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QPPLICATIC ! FOR CONSTRUCT _ JN PERMIT <br />TO BE COMPLETED IN BLACK INK -PLEASE PRINT <br />HEATING SYSTEM• LIGAS ❑ ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 ITMPLUMBING SIGN <br />DEMOLITION COMBINATION BUILDING MECHANICAL ZIP /TP PONE % <br />OWNER 11 IL ADDRESS <br />^ o / <br />�%n .. /fnn nl. I4/i1Xl �/ilTf'1 �I(" PRDNe <br />N <br />GENERAL CONTRACTOR MAIL <br />M7ECO h_/MAIL <br />�//5— <br />PLUMBINGCONTRACTDR 2L MAIL <br />I I NEW I I ADDITION 1 1 ALTERATION !i <br />AND <br />LEGAL DESCRIPTION ERTY (SHOWN BELOW <br />LOT BLOCK OF <br />FIXTURE OR <br />FOR OFFICE USE ONLY: <br />CITY <br />ZIP <br />9 <br />"i <br />2, <br />PHONE <br />A <br />I I DEMOLITION 1 I WOODSTOVEIFRPL INSERT 1 BUILDING RELOCATION <br />moo I 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 AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />COMPLETEDWORK WILL BE WITH <br />NOT. THE GRANTIING OF APERMIT DOES SPECIFIED <br />DOES NOT PRESU EHEREIN <br />GIIVVE <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 CONTRACTORS LAW ^1ADE AND I COMPLY WITH THE STATE <br />8.27 RCW AND 96. 00 WAC. <br />M <br />010 <br />_2S- <br />BUILDING <br />TYPE OF CONST. ACTUA!U°�p�Ll�ls <br />6PWP <br />PLUMBING <br />NO. OF STORIES <br />BASEMENT <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />' <br />FIFE SPRNKLERS REO'D <br />HEIGHT LIMITATION <br />i <br />' <br />SPRINKLER <br />I <br />STATE BUILDING SURCHARGE <br />' <br />PLANSAPPROVEDBY <br />CITY OF EVERETT <br />SALES <br />PUBLIC WORKS <br />' <br />/ /- <br />,7k K/9 ` M <br />LOCAL <br />TAX CODE IS 3105 <br />TOTAL <br />