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� <br />�� <br />��. <br />_ a ,��`:: ;,; ;_. , �. -� <br />, ;,,;�.,.;, _ z���� �t .w�., _ <br />APPLICAT�N FOR CONSTRUC�:�ON PERMIT � <br />' TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />r HEATING SYSTEM: Yj GAS 0 ELECTAIC ❑ <br />BUILDING DEPARTMENT � � <br />259-8810 :� <br />i I DEMOLI710N ❑ COMBINATION L:1 BUILDiNG �I I�tECHANICAL ❑ PLUMBING I:I SI(iN <br />OWNER M�IL�OORESS CITY ZP PNONE ; <br />�1T BX1SIt� WffiYtITY 14t1i i POPI�IR SVffit6'1T iA 98201 258-92Z S <br />TEIUNT M/JL�DDRESS CITV � P�E <br />�ARGHIIECTORDESqNER MA�L�0011ESS CITY 21P r'HONE � <br />GENEHN.CONTMCTOP IMRADDRE55 CRY 21P PMONE STATELICENSEI 9 <br />1 <br />•"`^'•�•••• —^^�'�"� 7469 m►l�C�li l� rwYal� w 9e96a '15a—Sul � . <br />MECN�ICKGpNTp�Cipp y/�IL�pp�ESg CITY 21P PIqNE STATELICENSE� � <br />O�Y I!� 1471 127t2� PL I�E HSGi8W6. 1a 4B�Oi bl6–a�77 rw�avst�c�nc } <br />���� �T��pp y�q /�ppqE55 CITV ZIP PlIONE STATE LICENSE 1 � <br />� <br />GLASS OF WOfIK <br />'�, I NEW CI ADDITION �I ALTEflATION I l REPAIR <br />o¢scw� wauc ua sa�w� raoT� invo�veo <br />i <br />rnoroseo usE oF eu�w�n <br />lflfllT F1MTTY <br />LECr40ESCXIPTqN OF P110PEPiY (SfIDNH BELOM <br />lOT_ BLOCI( OF <br />1333-35-37-39 <br />3 FOH OFFICE USE ONLY: <br />FRONTSE!3AGN NEMSETBACK <br />uSEZONE IOTME� <br />. IYPEOfCONiS.ALOW�BLE iYPEOFGONS7.ACNAI <br />�iIE OF BLDG. NO.OF STOPIES <br />oCCUPNiCYLWD FIPESVNNKIEflSRE <br />lIEF50N FOR SPPINKLEHS <br />� .NIANEBY PlANSAPPROVED9 <br />I I OEMOLITION Cl WOODSTOVFJFRPLINSERT I�I BUILDINGRELOCATION <br />cowr�cr rensor+�ra w�oae ra. <br />:a,i,r . <br />a ; <br />� , <br />a � <br />SIDE SETBACK <br />VACMlT SITE <br />OCCUG.WCY NDIXpWlLLIMGUNIIS <br />GRWP <br />BASEMENT <br />HEIGHT UM�TATION <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 9105 <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS F <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORHECT. ALL � <br />PROVISIONS OF LAWS-AND ORDINANCES GOVERNING TMIS TYPE OF <br />WORK WILL BE COfAPLETEO WITH WHETHER SPECIFIED HEREIN OR � <br />NOL THE GRANTINO OP A PERMIT DOES NOT PRESUME TO GIVE q <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY � <br />OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR TiE � <br />PERFORMANCE OF CANSTRUCTION. THAT I AM AUTHORIZED BY THE � <br />OWNER OF THIS PROPEHTY TO PERFORM THE WORK FOR WHICH � <br />APPLICATION IS MADE ANG I COMPLY WITH THE STATE ; <br />CONTRACTORS UW 7827 RCW AND 296200 WAC. ; <br />�iC�.64--- � <br />,��/7�1y <br />Spµ�1y11F Wif � <br />INSERT <br />��l�D �,/lo <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />SPRINNLEP <br />STATE BUILDING SURCNARGE <br />PUBLIC WORKS <br />mrw <br />FEE <br />M <br />a <br />i <br />i <br />_. y <br />