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... .. . . � .. .. ,.�r. ". �wr �"" .��..�:C^L....".f.�.. <br />• . :_' .�� .� <br />.. .. ... <br />.. .,. . <br />�._._� �... ...__:�...�.:�1_ .Y..�'_ �...... '_ _�. .._.,. '..'�. ._. _._:_�:.__1. __'•. �.... .. .. . ' <br />APPLICATIO�� FOR CONS7'RUCTI��N PERMIT everett <br />� E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF }} <br />eVerell HEATING SYSTEM: GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 ,I <br />I l DEMOLITION I I COMBINATION I I BUILDING I�NIECHANICAL I I PLUMBING I] SIGN <br />ER ��� ,' ' MAII//��E55�� V' 1 CI�� !` VP � L�� ! P o� I— `�' '� U—I�� <br />� �J <br />TENANT n �„� � MAILADDRE55 CITY 21P PHONE <br />OR DESIGYEfl <br />CIT'7 <br />i"7NE <br />EN CONTRACTORYALLEY liN��Als YAS� INC. I ��T.yY�--",/�\t(A� �/�y� Z�P' � �1/ P ONE LICENSE • <br />2S9 5492 355 773ff 7A2 2 � ��v � V v l -� ^'�� ~���� ` I <br />MECHANIGALGONTRACTOR .Z���B��ge11 ��TY Z�P PMON� LICENSE� <br />PIUMBINGCONTR�CTOR MAIIADDRE55 CITV ZIP PMONE LICENSEI <br />I-1 NEW ❑ ADDITION <br />LECiAL DESGRIP(ION OF PROPE <br />l0T BLOCN <br />YI'ALTERATION I.I REPAIR <br />�V `-� <br />fAGE ��ED� /� \�� <br />/1111 <br />i-1"�.V <br />�� <br />�SNOWN 9ElOW OR ATTACH FOl1R LOPIES) <br />OF <br />PRQIECi �DDRESS <br />PLUMBING <br />NO. TVPE OP FIl <br />WATER CLOSET (TC <br />BATHTUB <br />LAVATORY(WASHB <br />SHOWER <br />KITCHEN SINK & DI: <br />DISHWASHER <br />LAUNDRYTFAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAI <br />FLOOR DRAIN <br />BACKFLOW PREVEI <br />f �OF DRAINS-RA <br />FOH OFFICE USE ONLY: <br />FRONTSETB�C1c REAR: <br />fYPE OF CONTS. AIIOWABIf <br />52E OF BLDG. <br />OCCUPANCYLOA� <br />HEASON FOR SPflINNLEi <br />INTANE BY <br />IOiAPEA <br />f I DEMOLITION I.1 WOO�STOVE/FRPL INSERT ❑ BUILDING RELOCAI'ION <br />LONTACT PEFSON AND PHONE NO. <br />TOTAL FEE $ � ; <br />SIDE SET6�CK <br />VRCANT SITE <br />IiUAI OCWM.9cr No OfMttlllH4uN115 <br />4POUP <br />NO, OF STORIES <br />flE0'D I HEIGHTLIMITATION <br />PLANSAPPRGVEDBY CITYOFEVEREIT <br />LOCALSALES <br />TAX CODc iS 3105 <br />I HEREBY CERTIFY 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 WHETHEH SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO 61VE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTI' TO PERFORM THE WOFK FOR WHICH <br />qPPLICATION IS MADc AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATUPEOFCONTPACTOPORAUTNORI2EDAGENT OATE <br />X � �Q�"i.it l./� � � l� <br />APPLICANTSCITYBUSINE SUCENSEN . �BlI51NE5SN�ME <br />NO. <br />FORCED AIR SYSTEMS-B.T.U�/(,M E.A. <br />UNIT HEATERS-B.T.U. M <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />Iv�ETAL FIREPLACE 8 CHIMNEY <br />I1EAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />S <br />$ <br />BUILDING ' <br />i <br />PLUMBING � <br />I <br />MECHANICAL � <br />AODITIONAL PUN CHECK � <br />i <br />OTNEfi i <br />STATE BUILDING SURCHPRGE � <br />� <br />PUBLIC WORHS i <br />�� <br />TOTAL � <br />