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APPLICATIOK� OR CONSTRUCTICA RMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />r I DEMOLITION I I COMBINATION I I BUILDING [/fVIECHANICAL CI PLUMBING I I SIGN <br />PHONE <br />GENERAL CONTRACTOR MAIL AOORE6S <br />-- CITY ZIP PHONE STATE LICENSE X <br />1 <br />ins CIASSOFWORK <br />I NEW DDITION I 1 ALTERATION I I REPAIR I I DEMOLITION I I WOODSTOVE/FRPL INSERT I.I BUILDING RELOCATION <br />I✓ A <br />CONTACT PERSON ANO PNONE NO. <br />G cf fr� (2,-c) -T 7- C909 <br />CONTRACT PRICE OF WORK <br />DESCRIBE WORK AND SQUARE FUYI AGE INVOL)EO ^ I L <br />O(L'cc / KeIA; <br />LEGAL DESCRIPTION OF PROPERTY <br />LOT BLOCK _ <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK REAR? <br />USEZONE LOT AI <br />REASON FOR <br />INTAKE BY <br />y7 U Y <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />LOW OR ATTACH FOUR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />OF 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 />UNIT <br />SIDE SETBACK <br />PLAN CHECK NOMUEN <br />sra € s <br />VACANT SITE <br />FEES <br />BUILDING <br />acuvurcr xo.waxRuxcuxrts <br />cxwv <br />PLUMBING <br />�� <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />HEIGHT LIMITATION <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />J� TAX CODE IS 3105 <br />TOTAL <br />FEE <br />M <br />-J-9;I-- <br />kid`//Iv <br />0� <br />