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� <br />��� <br />H <br />�H[~i� <br />H�� <br />FC H '.C�� <br />"i1 H � <br />[�1 O � <br />OH <br />n <br />c�-�1��❑i <br />Ty.N3 <br />t" y Z <br />hi H <br />8� <br />n9b� <br />lY��+y <br />HOVi <br />pPPLICATIC�� FOR CONSTRl1CTy-�N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ — � <br />BUILDING DEPARTMENT <br />259-8810 <br />� I DEMOLITION ! I COMBINATION �BUILDING i I MECHANICAL f i PLUMBING SIGN <br />21P �MONE <br />�„���y.,rT— AfAILA�DfiE55 ��TM �.,____ ,_,� o(r�.,/ ��G_ �iLZ—S <br />i.�na <br />CItY _ ZIP P'IONE <br />CIiY 21P PMONE <br />AIECMANICALCONTF�CTOF MAILA�DRE55 <br />GITY ZIP PhONE ST4TEUCkNSE� <br />PLl1M0�NGGONTRRCTOii AUILADORESS <br />CiTY 21P °�IONE STATGUCENSE• <br />CONTPACT PRICE OF WORN <br />INVOLVED <br />IEGAL DESCPIPTION OF PROP[RiV (SHOWN OELOW OR ATTACII TYO COPIES) <br />io. e�ocn oF <br />PARGELTA%IO.NUMB°P <br />GONSTRUCilONlO�NIF.NDEP.ADOFL:�S.TEIEPHQNENUM�ER <br />3z�t� iu�.� — �i�rr— _ <br />PROJECTADDRESS <br />SINK 8 <br />DRAIN <br />>YIJ3 <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN �EARI <br />iYPEOFCONSI <br />M�ANE �� <br />LOT�RER <br />NO.OP STORIES <br />FIFE SPRINNLERS <br />FIRE A�AAM REO'I <br />PLANSAPPROV[ <br />on�e <br />S <br />S <br />SIDE SET9RGH <br />VALANTSRE <br />❑ YES � 1 NO <br />acvrµa no m e�ar ^+,-, u�. �s <br />cwa�o <br />BASEMENT <br />❑ YES ❑ NO <br />NEIGIIi LIIAIiATION <br />CITY OF EVERETT <br />�ocn� sa�es <br />TAX COUE IS 3105 <br />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 GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLETED WITH WHETHER SPEGIFIED HEREIN OR <br />NOT. TH[ GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEFi STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOPMANCE OF CONSTRUCTION. iHAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORh FOR WHICH <br />APPLIGA'ION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACT S LAW 1827 RCW AND 296200 WAC. <br />���'�/�i�`����� Z�� <br />,N„�„ '—°"'�' <br />FORCED NR SVSTEMS—B.T.U. M E.A. I <br />UNIT HEATERS—B.T.U. M <br />CLOTHESDRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATERHEATER <br />WOOD STOVE <br />MET4L FG9PPLACE (VJOOD BURNING) <br />FIREPLACEINSERT <br />— HEAT PUMP <br />GAS PIPING <br />_ � C%HAUST FAN <br />_I <br />SUBTOTAL 5 <br />PFRMIT 5 <br />PLARCNECKNUl.IGEB I FEE <br />6UILDING <br />PlUh1�ING <br />h1ECHANICAL <br />ADDITIONAL PLAN CNECK <br />GTHER <br />STATE BUILDING SURCFIARGE <br />PUBIIC WORNS <br />TOTAI <br />NO <br />� <br />