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APPLICATI� N FOR CONSTRUCI.ON PERMIT <br />fhe Everpieen <br />arv oF <br />everett <br />BUILDING DEPARTMF�NT <br />259•8810 TO BE COMPLETED IN INK—pLEA E PRINT <br />��Dq MOLITION ❑ COMBINATION i] BUILDING <br />ECHANICAL <br />cm <br />our na <br />I I v3o �I :_C, <br />O ALUMBING <br />LICEN9E / <br />____.- ��r Z,� —��E �3z3 Uc� y <br />���. <br />RUMBMOCONTRI1CTOq MAILADURE55 � <br />CITV 21P 1'�w�`JE �— . <br />CIGENSE t <br />CLASSOFWpqK ' — <br />�_I NEW ❑ qDDITION I Al7ERAliON I I RFPAIP I.I DEMOLITION ' I WOpDSTOVE/FRPLINSERT ❑ BUILDINOREIOCATION <br />TENANT IMPppyEyENT OR INTERqq REMODEL tMLY <br />CONTRACTPRICEOFWp�g; �J CONT�CiPER�O,�f^�N pp E�p 1 l <br />DESCR�BEWOpN�NDSIXURFGmuncm�,.....'.. Y A�� ��.1 /n Ii�/1J� 1 � i�. lI L I�.I � I <br />,� <br />,� <br />everett ' ' <br />� <br />❑ SI(iN <br />�cuw� uexqlPTpN OF PRpPERTY �511�7WN g�j, <br />LOT �� UF <br />��i /._� 53 11 • p <br />FRONT $Ei&1C1( <br />USE 20NE <br />RE�R SETBACIf <br />LOTARE� <br />fvFFOiCON57.AlLOWABIE � rvrFacarsc�ciuu <br />512E OF BLDO. <br />OCCUP�NCVLOAD <br />PE�90N FOR SPRR�I(1E11S <br />APPLICATION I1CC. BY <br />ND.OF ST(MIES <br />FIRE SPRWRlERS REOL <br />CJ YES f.l NO <br />RANS APPRpVF.p BY <br />SIDE SETBAGN <br />V�CANT SIiE <br />o ves i_� No <br />o-suwrc. xoamnw.ni <br />&45�MENT <br />❑ YES ❑ NO <br />HENiHTLIMITA110N <br />CIiY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORpECT. ALL <br />PROVIS. ,VS OF UWS AND ORDINANCES 60VEqNMp 7HI8 TVPE OF <br />WORK WILL BE COMPLETED WITH WViE7y{Eq gpECIF1ED HEFEIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PqEBUAAE TO O�VE <br />AUTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER S7ATE OR LOCAL UW RE6ULATINO COygTp�� pp TME <br />PERFORMANCE OF CONSTRUCTION, 7{{AT 1 AM AUTlipqIZED BV THE <br />OWNER OF THIS PROPEflTV TO PERFORM THE WOqK fOR WNICH <br />APPLICATION IS MADE AND I COMPLV Vy�TH THE STATE <br />CONTRACTORS UW 1827 RCW AND 298.Zpp yyAC. <br />SION�NRELO`F (`,p�T/R��CTO�'R� p1'q AU�TiqqRE/0�110ENT p�7E <br />XV w, V�Y�% {� � � 1` i <br />�(�,�-�I �� �.1 I�►, ti���� �_ o zo3� a <br />�PPLIC�NtSCITY6USINESSIIGENSEM7,�WDNISIHEASNMIE '— <br />AIR SY5TEMS—g.T.U. M E.A. <br />�TERS—g,T.U. M <br />WOODStOVE ---'�-- <br />METAL FIREPUCE 8 CHIMNEv — � <br />PUMP <br />BUILDINO <br />MUMBINO <br />MECHANICAL <br />oniea <br />STATE BUILDING SURCHARGE <br />STATEENEROVSURCHARGE <br />PUBLIC WORKS <br />Tor�� <br />FEE � RECEIPTlq� <br />u <br />; : <br />I ; <br />i <br />i <br />