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APPLI�ATI�rV FOI; CONSTRUCT1nON PERMIT <br />the Evergreen <br />CIiY OF <br />everet�t <br />BUILDING DEPARTMENT <br />259-8810 TO BE <br />O DE LITI N � COMHINATION <br />OWNER MA1lADORE55 � <br />i��` A nrvVl ..-I/ -� <br />:w <br />� rir�u� -� <br />ORDESIGNER A1 LI <br />�. i M+'a' /r <br />NfRRCT03 fl , Nl�L/ <br />MAIL AODRE55 <br />CU890FWORK � <br />❑ NEW ❑ ADDiTION <br />� <br />TENANT IMPFOVEMENTOR INTE/R�IOjj\i {'�1MODE/�,p\NLV <br />CONTRACTPRICEOFWORK: ([}/V� _�J <br />DESCPIBE WOq� AND 5pU FflE FOOTA�E INVOLVED <br />r._.�1., nll /� _._..,..�-.� <br />LEf1RL DESCRIPTION OF PROPER7V (SHOWN BELOI <br />LOT BLOCK OF <br />OF <br />8 <br />DRAIN <br />�LETED IN INK PL SE PRINT <br />BUILDING MECHANICA <br />L ❑ PLUMBING <br />PHONE � <br />PHONE <br />3-�'7U� <br />PHONE <br />LICENSE <br />everett <br />� <br />❑ SIGY <br />� � �� <br />PNONE LICENSE� <br />�!-i3 <br />PHONE �ICENSEI <br />❑ REPAIR ❑ DEMOLITION C7 WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br />fANTACT PERSON AND PHONE NO. <br />i neneer utniirr inni i nqvt NEAD 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 />N�ORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY <br />OTHEF SThTE 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 1827 RCW AND P96.200 WAC. <br />SIONATUREOFCONTRACTORO�HO DAGENT OATE <br />X <br />AP ICAMSCITYBU SSLICEN O.ANDBUSINESSNAME <br />METAL <br />FRONTSETBACK pERRSETBACK SIOESETBACK PLrWCHECNNUMBEq <br />USEZONE LOT�REA VACMlTSITE FEES <br />❑ YES ❑ NO euiLoiNo <br />TVPEOFLONST./�LI.OWABLE MEOFCONSLACNRL �o�' �.a�'FWNauxrte � <br />GRWV <br />PLUMBING <br />SIZEOFBL00. NO.OFSTOPIES BASEMENT MECHANICAL <br />❑ YES ❑ NO <br />OCCIIP/JlCYLOAD FIPESPpNKLEflSflEVD NEIGHTLIMITATION OTHER <br />❑ YES ❑ NO STATE BUILDINO SURCHARGE <br />flEASON FOfl 6PNINKLER3 <br />STAtEENERGYSURCHARGE <br />APPLICATION ACC. OY <br />PLANSAPPROVEDBY CITY OF EVENETT PUBLIC WORKS <br />LQCALSAlES <br />TAl( CODE IS 3105 TOTAL <br />E.A. <br />SUB TOTAL $ ' Q ' <br />PERMIT $ � ; <br />TOTAL FEE $ yJ� � � <br />FEE qECEIPTNO. <br />VALUATION FEE <br />i <br />i <br />I <br />-�_ I <br />J'i, . - � <br />.'.4 ....�� � <br />� <br />