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�n'� APPLICATI�1 FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPARTMENT HEATING SYS' EM: O GAS ❑ ELECTRiC <br />259-8810 <br />Ll DEMOLI710N ❑ COMBINATION lG�IiILDING I 1 MECHANICAL ❑ PLUMBING ❑ SION <br />ow�p nuawor�ss cm zip war+e <br />�aRa (�QLLc aya3 N+�,I 4�.e Ai+c �.�eil 9ra�i as^a !do3 <br />TEWWT MAILIIDDRESS CITY ZIP P110NE <br />11RLMRECTORDESIGNER MAILMOflE55 ��3I W T77�0� ZIP PHONE <br />� r � __A .._.��� �.-r� i..�/ �..M.��_ .....u/_ <br />ZIP <br />EIECMM�1G1LCqlTq/��7pq FWILADDRE55 CITV ZIP PIIONE STATELICEN9E1 <br />�iUMBMO CONTRACTOR MAII ADDRESS CITY ZiP PIIONE ST�TE LICENSE I <br />CLASS OF WONK <br />� O NEW ADDITION f 7 ALTERATION ❑ REPAIR CI DEMOLITION ❑ WOODSTOVEIFRPLINSEF:� ❑ BUILDINQRELOCATION <br />d on �Gao — � CONT�CT PERSON AND �. <br />f""--- � -•j-I.—_'�- <br />CONTMCT P1110E OF VlDnlc <br />�� DESCRlE WOIIK 11NU SOlM11E FOOTM±E INVOLVEC <br />A AA To ReA Rovw. a L3 P1 <br />rnoroseo usE oc euannu� <br />� �4l��.t �AJtiI`V <br />LEWLOE9CRIPTIONOF �RNy'f6110YR1BELOY <br />LOT�� BLOC117�7SQ �� OF <br />f <br />lc4.r �setio ���' <br />� <br />� <br />G <br />� <br />LAVATnFiY <br />Fort o�ce use oN�r: <br />�� �: <br />rn[ or coxrs. a�ow� <br />� � <br />SRE OF BLO(i. <br />MTAKE BV <br />SUB TOTAL j <br />PERMIT S <br />TOTALFEE S <br />Np, OF STORIES <br />I <br />F1RE SPRNKLERS REO <br />No <br />PUNS APPROVED BY <br />..� <br />1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAYVS AND ORDINANCE8 OOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLETED WITH NM1iETHER SPECIflED HEREIN OR <br />NOT. THE QRANTINO OF A PERMIT DOES NOT PRE8UME TO OIVE � <br />AUi'HORITY TO VIOLATE OA CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCIIL LAW RE(iULATINQ CONSTRUCTION 0!1 TME � <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE � <br />OWNER OF THIS PROPERTY TO PERF E WORK FOR NMICH . <br />APPUCATION IS MADE AND I C LY ITH THE STATE ` <br />CONTMCTORS UW 1827 RCW AND'c'98. WAC. <br />X � � <br />siorwn� u�+E 7 <br />; <br />..�,,....�. � ��.., � <br />FORCED AIR SVS7EMS}B.T.U. M <br />UNR HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANOE FIOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEV <br />FIREPUICEINSERT <br />HEATPUMP <br />OAS PIPINCi <br />v auaonrci <br />oaun�cr xo.armvEunwurnn — <br />F�LUMBING � <br />B�SEMEN7 MECHANICAL <br />Q <br />NEIOMTLMITA7iON ADDITIONALPLAN:!�ECK <br />♦ <br />SPRINNLER <br />STATE BUILDING SURCHAH(iE <br />CITY OF EYERETT PUBLIC YVORKS <br />LOCAL BALES <br />r�Y r.nnF is sta5 IOTAL <br />�E ,/�19s <br />