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('.i' <br />pppL�CpTIL';�1 FOR CONSTRUCI`:�aN PERMIT <br />�ne EvaNree^ <br />CITY OF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 L-gUILDING ❑ MECHANICAL <br />I-� DEMOLITION f=1 COMBINATION c TM__ Z�P r��or+e <br />�E��, j�'n� 2f3 MAILAUDPE55 1.,. . �_ T_ Q_.I_I. iDa 95T%S�Z <br />Fw.V I-1 ADDITION I1 ALTERATION LI <br />TEN�NT IMPNUv[mrn � v.. ••. • �• �•-� � <br />�1 { � Q v U 1 <br />p{ppp U E Of BUJ 101NG 1 <br />Si +t. q (�c.a c...w, �-I <br />IEGAL OES}C/AIPTION OF PROPERTV (SHOWN BELd\ <br />LOT �'I BLOCK �, � _ OF <br />�wc <br />DRAIN <br />FBONTSEIBAG„1(� _ / NEARSETI <br />���.—l�— <br />use za+: _ � , �ot nn[n <br />�! � L <br />7TPE OF CONSC Al1.OWABI[ <br />�� /�� <br />srzeoF o�oc�4�w <br />/ �8d SDy U�� <br />OCCVPANCYLOAD <br />`� <br />nenson ron svnwKier+s <br />nrruc�nor+ncc.er <br />� <br />an <br />ZIP <br />� <br />ZIP <br />� <br />ZIP <br />zm <br />IONf <br />U PLUMBING <br />'O/— 9 7/_ ' <br />everett <br />e <br />❑ SIGN <br />O OEMOLITION I. I WOODSTOVFJFRPL INSERT ❑ BUILDING RELOCATION <br />- - -------_�....��..�..ucw, � <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />pPPIICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK Wlll BE COMPLETED WITH WHETHER SPECIFIED HEPEIN OR <br />�NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR IOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />qpPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGN�iUHEOFGOHTRnC10ROf1AUTHON�ZEDAGENT DATE <br />X' P.aw g.� ta <br />APPLICANTSCIIYB SINESSLICENSENO.ANDAUSINESSNAME <br />�NICAL <br />TYPE OF E�UIPMENT <br />WC—A/HNDLG UNITS—H.P. <br />FOFiCED AIR SYSTEMS—B.T.U. M <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />F�REPLACE INSERT <br />HEAT PUMP <br />GAS F'IPING <br />FXHAUSTFAN _ <br />� SIpE5El0ACN � PIANCHECK Mtltn <br />� vncnNr sne EES <br />I�S I� NO � Zz.Su les� <br />BUILDING . � �t� f a�� <br />OccurArxv uoIXttMWxcUMiis <br />lYf`EOfCONS7./�GtU�L c�� PLUMBING <br />�, I _� <br />N <br />NOOFS�oniES n�SeM�[Nt ^�� MECHANICAI <br />Ih:YES �7ViN� <br />� OTHER <br />FIRE SPRNI(LERS REO'D iIEIfNT LIAIIiA�ION <br />LI YES DQ NO STAiEBUIL�INGSURCHA7GE <br />STATEENERGVSURCHARGE <br />r�nr+snrraweom CITY OF EVERETT PUBUC WORKS <br />4�. LOCAL SALES TOTAL <br />TAX CODE IS 3105 <br />, � PfunCaeeMree OJDranyMw�r • .� �, <br />�� <br />SUB TOTP <br />PERMIT <br />TOTALFE <br />:�/� SS <br />A <br />��� 9 iQ� <br />,id,�c5 /fi,M,�ri <br />