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I-ftft� <br />APPLICATIC 1 FOR CONSTRUCT )N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />noAAnl ITInN COMBINATION BUILDING u1ECHANICAL PLUMBING SIGt` <br />r,FUFRAL CONTMCTOR MAIL ADDRESS <br />CITY 21P PNONE STATE IILENSE0 <br />CUSS OF WORN <br />I I NEW I✓ADDITION i i ALTERATION � REPAIR � I DEMOLITION i ! WOODSTOVEIFRPL INSERT BUILDING RELOCATION <br />CONTACT PERSON AND PH HE NO. V <br />d 7 <br />CONTRACT PRICE OF WORK / �Pd <br />DESCRIBE WORK AND SQUARE FOyAGE MVOT ^ L <br />§nC2 <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 />LEGAL DESCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACHFWRCOPIESI WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />LOT_ BLOCK 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 />8 <br />FOR OFFICE USE ONLY: <br />FEE NO. TYPE OFOF <br />P9s� <br />BUILDING <br />TYPE OF CONTS. ALLOWABLE <br />TYPE OF CONST. ACTUAL <br />GCCUpP NO M GYALLING UNITS <br />cvav <br />PLUMBING <br />• BLDG. <br />NO, OF STORIES <br />BASEMENT <br />MECHANICAL <br />,,SIl2IEOF <br />-1 <br />�� (. 71 I. � • <br />ADDITIONAL PLAN CHECK <br />OCCUPANCYLOAD <br />FIRE SPRINKLERS REDD <br />HEIGHT LIMITATION <br />41 <br />11le)5l <br />SPRINKLER <br />REASON TOR CPRINKLERS <br />STATE BUILDING SURCHARGE <br />I <br />` INTAKE BY <br />PLANS APPROVED BY <br />CITY OF EVERETT <br />PUBLIC WORKS <br />LOCAL SALES <br />.A JAn <br />TAX CODE IS 3105 <br />TOTAL <br />M <br />$ 1 /o-DI - <br />A <br />