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��I�' 1 APPLICATIG.1 FOR CONSTRUCT.JN PERMIT <br />�E�ro�� TO BE COMPLETED IN INK—PLEASE PRINT <br />CI7V OF <br />everett � <br />BUILDING DEPARTMENT <br />259•8810 <br />I I DEMOLITION I I COMBINATION <br />MAIL �DURESS <br />�� �� �Q.�-�� <br />T ANT M�ILADDRE55 <br />�aCNRECTOP �ESIGNEfl MAIL �DDRE55 <br />HEATING <br />I I BUILDING <br />GAS ❑ ELECTRIC ❑ <br />� <br />�ONE <br />PIIONE <br />I i PLUMBING <br />OENERALC �� NATURA�LILtl11J�E��C. �v.�Lt�(_ jYl \I`� �� )�— / �I`I� �I ) LICENSEI <br />no ' _ _ <br />MECH�NICQ CON�OR ���k GTY ZIP ` P��ONE LICENSE / <br />2605 MODouOaX <br />PLUMBMqCONTMC CITV ZIP PNONE IICENSE� <br />❑ NEW ❑ ADDITION <br />LOT __ _ BLOLN <br />LAVATORY(WAS <br />SHOWER <br />KITCHEN SINK 8 <br />ROOF <br />I ALTERATION <br />/ �� <br />fAGE VEO <br />)1 <br />� <br />(SNONT! BELOW OR Ai <br />__ OF _ <br />SUB TO <br />PERMIT <br />TOTALF <br />FOR OFFICE USE ONLY: <br />FRONf SETBACK REAR SETBACK <br />USEIONE LOTANEA <br />TYPE Of CONTS �LLOW/�BIE IYVF Of CON51 At71111 <br />SIIE OF Bl7G. NO.OF STOFIES <br />REO'D <br />INhVlEBY , PWlSAPPROVEDBY <br />� <br />everett <br />e <br />I I SION <br />I-I REPAIR I I OEMOLITION I1 WOODSTOVEIFRPLINSERT ❑ BUILDINGRELOCATION <br />CONTACT PEPSON AND PHONE NO. <br />P <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE S.OME TO BE TRUE AND CORRECT. ALL � <br />COPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE .. <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW RE�ULATING COfJSTRUCTION OR THE ' <br />iERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE � <br />O'�!NER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH � <br />_ APPUCATION IS MADE AND I COMPLV WITH THE STATE �, <br />CONTRACTORS UW 1827 RCW AND 296200 WAC. <br />SIGNATUREOFCONTR�CTORORAUTHOflIZED�GENT OATE <br />1• X �� )- ��/i�c,Yl I <br />YI I APPLICANTSCAYBU51 IILENSE NDBUS�NESSNMIE . <br />NO. <br />FORCED AIR SYSTEM; <br />UNIT HEATERS--B.T.U. <br />CLOTHES DRYERS <br />VENTILA7'ION FAN <br />WOOD STO\ <br />METAL FIRE� <br />FIREPUCE <br />HEAT PUMP <br />GAS PIPING <br />SIDESETBACN PI�NGMECKNl1M9ER <br />V�CANT SIiE FEES <br />BUILDING <br />O[[uv�M[r MOdOwl�tiNGuxnS <br />�^0°P PLUMBING <br />BnSEUEN7 MECHANICAL <br />HEKsHT LIIAIT�TqN AOOITIONAL PLAN CNECK <br />OTHER <br />STATE BUILDING SURCHRRGE <br />CITY OF EVENETT PUBLIC WORHS <br />LOCAL SALES <br />TAl( CODE IS 3105 TOTAL <br />M E.A. <br />s <br />�fS <br />p <br />t. <br />� <br />