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. `.n.�^..`� . . <br />+ � �,�G;oa.,iqk?T <br />�. . <br />.iP ��"n.�r Y';t:vv:��. <br />.. a�,:µ. .. - . .. <br />4,i",..:. y ' <br />_ YY7 <br />APPLICATI� FOR CONSTRUC7�N PERMIT <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />qr ENrprn <br />cmoF <br />p everett <br />BUILDING DEPARTMENT <br />� 259-8810 <br />❑ DEMOLIiION � <br />AJy <br />v <br />� <br />HEATING SVSTEM: RJ l3AS O EIECTRIC U <br />BUILDIN(i L" i MECHANICAI ❑ PLUMBINQ <br />cm . nv r�ar+E <br />S�e- y8�iSs- 3i<> -,Lob's <br />Citt 21P YMOME <br />everett <br />e <br />❑ SKiN <br />� <br />�u � //y�i CITY ZIP PIqNE LICEN9E / � . . <br />��qy�7pp LWiADONE55 <br />[ <br />►LU\lNOCONTR�CION WLIIDOFESS <br />GTY 21P PMONE IILFNSE� � � <br />cuesoFworo� � , � < <br />❑ NEW ❑ ADDRION � ALTERATION LJ REPAIR i� DEMOLITION ❑ WOODSTOVEIFRPL INSERT UILOINfi RELOCATION <br />CONT�CT PEPSON N!D P110NE M0.)l (�,/ � .. <br />CONfMCTPPICEOFWOI�i S'� }j� i- i CH •f►7� i►d70 .. -' . <br />p�p�plE NONf AND BOIWIE FOOTi10E INV0.VE0 .�! 9 _ . <br />ite �'l . / nc��..VE�� a ii^i T ��.v w . • � <br />sK %M U' 1- hGi {-! <br />oppp�p�pF�p�q I HEREBY CERTIFY THAT 1 HAVE READ AND E% MINED THIS , <br />S(� �C9 I d� y P� APPUCATION AND KNOW TNE SAME TO BE TRUE AND CORRECL ALL . <br />� PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF �' <br />�y�,pES�p�p}qMppp�qpEpry�S1qVMBELOWONATf�CNFOUNCOPIES� W�K WILL BE COMPLETED WITH NMETHER SPECIFIED HEREIN OR � .. � <br />wr 3B v- 3 1 e�puc Fs � 9 oF �✓• NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHOHITY TO VIOLATE OR CANCEL TNE PROVISIONS OF ANV � <br />a a l� '� P SD OTHEN STATE OR LOCAL U�W RE6ULATNG CONSTRUCTiOP� OR THE . � . <br />PERFORMANCE Of CONSTRUCTION• THAT I AM AUT110RIZE0 BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />2 APPLICATION IS MADE AND I COMPLV WITH THE STATE $ <br />CONTRACTORS LAW 78.27 RCW AND 296200 WAC. ! � � <br />sbruruae oF corrtiuc*o(g�\ '. <br />. X // .� . �1l�ur��on��r � ' ¢ <br />\ �l�l % <br />»��� <br />■ <br />-�r.. �:a� <br />a <br />e FOR OFFICE USE ONLY: � o iG� <br />FiIONT SETB�CN REAR SETBAGK� <br />", 2�� Zs� <br />^ USE2N �OTAHEA <br />� <br />ttPE Of CONTS. ALLOWABIE 7YFE Oi C ST �Cil <br />�� -iJ <br />S¢EOFBLDG. NO.OFSiORIES <br />� �5gt Sf GA N+ 2 <br />OCCUPANCVLWD FIRESPPNNLEPS <br />�iIA N� <br />INTAKE BV <br />APPROVEDBv <br />� <br />S <br />WCMlT51TE � rcca <br />�U BUILDING _ _ _ <br />ocaw¢r xoamvauxcuxus �—� <br />4B0pP ' PLUMBING <br />!!-3 <br />BASEMENT MEI:HANICAL <br />NEiGNT uMp n,nON ADDITIONAL PLAN CHECK <br />Z!J' O7HER <br />STFTE BUILDING SURGHARGE <br />CITY OF EVENETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODEIS 3705 TOTAL <br />M <br />PERMIT <br />av'�� <br />T <br />�1� ;30 <br />