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��.) <br />� � APPLICATI�� FOR LONSTRUCY70N PERMIT <br />m. e�ro� <br />GT/ OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK— LEASE PRIhT <br />O DEMOLITION ❑ COMBINATION ❑ BUILDING �HANICAL !� PLUMBING <br />everett <br />e <br />O SIGN <br />P4UMBINOCONTAACTOR M�IIADDRESS <br />PlIONE UCENSE <br />CIASSOF WOi1K <br />❑ NEW ❑ ADDITION . RATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT O BUILDING RELOCATION <br />7EWWT MAPROVEMENT OR INTER}QR i <br />•� <br />CON7IUCT%IICEOFWORI(: fX�' <br />LEML DE$CRIPTqH OF PROPEflTV <br />wi e�ocu _ <br />BATHTUB <br />LAVATORY(WAS <br />SHOWER <br />KITCHEN SINK 8 <br />DISHWASHER <br />BP.CKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEAC <br />SINK (SERVICE—BAR. ET[ <br />OF <br />OR <br />COPIES) <br />FRONTSETBACN � RE�RSETBACK I SIDESETB�CK <br />USE ZONE I lOT �REA <br />TYPE OF CONSL /�IIOWABIF � I TYPE OF CONST. �CIUAL <br />BIZE OF BLDO. <br />OCCUPANCVLOAD <br />RE�SON FOR SPRINKLERS <br />APPIICATION ACC. BY <br />NO. OF STORIES <br />FIRE SPRNKLERS REO'D <br />❑ YES ❑ NO <br />PLANSAPPROVEOBY <br />VACMlT SITE <br />❑ ves ❑ No <br />occuw1cr ruamnumaums <br />4RWT <br />BASEMENT <br />1 1 YES ❑ NO <br />HEIGMT LIMITAiION <br />CITY OF EYERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />CONTACT PERSON AND PNONE NO. <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 GOVERNINO THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATUREOFCONTR�CTOFORAUTHOflIZE0A0ENT D�TE <br />IC�NTS CITY BUS SS l ENSE NO. AND BUSINESS NM1E <br />uenu�wnu . 1 <br />M <br />CLOTHES <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE � <br />FIREPLACE INSERT <br />i iEAT PUMP <br />E.A. <br />PUNCHECKNI1MBEfl I FEE I pECEIPTNO. <br />FEES <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />O7HER <br />STATE BUILDING SURCHFRGE <br />STATEENERGVSURCHARGE <br />PUBLIC WORNS <br />TOTAL <br />H <br />