5204 W HIGHLAND RD 2016-01-01 MF Import

�=�° � Ine Everoraen CITY OF � everett BUILDING DEPARTMENT ; 269•8810 • �NiJ l' APPLICki'ION FOR CONSTR ''ry TION PERMIT TO BE COMPLETED IN INK— PLEASE PRINT !�C ITECTONUESIONEI MAIL�O�RE55 GITY ZIP PNONE �Y U everett e //ONQ C1A590F WORK ❑ NEW ❑ ADDITION ❑ ALTERAiION �REPAIR ❑ OEMOLITION ❑ V�OODSTOVFIFRFL INSE(7T ❑ BUILDINO RELOCATION _^ , CONTMCTPHICE� OEBCRIBE WOFK I PROP0.9E0 SEO ^v /i � LEML�D 9GpIPTl1 I LOT � ; �.� vnwecr�noaes I � "• � PWMBINU B�OCM1 Oi TYP[ GI�:�77 ttPE OF CON9T. � ALLOWABLElAGTU�L !.\�76'lil � e SUBTOTAI S PERMIT 5 TOTAL FEE S REAHSETfl�CN SI�ESETBFCK LOTAREA WGNi51tE ❑ YES ❑ NO OCCUVANGYOROUP NO.OFDWEIIII NO.OFSi0RIE5 BSM�. OGGlOAO ov ON HEIONT LIMIL�T ❑ YES ❑ NO I HEFEBY CERTIFY THAT I HAVE READ AND EXAMINED iHIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORFECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF WOAK WILL BE COMPLETED WITH W HETHER SPECIFIED HEREIN OR NOT.7HE GR.INTING OFA PERMIT DOES NOT PRESUME TO GIVE �UTHORIN TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTMER STATC OR LOCAI LAW REGULATING CONSTRUCTION OR THE PER� FORMANCE OF CONSTFiUCT10N. THAT I AM AUTHORRED BY THE OWNER OF THIS PROPER7V TO f'ERFORM THE WORK FOR W HICH APPLICATION �S MADE AND 1 COMPLY WITH THE STATE CONTRACTORS LAW iB27 RCW AND 296200 WAG &ON�TUREOFCONiRACTOROfiAUt110RIZE��OENT OAiE X o , � S'-�s=�9 MECHANICAL � NO. TYPE OF EOl A/C—lVHNDLG UNITS— FORCED AIR SVSTEMS— UNIT HEATERS — B.T.U. CLOTHESDRYERS VENTILATION FAN CHIMNEY TOTAL TOTAL BUILDING PLUMBING MECHANICAL OTHER STATE BUILDING SURCHARGE STATE ENERGY SURCHARGE PUBLIC WORKS TOTAL M EA 5 FEE