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"' APPLICATI ``'`�1 FOR CONSTRUCI��N PERMIT everett <br />���� e <br />` TO BE COMPLETED IN INK—PLEASE PRINT <br />nr wryreen <br />� CITY F <br />� everett HEATING SYSTE GAS ❑ ELECTRIC U <br />� BUILDING OEPARTMENT <br />,:, <br />�� 259-8810 <br />' f ❑ DEMOLITION ❑ COMBINATIQN ❑ BUILDING '- MECHANICAL ❑ PLUMBING ❑ SIGN <br />�DDRE _ ���� LJVC'C.� �• . • � Y � LiV 1 <br />IMII�ODRE55 CITV Z�P <br />ADDRE55 <br />GITY ZIP YnUrvt <br />LICENSE � <br />MECXANICQCONT D GITY 21P � PHONE jUCENSE/ I <br />2606 MODouwll <br />PLWBINO�ON T ��ry Zlp PHONE LICENSE� <br />CIASS OF WOPK <br />❑ NEW f.7 ADDITION <br />PRICE OF <br />LEML DEBCRIPTION OF PIION <br />LOT BIOLN <br />UUNDRY <br />CLOTHES <br />URINAL <br />DRAIN <br />SINK <br />ALTERATION I I REPAIR <br />FOR OFFICE USE ONLY: <br />FflONTSETBACN RE�RSETBACK <br />� nr[urwnm.i <br />J <br />. 8�. � ��. <br />LWD <br />INTiV(E BY <br />OF <br />LOT AREA <br />TYPE Of CONST. �CI WL <br />NO.OF STORIES <br />FIPE SPRNRLERS REO'D <br />coric�, <br />S <br />$ <br />a <br />I I DEMOLIT�ON I� 1 WOODSTOVE/FRPL INSEHT ❑ BUILDING RELOCATION <br />CONTACT PENSON AND PHOHE NO. <br />I HEREBYbERTIFV 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 60VERNINQ THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEF STATE OR LOCAL LAW REGUVITIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEHFOflM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS UW 18.27 RCW AND 296200 WAC. <br />SIGNATUREOFCONTRACTONORAUTNORIZED�QENT D�iE ��� � <br />FORCED AIR SYSTEM: <br />UNIT HEATERS—B.T.U. <br />CLOTHES DRYERS <br />VENTIUTION FAN <br />GAS PIPING <br />EXHAUSTFAN <br />BUILDING <br />p[(�oLVCv NOO�pN'[LL�NGuxils <br />GRWP PLUMBING <br />BASEMEN7 MECHANICAL <br />NEIGNT LIMITATION A�DITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EYEHETT PUBLIC WORNS <br />LOCALSALES <br />TA)I CODE IS 3105 �T�� <br />� <br />CHIMNEY <br />FEE <br />� <br />i <br />1 <br />