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APPLICAf-ON FOR CONSTRU010 <br />TO BE COMPLETED IN INK —PLEASE PRINT <br />Ft ErerpreeO .1 01990 <br />CITY OF <br />everett HEATING SYSTEM GAS 0 ELECTRIC O _ <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ZIP <br />OWNER <br />MAIL ADDRESS CITY ZIP PF <br />CITY ZIP PI <br />Li PLUMBING ❑ SIGN <br />ElhCITY <br />ARCHITECT OFIDES'G R <br />MAILADDRESS <br />ZIP <br />PHONE <br />CITY <br />ZIP <br />PHONE <br />LICENSE <br />GENERAL CONTRACTOR <br />MAILADDRESS <br />CITY <br />ZIP <br />PHONE <br />LICENSES <br />MECHANICAL C01'.fMCTOR <br />MAILADDRESS <br />EPoe"1�1- <br />P/►KdA A <br />DAK.o_ig_ <br />NenTAN� ♦ <br />Alac 0NJ tl0'v'4 <br />I-AWZ3Z0As� <br />iS NEW ❑ ADDITION. ALTERATION <br />CONTRACT PRICE OF WORK &2O' <br />DESCRIBE WORK AND SO TARE FOOTAG NVOL ri <br />..0 'Tr D :TA - F34A wA.hnA <br />PROPOE'SED USE OF BUILDING <br />Ly�O <br />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH <br />LOT BLJCK OF <br />PROJECT <br />DRAIN <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REAR SETBACK <br />S i REPAIR <br />TOTAL <br />n <br />3,77_37c $— <br />C; DEMOLITION ❑ WOODSTOVEIFRPL INSERT G BUILDING RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE .;VD CORRECT. ALL <br />COPIES) 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 PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I 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 18.27 RCW AND 296.200 WAC. <br />SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE <br />H <br />SIDE <br />%,&ep y <br />A-ppLhi CITY BUSINESS LICENSE NO, AND BUSINESS NAME <br />WATER <br />AIR SYSTEMS—B.T.U. M <br />ITFRS—B.T.U. M <br />FAN <br />USE ZONE <br />LOTAREA <br />11-1-1.- <br />i <br />BUILDING <br />TYPE OF COSTS. ALLOWABLE <br />TYPE OF COSST. ACTUAL <br />OCCUPANCY 0 amvFulxc carts <br />GRWP <br />PLUMBING ' <br />I <br />SIZE OFBASEMENT gLpG <br />No. OF STORIES <br />MECHANICAL i <br />I <br />ADDITIONAL PLAN CHECK ' <br />OCCUPANCY LOAD <br />FIRE SPRNKLERS REOD <br />HEIGHT LIMITATION <br />OTHER <br />REASON FOR SPRINKLERS <br />STATE BUILDING SURCHARGE ' <br />PLANS APPR�SyTY <br />OF EVERETT <br />PUBLIC WORKS ' <br />INTAKE BY <br />LOCAL SALES <br />�-t-'X <br />CODE IS 3105 <br />TOTAL <br />