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CyC t�"~-7 <br />[�1 C+7 <br />9H <br />� � H <br />a .� v� <br />.ye � c~i <br />O y0 <br />y�C <br />z <br />OHd <br />H�g <br />�j] Y n <br />zaH� <br />['� Z <br />i--� y <br />g`� <br />N <br />C") C [n <br />��r <br />[�7 <br />2 H Cn <br />r3 O C/� <br />� J/ APPL9CATlO1. FOR C0�15TRUC'�I..N PERIVIIT �'��'«''� <br />:,�:,,,,,,�,,, TO BE COMPLETED IN INK—PLEASE PRINT <br />ri�v oF j / <br />�vere�tt <br />BUILDING DEPARTMFNT <br />259-8810 <br />�EMUUTION <br />o�,.—:ui`i /.` . , r.�ni <br />COMBINATION <br />HEATING SYSTEM: f.J�GAS ❑ ELECTRIC C.1 <br />BUlLDING <br />/ �. <br />��iIEG�HANICAL <br />PLUMBING <br />SIGN <br />TRC�niCCLORDE5IGNER I.IAIIP�DNE55 CITV ZIP PHONE <br />G[NERALLONTqACTOR MAiI�DORk55 Cliy ZiP PHONE LICENSE• <br />MEC FLCpNiRR ".+4AD�RES C ZIP �NONE LICENSEa � <br />� <br />i �rn <br />. ;�� ���� �' ,� ll'�--.4-- �G �. � �'� z �.l , � ; _� �� : t��w--���.�,� <br />LUMOINGCONiNACTOR MNL4�DRE55 CIiY 21P �ONE JLENSE• <br />55 OF WOliK <br />NEW �. - ADDITION <br />-'f:<7i'i! �C,�JG%� � <br />nFovoseo use ov ew�oiN� <br />. s<�,,� <br />IEGAI <br />ior <br />nqodErt <br />TERATION REPAIR <br />�L ;'1 �k' <br />PROPEPTV ISHOWN 291OW OH �TTRCN FOUR COPiES� <br />BtOGrc __ _ OF _ <br />BATHTi I� <br />LAVATORYIWASH BASIN� <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISNWASHER <br />LAUNDHVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLGADERS <br />. FOR OFFICE USE ONLY: <br />GROtlJSliBACN � REARSET�ACN <br />u;[ IOrvE �OL AREl� <br />s��� �Fe�� <br />1:'c nSpN PoR SPPINNLC RS <br />IIlIANF BV <br />lYPEOf WtlSi AL <br />NO OF STONIES <br />SUB TOTAL 5 <br />P[FA11T 5 <br />TOTALFEE 5 <br />L'IS�➢U <br />DEMOLITION �� WOODSTOV6FRPL INS@RT BUILDING RE�CliT10N� , <br />COHiACT PERSON FND P110NE NO <br />� � �,;:���. <br />��` �� -�� �� ��_> <br />I HEREBV CEPTIfV THAT I HAVE READ AND EXAMINED THIS <br />APPLICAT��4 .:rvJ KNOW l NE SAME TO BE TRUE AND CORRECT ALL <br />PROVIS:OV� ^= LA1VS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK LY�:.L BE COMPLETEO WITH WHETHER SPEGPIED HEREIN OR <br />NOT. THE GPANTING OF A FcFMIT DOES NOT PRESUME TO GIVE <br />� AUTHORITY TO VIOLATE (.R CANCEL THE PROVISIONS OF ANY <br />� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANC[ OP CONSTRUCTION. THAT I AM AUTHOR12ED BY THE <br />OWNER OF THIS PROPERiY TO PERFORM THE WORK FOR WHIC'-I <br />— APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONiRAGTORS LAW 1827 RC�W AND 296,200 WAC. <br />9G"RtU�iEGFCO4iRACiOPCNAUTnORIZEC/jAGENi OAT[ <br />� X , r �– 7! /'� <br />/� r 7�� \ <br />�f'� �fC�)1i�� � �'L.YG�Yt�•5`;I�f,���Ct<<.= <br />n�'i=�nrRsatrausw[ssi�CEM1v_uonNpgu9NEssr ME <br />A�C—A�HNDLG UNITS—HP �( • <br />FORGED AIR SYSTEh15- .i.U. ; M E.A, <br />UNIT HEATERS—B.T.U. M <br />CLO7HESDRYERS <br />VENiILATION FAN <br />W W D STOVE <br />IdETAL FIREPLACE A <br />FIRc':.ACE INSERT <br />I�Eq;�_PUMP <br />GAS %IPING �� <br />EXHAUSTFAN <br />SIpESETpPCN I'tANGHECNNOM�CR �[E <br />.�s,�s � <br />VRCRNI Sil[ FEES <br />�UILDING <br />CENMNtY NOpIMLnNGuryJM1 <br />Lnour PW1.I�ING <br />6RSEMENT p�ECHqFICAL <br />�iEir.NruMttAnoN ADDITIONALPLANCHECK <br />OTN[(7 <br />STA1E �UIl01NG SUflCHARGE <br />CITY OF EVERETT FunucwoaKs <br />LOCAL SALF.S <br />TAX CODE IS 3105 rorn� I <br />FEE <br />SUBTOTAL 5 _3 0 ' <br />PERMIT $ / S , <br />nrteiet r�o <br />FEE <br />yr ; � <br />—�— <br />v� :�� <br />