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APPLICATI�+� FOR CONSTRUCT�ON PERMIT <br />fhe Evergresn <br />CIN OF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION 17 COMBINATION CI BUILDING I I MECHANICAL <br />OWNER�� �> � MAILAOOHE CIiY 21P / PV <br />L�� _ � -� �. � � El� /l _ C C -�-�1 . /. <br />54 ��- <br />CIIY <br />CITV <br />5.1►ia i <br />PHONE <br />PHONE <br />everett <br />� <br />❑ SIGN <br />�131 <br />GENEBALGO TRACTOR— MAILAO�a Fp5 CITY ur �nc ��en.ac. <br />���' � tatr�Jl'LoF.� Sid 4f�'fi�ts�. $�6��E, f��. f�rs�l Sq_v�rs /ol Cf►'1 <br />MECHANICPLCONiflACTOB MAILAODPE55 CITV Z�P PHONE LICENSE/ <br />�_ <br />PLUMBINOCONiflACTOq MAILAODRESS CITY ZIP PNONE LICENSEI <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION i� ALTERATION Cl REPAIR f.] DEMOLffION I_ I WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br />TENANTIMPBOVEMENTOBINTE flNEMOOEIONLY CONT(��P�f�50NAN Pi0�0. y r�� � l <br />/. 1 J— <br />CONTR�CiPHICEOFWORR: �O�OO U (�L/ � �� V _ <br />�ESCRIBE WORN iNU SO AflE FODT�pp7 E INVOI EU • <br />:7�n �..�\ � � 7��_._�n vci.� �./!�'C'c�li � <br />P <br />LE.0 4L DESCflIPTION OF PHOPF <br />LOi BLOGK <br />Sr_ i- <br />BATHTUB <br />LAVATORY(WASH BA; <br />SHOWER <br />KITCHEN SINK 8 DISP <br />lOW OP ATTACH FOUR COPIES) <br />OF <br />OR ITEM <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTEflS <br />ROOF DRAINS—RAINLEADERS <br />FPONTSETBACK <br />USE ZONE <br />SUB TOTAL $ <br />PEFiM1T $ <br />TOTAL FEE $ <br />REARSETBACK SIOESETBACK <br />IOTAA[A VACANTSITE <br />r.� res <br />TYPEOFCONST.PLLOWABLE TYPEOFCOtISTACNAL <br />• ��( ll -/.1. <br />61ZEOF0LDG. NO.OFSTORIES <br />z, a <br />OCCUPANCYL A� FIRESPRNN�EflSPEO'0 <br />�VYES II NO <br />fleA50N FOR SPflINNLEF75 <br />J� <br />BASEMENT <br />I I YES I� <br />HEIGHT LIIAITATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL , <br />PROVISIONS OF LA�NS AND ORD�NANCES GOVERNING THIS TVPE OF I <br />WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE � <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE ��, <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHC9IZED BY THE <br />OWNER OF THIS PROPERTY TO PERFqFiM THE WORK FOfl WHICH <br />APPLICATION IS MADE AND I CUMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 YJAC. <br />SIGNATl1REOFCONTA�CTORORAUTHOflIZEDAGENT DATE <br />tiJ�YU `I� ,p � <br />APPLICANTS CI7Y B1151NE55 LICENSE NO. PND BUSINES AkE <br />TYPE OF EQUIPMENT <br />IDLG UNITS—H.P. <br />11fl SYSTEMS—B.T.U. M E.A. <br />fERS—B.T.U. M <br />CLOTHES DRYER: <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />NO BUIL�ING . <br />uxcuxns <br />{_ PLUMBING <br />MECHANICAL <br />No <br />OTHER <br />- STATE BUILDING SU(iCH�RGE <br />STATEENERGYSURCHARGE <br />APPLICAiIONACC.BY PLANSAPP VEDBY CITYOPEUERETT PUBLICWOFICS <br />LOCALSALES <br />TAX CODE IS 3105 TOTAL <br />& <br />PERMIT <br />$ <br />N <br />H <br />