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"°,,;: '• <br />APPLICATIvN FOR CONSTRUC'riON PERMIT <br />IM E�n <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION �J BUILDING - MECHANICA <br />Il , a� / 1 N-i1��, nonn/.,�n/ � o I�.{�II �Q�l'l�- /% � �/ ! <br />pTV ZIP <br />CITY ZiP <br />prnme <br />CI PLUMBING <br />� <br />everett <br />e <br />❑ SIGN <br />CU188OF WdIK <br />� ❑ NEW ❑ ADDITION , <br />' 7Mµ��,NppyEMENTORINTERN <br />I <br />wT e�acrz � <br />URINAL <br />ORINKII <br />FLOOR <br />BACKFI <br />ROOFC <br />� <br />UBE ZONE <br />TYPE Oi CONST. /�ILOW�1BlE <br />BIZE OF BLDO. <br />OCCUPMlCYLW10 <br />RE�F SEiBAGf <br />l0T AREA <br />IYVE Of CONSi. AC1U�L <br />NO.OF STORIES <br />FIRE SPRNNLERS RE09 <br />Ll YES LI NO <br />REA80N FON SPRINNLERS <br />MPLIC�TION �CC. BY PLANS APPPOVE� BY <br />❑ HEPAIR ❑ DEMOLITION f7 WOODSTOVE/FRPL INSERT ❑ BUILDINO RELOCATION <br />SIDE SETBACN <br />VACANT SITE <br />u ves ❑ No <br />occuo�xcr Hn.amnwxc� <br />BASEMEHT <br />❑ ves ❑ No <br />HEIGMT LIMITAiKKi <br />CITY OF EYERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />CONTACT PERSON I1N0 P11oNE No. <br />I HEREBY CFRTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNINO THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRE9UME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL 7HE PROVISION6 OF ANV <br />OTHER STATE OR LOCAL LAW REGULATIIJG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TNE <br />OWNEH OF THIS PROPERTV TO PERFURM THE WORK FOR WHICM <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 2JG200 WAC. <br />SIONATUREOFCONTfUCTORORl1UTIqRIZEDAOENT�� DI1TE <br />x 0 Q� i,� , r�_ l�A��,►�l/�u/I�� <br />AIR <br />PLAN GHECN NUMBER <br />BUILDING <br />PIUMBING <br />MECHANICRL <br />OTHER <br />STATE BUILDING SURCHARGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />7J <br />CHIMNEY <br />FEE <br />FEE <br />RECEIPT NO. <br />� <br />� <br />