES I I NO <br />FIRESPRNNLERSNEO'0 IIEIGNiUMIT�110N OTHEP <br />f] YES I I NO — <br />STATE BUILDING SURC/{qqGE <br />STATEENEhG-ISURCHARGE <br />PL�NSAPPqDVE00Y CITY OF EVEflETT p�JBLIC WORKS <br />LOCALSALES — <br />TAX CODEES 3105 Tora� <br />� <br />� <br />i._:C�'—�j � <br />