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'.y�C`� <br />[i7 �i <br />y�H <br />ti <br />y�3 <br />K' l7 <br />H x1 <br />�H� <br />CA H <br />zp <br />� HC <br />OH <br />�/��g <br />y�Y � <br />�H� <br />HH <br />8y <br />H <br />CC] Cy V� <br />M�M <br />z y �n <br />H O t/� <br />r �. <br />APPLICATII.N FQR CONST�UC710N PERMIT <br />c�c E�r�7.een <br />CITY OF <br />�verett <br />BUILDING DEPARTMENT <br />259-8810 <br />DEI�tOLITION <br />TO BE COMPLETED IN INK—P�ASE PRINT <br />COMBINATION BUILDING � ECHANICAL PLUMBING <br />everett <br />e <br />SIGN <br />G NERRI C9NiFACTOR ��{;�y��E1iATURAI GAS� INC. ` ITY y� I��'�ZfP,� �� � 1 ��NE �(� L ENSE • <br />\, � y <br />259•5492 — 355�7730 — 742•2944 V TiL ub L T" �'\ <br />IdEONNiCRLLONTRALTOR RURADD� MCD0082II ��TY Z�P �MONE iCENSE/ <br />Ewntt, W��hln�lOn 9i�01 <br />PWAiBiNGCONtPPCiOR M1�AiLADORESS GTY Zij' PHpNE LiLENSE� <br />CUSS OF WORN <br />NEW ADDITION FATION REPAIR �. DEMOLITION WOODSTOVEiFRPL INSERT �. � BUILDING RELOCATION <br />TENANi iMPROVEAIENT OR INTEPiPq REMOqEL 9�'I�]'1 I CONTRGt PERSON AND PNONE NO. <br />PROP(ISED USE OF BUILDING <br />C�� <br />IEGAt �ESCPiPTION OF PROPEPiY ISNOWN DELO' <br />lOT _ BIOCN OF <br />PROJECi <br />,3� � <br />TYPE OF <br />iINK 8 DISP <br />iER <br />TRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />FRONi5El0ACK <br />USE20NE <br />ivFEOfLOqSt AIIOWdBIF <br />tiilE OF �LDG <br />OCCl1PANCY LOAp <br />RUSON FOH SPRINNLEPS <br />APVIICAiIONAGC OY <br />SUB <br />REARSEiBACK <br />LOT �RER <br />1VPE OF CONSf ACNRI <br />NO. OF STOPIES <br />FIPE SPRNNlERS RCO� <br />YES NO <br />r�nr�sncraovcoov <br />COPiES� <br />FEE 5 � <br />$IDE SET9nCK <br />VACANiSRE <br />NO <br />I HEREBY CERTIFV 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 GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HORIZED BY THE I <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE i <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. � <br />SiGNAiUREOFCONTRAGtOROHAUi110ii12EDAG;NT OA1E � <br />X �t�L9 C�1 'I <br />�PPUCAIlTSGITYl3U IESSLICEHSENOANDOUSIN[SSNAME <br />TYPE OF E�UIPMENT <br />NG—A�HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />CIOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />HEAT PUMP <br />PIRNCNECKNUA��ER I fEE I R[CEIPTNO <br />cccc VAl11ATION FEE <br />YES BU�LDING <br />au«•s+ no o� vxnurcun+is <br />c�,,,�� PLUAI�WG <br />�n5[MEr�� MECHANICAL <br />YES NO <br />IIEIGNTLIM�IAiION OTHER <br />STATE BUIL�ING SURCHARGE <br />SiAT[EN[RGvSUnCH�flGE <br />�CITY OF EVERETT runuc wonhs <br />LOCRL SALES <br />TAX CODE IS 3105 TaTA� <br />