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� <br />APPLICATi'10 FOR CONSTRUCTION PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />Ihe Eve/prean <br />CITV OF <br />everett HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259•8810 <br />i.l DEMOUTION I:I COMBINATION <br />oW� us �� r�' N�i:y ��SS��.��i4 <br />MPIL <br />I I BUILDING <br />CITY <br />/ �lo/ f <br />CITY <br />I�!1WECHANICAL LI PLUMBING ❑ SIGN <br />21P PNONE <br />ziL �cr ,�zv� z�S� 9Zz.Z <br />ZIP PHOHE <br />APCHITECTONOESIGNER MAILADDRESS GITY ZIP PHONE <br />GENERALCONTRACTOR M�ILADORESS CITY ZIP PFIONE LICENSE/ <br />MECHANIGILGONTR�CTOR MAILAODRE55 GITY � Z�P PHONE ��ENSEI <br />�JD� � �'L.u,c<d,�✓ P�> �// 37 � STzz�c.vs ui,vy�zs� �_3y�.3o9 3?x_s��scz. <br />PLUMBINOCONiR�CTOR MAIL DDNE55 CIiV 21P PHONE LIGENSE� <br />Cl/S5 OF wOnK <br />I I NEW I 1 ADDITION I._I ALTERATION f. I REPAIR <br />CONTRACT pflICE OF WORN �I � L� O� S�O <br />DESCRIBE WOf1K AND SOUIIRE FOOT�GE INVOLVED <br />�7�4 S 'P 1 �1 nX'1 <br />PilOPOSED USE OF BUIIDRlO <br />LEGAL DESCPIPTION OF PROPF <br />LOT BLOCK <br />WATER CLi <br />BATHTUB <br />LAVATORY <br />DISHWASHER <br />UIUNDRY TRAY <br />OF <br />� <br />FIXTUAE OR REM <br />DRINKING FOUNTAIN <br />FLOOfl DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAC <br />SINK (SERVICE—BAR, ETC <br />SUB TOTAL 3 <br />PERMIT $ <br />FOR OFFI(:E USE ONLY: <br />FqONTSETBACN AEAR; <br />USE <br />1YPEOICONIS.ALIOWABIE I 7YPEOFCONS7.ACNAL <br />SRE OF BIOG. <br />OGCUPANCYlOAO <br />REASON FOR SPFII <br />INT�NE BY <br />NO.OF STORIES <br />FIRE SPRNKLERS REO'D <br />PLANS APPROVEO BY <br />VpCANT SI1E <br />I. I DEMOUTION I� I WOODSTOVE/FRPL INSERT ❑ BUILDING RELOCATION <br />CONTACT PEfi50N AND PF10NE NO. <br />� OLCUMHL'I H11 MM1NFIIINGUN115 <br />� GRWV <br />B�SEMENT <br />US <br />I HEREBY CEHTIFY 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 GOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO QIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE CR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFI2E0 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 />SMaNATUNEOFCONTMCTOPORAUTHORIZEDAGENT DQE <br />TYPE OF E <br />A/C—NHNDLG UNIT; <br />FORCEO AIR SYSTEA <br />UNIT HEATERS—B.T.I <br />CLOTHES DRYERS <br />VENTILATION FAN <br />FANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREP4ACE 8 <br />FIflEPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />PLAN CHECK NUMBEfl <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHAPGE <br />PUBUC WORKS <br />TOTAL <br />AND BUSINESS NNAE <br />M E.A. <br />SUB TO' <br />PERMIT <br />FEE � RECE�PTNO. <br />M <br />� <br />i <br />i <br />i <br />