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' APPLICATIGnI FOR CONSTRUC7.�N PERMIT � <br />TO BE GOMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ' G S f] ELECTRIC �.� � <br />r� � BUILDING DEPARTMENT <br />�aj � „ 259-8810 <br />DEluIOUTION COMBINATION <br />A = <br />� � � [ p MRRADORE ' , 1 <br />S J // I <br />Ll2f.�f- > > c(l <br />NT AIAiI ooAess <br />�a�� ���' � � <br />ARCHREGTOFDESiGYER IApIIADDR[55 <br />� <br />�n3 <br />� ^ � <br />��g <br />Q. � <br />�H <br />GLASSOFWOHN <br />� H H � I. �I NEW .4DDITION � LTERATION <br />�fA N <br />�� � GONTfiACT PaICE OF WORK �--� <br />DESCFi^_f V:UR�yJ�ND�q UA EF O/GEINVO�L [D <br />y � c'J'��[��pU' Kf..,Yr�ilTicta4���' I�, <br />.__ 0 . PAorroseo use oF ewiowc �— <br />BUILDING <br />CItY � ZIP <br />crt� <br />PMONE <br />PLUMBING 51GN �{ <br />��s� -7_ //(� � <br />%—1 �/�/J <br />LOT d�Wn _ <br />� � <br />PRO�ECTAOOR�S• � �� <br />Y <br />PLUMBING � <br />N0. TVPE OF FIY <br />_ WATER CLOSET (TC <br />BATHTUB <br />- LAVATORY�WASHB <br />SHOWER <br />KITCHEN SINK 8 DI! <br />DISHWASHER <br />. LAUNDRYTRAY <br />� CLOTHES WASHER <br />URINAL <br />� DRINKING FOUNTAI <br />FLOOR DRAIN <br />BACKFLOW PREVE <br />ROOF DRAINS—RA <br />SINK iSERVICE—BI <br />REPAIR DEMOLIiION �� WOODSTOVE/FRPLWSERT BUILDINGRELOCATION <br />.�� I CONTACT PERSON ANO P110NE NO <br />, <br />1S__ �7�,�-�z�y S <br />�p\y pq pTTACII FOUR <br />OF <br />� -- TOTAL <br />FOR OFFICE USE ONLY: <br />FRONTCETOACN RERNSETORLK <br />USE20NE LOTAREA <br />lYPEOttONIS.ALI�WPLIE rvp(OFCaNSf.ACfUAI <br />S2E OF OLDG. NO.OF STORIES <br />R[FSONFOR <br />INT�KE BV <br />pY <br />S <br />i HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORFECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHE?HER S'ECIFIED NEaEIN OR <br />NOT. THE GfiANTING OF A PERMIT DOES NOI PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CON5i RUCTION OR THE <br />PERFORMANGE OF CONSTRUCTION. THAT I AM AUTHOHIZED BY THE <br />OWNER Of THIS PFOPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS M4DE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18_?7 RCW AND 296.200 WAC. <br />FORCED AIR SYSTEM: <br />UNIT HEATERS—B.T.U. <br />CLOTHESDRYERS <br />VENI�ILATION FAN <br />WATER <br />WOOD <br />METAL <br />FIREPL <br />EAT P <br />GAS PI <br />SIOESElOACH PLANCHECN�VIA�''.H FEE <br />� <br />VqCANi51iE ^ FE <br />BUILDING <br />acu�.xcr xoaow!wxcux�+s � <br />°9W° - PLt11d61NG <br />BASEMENT MECHANICAL <br />HEiGHi unuiaTioN ADDITIONAL PLAN CHECK <br />SPRINKLER <br />STATE DUILDING SURCHARGE <br />CITY OF EVERETT PUDLIC WORKS <br />LOCAL SRLES <br />TAX CODEIS 3105 TOT^� <br />PERMIT <br />S <br />0 <br />� <br />