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' APPLICATIOtrr FOR CONSTRUCTIa�iN PERMIT <br />!nr ( vrvp,rrn <br />CIiY Of <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PL ASE PRINT <br />DEMOLITION COMBINATION BUILDING ��M.ECHANICAL__ PLUMBING <br />P <br />everett <br />e <br />SIGN <br />' LI�� <br />,_ <br />� , u,i ; - .�,� � � • - �- , ,. �.,� � : <br />EN�Ni 1A�il��ORE55� •GTv IiP PHOHE <br />�RCHITEL' OR OESIGNER MML �D�PESS CItY ZIP P�10NE <br />GEtiER TR�LTOR �pry�Q� �S �NC. �I ^�.�� P � IICENSE/ <br />. 289•6492 — 355.nan �7,42.,py� l._ ~� <br />MECH�HIC�I CONiP�f.fOP 1�109ES5 Y88n Citt 11P PIqNE � LICENSE � <br />MCUp <br />�V/I�:i� W��NIIf� <br />PIUMBI1qCONTR�CTOR I.IMIAppRESF CITV ZIP PHONE IICENSE/ <br />C1A550i WORN <br />�, NEW �. �. ADDITION . tTERATION REPAIR DEMOLITION WOODSTOVE/FRPL INSERT '�. � BUILDING RELOCATION <br />TEN�NTIMVRpVFYENTOPINTER RR MOOEL •� LOf1i�GiPERSpN�NDF110NF.N0 <br />CWTR�Lt PRiCE OF WOIIK: - <br />DESCRiBE WOAK� DSdUBE 'OD OE iNV VED _, /� <br />��Tl <br />vnocoseousEoreuiiona I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />LOT <br />BInCK <br />LAUNDRVTRAV <br />ROOF <br />SINK 1 <br />I � <br />\ �'� iRONi SETBACN <br />\ <br />use za�e <br />IYVF 01 LON51 AIIOVIABIF <br />512E OF Bt00 <br />OCCUP�NCvIOAD <br />RE�SON fOR SFRiNNL[RS <br />�rruunoN ecr. o� <br />��. . APPLICATION AND KNOW THE SAME?O BE TRUE AND CORRECT ALL <br />BEIOW ON�Tr�cHvouAiovitsi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OH <br />_� NOT. THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THA7 I AM AUTHOFIZED BV THG <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STAiE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGN�tUREOfCONiRAC10RONAUI110RIZ[D�GENT O�iE <br />/ n-?!'.,�! �jJ X�� � l�(-�i�l 1� � ������ <br />[/�Y ��PUC�NBGTVflUSiNESSUCFNSENO�NOBU5ME55NAME <br />FEE <br />TVPE OF EOUIPMENT fEE <br />VDLG UNITS—H.P <br />AIR SVSTEMS—B.T.U. E.A. <br />iFRS—B T.11. M <br />WOOD STOVE <br />METAL FIREPL <br />FIR[PLACEIN'� <br />HEAT PUMP <br />GAS PIPING <br />F%HAl15T FAN <br />PE�R6EIP�LM Si�[SF1B�Cn c�nNCr�fcnrvuMltf❑ <br />iot eeEe ver,�ui srte FEES <br />VES NO AUiIUING <br />nr[orcoNs�er,mei rc�,�.w. x��romn���xn„r�, —.-- — <br />�+O°r PLUMBING <br />NO Of STOBIES B�SFMfNi MEGIIANICRI. <br />VES NO -- -- <br />nnEFrnNniEasREon ��EiGNiliMi*��iON O7HER <br />VES NO STATE OWIDING SURCHARGE <br />STATf ENERGV SURCNARGE <br />ruNse��rr,avtonr CITYOFEVEflETT rueuCwoaKs <br />LOCALSALES <br />TAI( CODE IS 3105 TOT�� <br />6 <br />SUBTOTAL 5 • <br />PERMIT S <br />TOTALFEE E <br />tFP AECEiPINo <br />VALUATION <br />r i <br />—_ �— <br />1 <br />