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APPLICATIO�1' FOR CONSTRUCTI.�N PERMIT '• Pfec' <br />TO BE COMPLETED IN INK—PLEASE PRINT �, <br />Ms Everpreen <br />CITY GF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />I t BUILDING C7 MECHANICAL ❑ PLUMBING ❑ SIGN <br />CITV <br />��� <br />� <br />� <br />❑ NEW <br />r•� <br />LOT BLOCK <br />ROOF <br />l ❑ ALTERATION I.I REPAIR ❑ DEMOLITION CI WOODSTOVFJFRPLINSERT ❑ BUILDINGRELO(:ATION <br />CONTACTPERSONANDPMONENO. <br />�%Ly� e+� <br />SINK <br />DRAIN <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />BELOWOR�iTACMFOURCOPIES) PROVISIONS OF LAWS AIID ORDINANCES GOVEPNING THIS TYPE OF <br />WORK WILL 6E COMPLFTED WITH WHETHER SPECIFIED HEREIN OR <br />oF NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLPTE OR CANCEL THE °ROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CCNSTRUCTION. THAT I AM AUTHORIZED BY THE <br />UWNEH OF THIS PROPeRTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITN THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATUREOFCONTR�CiORORAUTHOflIZED�OENT D�TE <br />X <br />- � y w w� � <br />� APPLI NTS ITYB SINESSLICENSENO.ANOBUSINESSNAME <br />�� .. � � <br />OR <br />� -- <br />; <br />i <br />j <br />� <br />FOR OFFICE USE ONLY: <br />. ewurccrw�ek REARSEiBACN <br />USEZONE <br />61ZE OF <br />SUB TO' <br />PERMIT <br />' L9TANEA <br />ITS.AIIOWABLE TYPEOitONST,ACIUAL <br />,pp, NO.OF STOHIES <br />:YLOAD FIRESPRNKLERSREO <br />OR SPRINNLERS <br />� FUNSAPPROVEDBV <br />TYPE OF EOUIPMENI <br />NC—A/HNDLG UNITS—H.P. <br />FORCED A�R SYSTEMS—B.T.U. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEF <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING __ <br />517E <br />VACANi SITE r�w <br />BUILDING <br />ocnrvarcr xo aowEuiMulmns <br />cnao pLUMBING <br />BASEMENi MECHANICAL <br />NEiGMiLIMI7ATiON ADDITIONALPLANCHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EYERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX COOE IS 3105 TOT.iL <br />H <br />� <br />� <br />