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APPLICATIO� FOR CONSTRUCT�.�N PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />au E.«r+«� `� <br />cirv oF <br />everett HEATING SYSTEM: U GAS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259•8910 <br />I:I DEMOLITION I I COMBINATION �� BUILDING i� MECHANICAL I I PLUMBING I.I SIGN <br />���� ,1 Z�� PHONE <br />��Ep � M�ILADLRE55 f _ 1 ... _ _rtl !�!] "J.n1 � L`_R QC;jC� <br />11DORESS• CIIY IIP PNONE <br />ARCHITECTOROESIONER M�iLADDRE55 <br />CITY IIP PIIONE <br />OENEMLCONTMCTOR MMLADONE55 <br />CI7Y 21P PNONE LICENSE � <br />MEC ICALCIXI7R�CTOR MAILADOPE55 <br />CI1Y IIP PHONE LICENSE� <br />p�UMlIN6CONiR�CIOR M�ILAOf10F.SS <br />CIIY 21P PIIONE LIGENSE� <br />I I NEW I I ADDITION <br />(',p�fMCT PRICE OF M/ORI( <br />pE9�p19E Wp{M AND SOU�AE FI <br />/_� �i0.A.lJ 1 <br />r~norose uae oF euwora <br />S iX� <br />LEd1L DESCNIPTION OF N <br />LOT ��K , <br />GflINKINa <br />I I ALTERATION <br />8 DISP <br />.:�i <br />FOR OFFICE USE ONLY: <br />p�qHTSE10/�CK f1F11fI5E1P�CN <br />USE20NE InIn11FA <br />TYPEOiCONIS.ALIOW�BIE IYPF UI GON51 AC' <br />SIZE OF BLU6. NO. OF 57001E5 <br />OGCUPMlCYLOAO fIRESPIINNLFW, <br />PEASON FOIISPOINNLERS <br />BV I �L�NS <br />REPAIR <br />I I DEMOIITION I i WOO�STOVE/FRPI INSERT I I BUILDING RELOCATION <br />GONI�CI PFIISON �N01'IIUNf: NU <br />UB TOTAL E �_ <br />ERMIT $ ____;__ <br />�TAL FEE E � <br />'--- SII�FSFIOnCN . ..---" <br />V�CANI Sllf <br />I�� IMI(p1'.02� 110 1NIYM11111f.11N�15 <br />r,mnr <br />B��EMENI <br />RFOb IIEIGII111MIt�110N <br />� a� CITY OF EVENETT <br />LOCA� SALES <br />TI;X COOE IS 3105 <br />I HEREBV CERTIFY THAT I NAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORDINANCES 60VERNINO THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �IVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL lAW REGUUTIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CC�NSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 HCW AND 296.200 WAC. <br />SIGN�TUREOFCO'1i1U1CTOf10RAUTHORIZE0l10ENT DI1TE <br />XU 1 �/��.��, <br />�PpLILANIS CIIY BUSINESS LICENSE NO. �0 BU9ME55 NMIE <br />FORCED AIR SYSTEMS—B.T.U. <br />UNIT HEATERS�-B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RAMGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 6 CHIMNEY <br />FIREPUICE INSERT <br />HEAT PUMP <br />GAS PIPING <br />3 <br />E <br />i. <br />OUILUM(: � / `5 i � Q <br />1 <br />PI.UMAING � <br />�T <br />MECHANICAL i <br />i <br />ADDIiIONAI. PLAN C��ECK � <br />� <br />OTHEfI i— <br />STATE BUILDING SURCHARGE <br />PUBUC WORNS <br />TOT11L <br />� s� <br />