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t <br />�'b�i ` ;;.i2•YS•�..._ . <br />pppL1�AT10N FOR CONSTRUCTIVN PERMIT <br />Ihe Everprean <br />CITY OF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION [J COMBINATION I BUILDING `: MF�CHANICp <br />GITY <br />ZIP rnorve <br />'.-1 PLUMBING <br />everett , <br />� <br />❑ SIGN <br />asa-{��y <br />y Ey�- CITY 21P PNONE LICENSE � <br />PLUMBINGCONTHA�ett� Vyabll p�%Nl <br />ClASS OF WORN <br />❑ NEW ❑ ADDITION TERATION l.7 REPAIR i. J DEMOLITION '�. i WOODSTOVbFRPL INSERT ❑ BUILDING RELOC <br />�� '��� ` CONTACT PERSON AND PNONE NJ. <br />TEIUNT�MPROVEMENTOfiINTER10R EMWE �Y rl <br />V <br />LOT _ 6lOLK <br />j FRONTSET� <br />USE 20NE <br />7YPE Oi CONSi. ALIOWABLE <br />7 <br />. SIZE OF BLDG. <br />OCCUPANCYlOAO <br />RFASON FOR SPflINKLEAS <br />APPLICATION FCC.9Y <br />Cii <br />REARSETBI�GK <br />l0T AREA <br />ttFE Oi CONST �C70A1 <br />NO.OFSTOflIES <br />FIRE SPRNNLERS REO'0 <br />"] YES ❑ NO <br />PlANS APPIi0VE0 BY <br />51 ESETB�CK <br />VRCMIT SITE <br />I HEREBV CERTIFY THAT I HAVE HEAD 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 �IVE <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 1 AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERtY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATU/REOFCONTMCTOAOPAUTMORIEEDAOENT DATE <br />X /I � n t, �, . � _7' �,�-,-, .,, ��t e.,� ��l <br />GITY <br />yil:l <br />M <br />FLANCHEGKNUMBER � FEE <br />❑ YES C NO BUILDING <br />pCCywNCI xo.aUN[LL�NGux�15 <br />�^aP PLUM9ING <br />BISEMENT MECHANICAL <br />❑ ves ❑ No <br />HEIGHTLIMITATION OTHER <br />STATE BUILDING Sl1RCHARGE <br />STATEENERGYSURCHARGE <br />CITY OF EVERETT rueuc woRKs <br />LOCALSALES <br />I TAX CODEIS 3105 TOTAL <br />i <br />i <br />i <br />E � � <br />$ � <br />$ � � <br />RECEIPT NO. <br />FEE <br />i <br />i <br />�T <br />�� � <br />