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A'P�ALlCQTIO�F�R CONSTRUCTI� PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />rHEATING SYSTEM� U GAS U ELECTRIC ❑ <br />BUILDING DEPARTMENT � <br />259-8810 <br />DEMOLITION CJMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />OWNEH lA�ILAp�RESS / CITV ZIP PIIONE <br />l�ri�tSc, .� rf�� .�c 9n.n. 1a�S�'�h�zP/�`/3ss ,!/nNnc�« rf_7'. 968i3 i��B)sa s�:�,y <br />TENANT MAIIADDRE55 QCItV 21P PNONE <br />AAP OF �.t�A�FI RlfTz�,J /S�3U �JtZCFl�i�.1l�4 �UfZF'T 9�30/ o?Sg--.�S'cQL <br />ARGNITECTOP�UESiG'N[R IdAI�hDOPE55 GITY ZIP Pf�ONE <br />sy.��2�T •r�C�• /c$.'i/O /1��`�. o�D�` S'[t�1F /d� ����rn.e�\ /�8D5 � So.�-�o// <br />GENERALGONTRACTOFI IdAILA0DFE55 GTY ZiP PHONE STAT[LICENSEn[��RJS�'/Q//OLL <br />(�t//z�s Mo�c.�y �n�s7�vcz-�o„� .�io� iiG�''�1✓� n1.£_ Lx �rsv-,�s 9�Ya�� -='�-�i <br />M[CHANICALCONTFRf,Tpq �MqILA0�RE55 CITY 21P PMONE STRE4CENSE> <br />� . `� %(F ^ T / .J!' <br />PLUMBINGCONTRACTOP MNLADDRE55 CITY ZIP PHONE STATELIGENS[a <br />GLASS OF WORK <br />'�. '�, NEW '�. I ADDITION �G ALTERATION . REPAIR �. DEMOLITION �� WOODSTOVFJFRPLINSERT �. BUILDINGRELOCATION <br />I CONTACTPER5011ANDPHONENO. <br />DESCPIBE WpRI <br />��i <br />PROPOSEDUSE <br />� <br />LEGAL DESCPIP <br />LOT <br />FOOTAGEINVOLYED <br />OF PROPEFiY (SIIOWN BEtOW OR ATTACH <br />BLOGH OF <br />BATHTUB <br />SINK & DISP <br />HER <br />TRAY <br />URINAL <br />ROOF <br />SINK 1 <br />SUB <br />FOR OFFICE USE ONLY: <br />FRONTSETBICH REAPSETFIACK <br />USEZONE LOTAqEA <br />1YPEOFCO�OS.ALLdWABIE iYPE0FC0�I5i.AC <br />SIZEOF�IOG. NO.OFSTOFIES <br />OGCUPANCYLOAD FlFE9PNNKLEBSREC <br />REASONFOfl SPRiNNLERS <br />INTAHEBV PLANS APPFOVEDDY <br />FEE <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMWED THIS �� <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL '. <br />PFOVISIONS OF LAWS AN� ORDINANCES GOVERNING THIS l"VPE OF i <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR �, <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE 'i <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY ' <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE , <br />PEFiFORMANCE 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 GOMPLY WITH THE STATE <br />CONTRACTOFS LAW 1827 RCW AND 296200 WAC. i <br />x�2- C_�. ��� a� �io-�3z� <br />s�cumr�e L �oaie �I <br />arv euswess ucer�se r�o ' <br />MECHANICAL � <br />NO. TVPE OF EOUIPMENT FEE I, <br />A/C—A/HNDLG UNITS--H.R I <br />FORGED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M � <br />CLOTHES DFYERS ! <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNFY <br />FIREPLACEINSERT <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB <br />FEE 5 <br />SIOESETBACK PLANCHECKNUh10ER FEE <br />vncnr+TsitE FEES VALUATION <br />BUILOING <br />aeeueuier rm.erav�wu,mn�e <br />seovo � pLUMBING <br />oASEMENr MECHANICAL <br />NEIGMTLIIAITATION AODITIONALPLANCHECK <br />SPRINKLEii <br />STATE BUILOING SUFCHPAGE <br />CITY OF EVERETT PUBLIC WORNS <br />LOCALSALES <br />TAX COQE IS 3105 TOTA� <br />�� <br />, <br />