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9 <br />APPLICATIC�°1 FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />HEAI'ING SYSTEM: J GAS J ELECTRIC J_ <br />BUILDING DEPART�4ENT � <br />259-8810 <br />I DEMOLITION COMBINATION <br />o�vr�eN r.�.ni�noc�ess <br />��l� � �� <br />rennN' r � in�+anooaEss <br />�PCMitECTOR0E5iGNER �dARADORE95 <br />PlUMOiNGCON1RACiOP A'NL�D�RESS <br />CO T CLPRICEOFV/OPK� <br />(/L <br />�ESCR E WOPK �ND iOtIAR_ FOOTAGE iNVOLVED <br />�r'��i v�� � S <br />PROPOSED USE OF FWLDING <br />IEGAL OESCRiPT'ON OF PPOP[flTY i+��OW�� �ELOW OF AifACH TVIO COPIESi <br />LOT — BLOCK OF <br />�.._./ .�....,.�� /�G,Sr <br />PRRCEI.TA%ID NUI.ICEq <br />CONSTRUCTION IOAN LEN�[H, A�ORE55. <br />PROJECTADDRESS <br />[�l: <br />KITCHEN SINK 8 <br />DRINKINC <br />NlI1d9ER <br />TOTAL <br />FOR OFFICE USE ONLY: <br />FPONi5ET8ACK REAfl58TOACN <br />ll5e ZONE LOT AREF <br />IVPF.OFGOIISI. NO.OFSi0RiE5 <br />SIZE OF BL�G. FIPE SPRINKLERS REOD <br />..,.,.��.,..�,.,,�,..,, c�n�niamnneoo <br />RE�SON <br />INTANE BY <br />❑n*F <br />nPPFovEo ev <br />BUILDWG MECHANICAL PLUMBING <br />❑iV LP PIION[ <br />3 � ��,/�,-.�1 �=��.:�� �` .�s�—�� <br />QTY ZIP PIIO4E <br />CI1V ZIP PHONE <br />..._ ounuc �i i. _ ii..cin1[. � i^GNSG v <br />SIOE SEIDACK <br />CITY 21P <br />CONTFCT PE850N AND PHON[ NO <br />PHONE <br />p <br />,..., <br />� SIGN <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PFiOVI:.�IONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br />PERFORAIANC: OF CONSTRUCTION. TNAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHIGH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 7027 RCW AND 296200 WAC. <br />�f� � �` � ,�—` <br />SiGFR1UNE ��� <br />NO. � ire �r euuirmen i <br />A-C—A�HNDLG UNITS--H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNITHEATERS—B.T.V. M <br />CLOTHESDRVERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER NEATER <br />WOOD STOVE <br />METAL FIREPLACE (WOOD BURNWG) <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL S _ <br />PERMIT 5 _ <br />TOTAL FEF 5 <br />R FEE RELEIPTNO <br />�� <br />. . YES � NC BUILDING <br />aco�zricv noaw;nur.,i:�:s — <br />�90L° pLUMBING <br />6ASEn.IENi MECHANICAL <br />VES r' NO <br />HEIGHTwdiTnilON ADDITIONALPLANCHECK <br />OTHER <br />SiATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />;S� <br />auAn <br />