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APPLICATIQ`�i FOR COMSTRUCT.'`)N RERMIT <br />Ihe Everpreen <br />qTV OF <br />everett <br />BUIL�ING DEPARTMENT <br />259-8810 TO BE COMPLETED iN INK—PLE�A E PRINT <br />❑ DEMOUTION O COMBINATION IJ BUILDING 9.!'MECHANICAL <br />AYfNEq MRIL�DDqE55 dIV 21P PN@1E <br />;amolu Rcsnmbc�,c12 2�-� � 4,cv�.Qam� ��-t. �u.enp� <br />TENANI AIAILAD�AE55 GI1Y 21P PHONE <br />C] PLUMBING <br />, <br />everett <br />e� <br />❑ SIGN <br />• �413'L <br />�RCNIIEGTORDES�GNER M�ILA�ORESS CITV ZIP PHONE <br />OENERALCONiRAC10f1 IA�Il�U0RE5S FIY ZIF PHONE UCENSE� <br />MEC11qNICALCONIMCT�H IAMUpDRE55 GIY, 21P PHJNE UCENSFt <br />�u1nl.oK IlGllrj .i24 AyNE �,an.l�.Icamdq�0.3H 821•H542�Su��ow714b7�, <br />PWMOINOGONTMC70R MAIIADORE55 CII9 21P PIIONE LIGENS / <br />C1A550F WOBN <br />❑ NEW ❑ ADDITION �YALTERATIqN Cl REPAIR f_l DEMOLITIOi� IJ WJO�STOVE/FRPLINSERT ❑ BUILUINGRELOCATION <br />� TENNliIMI'ROVEMENiORINiEPIOPAEN.ODELM']�I.V '` <br />', CONTR�CT PRICE 06 WOON: `� �`•�✓ <br />OESCfuBE WOfiK �ND SOUn(1E FOOI�OE INVOLVEO <br />i G�+e I,+M,r�a- _ — <br />PROPOSED USE OF BUI OINO <br />�l.I�liD-. -i����i/ <br />iLEGRlOESCRIPTIONOFP1i TY�511 lOELOWORA 1 CHFOUfICOPIES� <br />I LO7 eLOGK OF <br />� <br />i <br />5�vm4. a/J C�.f"JC7lJQ, <br />.iEii�I:l��l:l <br />CLOTHES WASHER <br />ROOF �RAINS—RAINLE�DERS <br />ffiONT5ETBACN I REAqSE7B4GK I SIOESETOnCN <br />USEZONE LOTAREA <br />TYFEOiCOHSi.AIlOWA9LF I TYPF.OiGONST.A�IUAI <br />., 612EOFBlDO.� NO.OFSiORIES <br />OCCIIPANCYLOAO FIRESPf1NNLER50ECiD <br />❑ ves ❑ No <br />RE450YIDR <br />APPIIGATION�CC.BY I PLNISAPPROVEDBY <br />FEE <br />vncnNr sire <br />LI YES ❑ NO <br />amm�ncr nvdvmwxa� <br />cnar <br />BASEMENi <br />I7 YES ❑ ND <br />HEIGHT l�M1I�710N <br />CITY OF EVF.REST <br />LOCAL ;ALES <br />iAR CODE IS 3105 <br />WKTACT P.iR501� AND PIIONE NO. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND E%AMINED THIS <br />APFLICATION AP;D KNOW THE SAME TO BE TRUE �ND CORRECT. ALL <br />PROVISIONS OF ihWS AND ORDINAPJCEF. •30VERNING THIS TVPE Of <br />WORK WILL BE COMPLETED WITH WHE�iHEfl SPECIFIED HEfiEIN OR <br />NOT. THE GRHNTING OF A PERMIT DOES NOT PqESUME TO GiVE <br />AUiHOPITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW �EGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. TH�T I AM AUTHOAIZED BY THE <br />OWNER OF THIS PFO?E4iTY TO PERFORM THE WORK FOR WHICH <br />APPI.ICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGNATUf1EOFCONTfi�CiORORRUT110RRE0AGENT OR7E <br />�,.,i,G� OZ..03�(2+ <br />X Suf�'1I�.oK. 4nC . �:�i1 -�00"n <br />APPUC/J�TS CITY B1151NESS LICENSE NO. ANO BUSINE55 N4ME <br />OF <br />FORCED AIH SYSTEMS-8 <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGcHOOU <br />W000 STOVE <br />METAL FIREPL <br />FIREPLACE II�, <br />HEAT PUMP <br />GAS PIPING <br />ExHAUSTFAN <br />PLAN CHECK NUM�EH <br />FEES <br />OUILDING <br />PLUMBINO <br />MECHANICAL <br />OiIiER <br />STAiE OUILDING SURCHARGE <br />S1ATE I:NEf1GV SURCHAf7GE <br />PUBLIC WOnNS <br />TOTAL <br />8 CHIMNEY <br />FEE <br />M <br />SUB TOTAL S <br />PERMIT $ <br />TOTALFEE 3 <br />RECEIPT NO. <br />nB <br />A <br />�u <br />np <br />n <br />� <br />