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�. <br />APPLICATIG, i FOR CONSTRUCT. JN PERMIT evere[t <br />fhe Everproen TO BE CO�dPLETED IN INK—PLEASE PRINT � <br />CI7V OF <br />everett HEATING SYSTEM: ❑ GAS O ELECTRIC f] <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION XCOMBINATION j(BUILDING �MECHANICAL �PLUMBINO SIGN <br />Oj4NER � I,IAIL ADDPESS CITY 21P , P110NE _ <br />�' <br />uroa cr minn <br />xNEW . ADDITION ALTERATION � REPAIR DEMOLITION . WOODSTOVE/FRPL INSERT �, BUILDING RELOCATION <br />GONT�CLPERSON M!0 PMOOIE NO .. <br />CONTRACT PRICE OG WOiik <br />OESCq1['E WO M ��� <br />/V/L � <br />PROPOSED USE C�f BUILDINO <br />IEO�ASCNIPT•� �-� <br />LOi (7`� BIOI:K <br />PRQIEGTADDNE55 <br />4! // 6 — <br />� <br />FOOT�GE <br />�SHOYJN <br />SHO�VER <br />K�'i CHEN SINK 6 DI; <br />DISHtVPSHER <br />LAUNDRV TRAV <br />CLOTHES WASHER <br />OF <br />ITEM <br />SUBTOTAL S <br />PERMIT S <br />'fOTALFEE E <br />FOR OFFICE USE ONLY: <br />FRONTSETB�GK RE�RSETB�CK <br />ao' -a�, _ <br />USE2(N�E GL�RE� <br />tt�Z �o,vqy <br />ONIS �IIOWABIF IVP( Of WNSi li(IWl <br />� � ✓ � <br />SREO:BLDO NOOF TORIES <br />1tN3 S'i <br />OCCUPAHCYlOAO Fl ESPNNKLEPSREOD <br />''1,�' —n.� <br />INi�ItEBY FLANSIIPPPOVEDO'/ <br />7 '- <br />FEE <br />I HEREBY CEHTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND NNOW THE SAME TO BE TRUE AND CORflECT. ALL <br />PROVISIONS OF LAWS AND OROINANCES GOVERNIN6 THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIF'IED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REOULATINa CONSTRUCTION OR THE <br />PERFORMANCE OF GONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FUR WHICH <br />APPLICATION IS MADE AHD I COMPLY WITH THE STATE <br />CONTRACTOR LAW 7 8.27 RCW AND 296200 WAC. <br />SIGNATUREOFC R�C ROfl�U IOf11ZE0A0ENT D�TE <br />X <br />APMIC�NTSCITY USIN SSL • ENO.�H`rD USNESSN��������0 <br />' A/C—A/HNDLG UNITS—H.P. <br />' FORCED AIR SYSTEMS—B.T.U. M E.A. <br />' UNIT HEATERS--B.T.U. M <br />CLOTHES DRYERS <br />onuwrtr xoac.vtiirocupi+s <br />B�EM`E�NT <br />7� <br />NEIGNT LyIMITATION <br />20 / <br />CITY OF EVENETT <br />IOCAL SIILES <br />TA)( CODE IS 3105 <br />FIREPLACE I�J; <br />HEATPUMP <br />GAS PIPING <br />E%HAUSTFAN <br />GNECRNUYBER FEE /� <br />I/a�117 V�.S� <br />BUILDING <br />PLUMBING <br />MECMANICAL <br />ADDITiONAL PUN CHECK <br />OTHER <br />STATE BUILDING SURCMRRGE <br />PUBLIC WORKS <br />TOTAL <br />e �� <br />S //o � •�" <br />S � <br />a i �� <br />