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�� <br />D � x <br />>HC~i� <br />� � � <br />'+tl H � <br />HN <br />�o <br />OHd <br />��g <br />(�]Y �] <br />ry� <br />HH <br />gy <br />d5� <br />C'l <br />�H� <br />H O fn <br />.�, ,-. <br />APPLICATIOIr FOR CONSTRUCTIrN PERMIT �`'�'«'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />tfrB Evary, reen <br />CIiV Of <br />everett HEATING SYSTEM: O GAS ❑ ELECTR�C ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING xMECHANICAL PLUMBING SIGN <br />OWNER h1AILRD�AESS CITY��Z ZIP PHONE <br />�o✓i E-�os��vG�?�-��.0_G2 �`>�",��!a 9POL� !�Z/- F�2z 7 <br />TENANT MAILADDRC55 CITV ZIP PIIONE <br />EGE-.�rr� /-�-�i,.� /.�o�_..� �� _Na�s,ai�_ �? -r��2� /,.� �P?,bl 2s�- 93 S� <br />ZiV PHONE <br />C1A550G WORN ` ' <br />��� NEW � ADDITION yALTERATION � REPAIR DEMOLITION .�� WOODSTOVBFRPL INSERT �I . BUILOING RELOCATION <br />'-7� CONTRGT PERSON RNO PMONE NO <br />D[SC1iIBE WORK <br />l[GRL OESCiiIPtION OF PfVOaE <br />lOT �LOLN <br />KITCHEN SINK 8 <br />DISHWASHER <br />LA1 iNDRV TRAY <br />FLOG9 DRAIN <br />oc <br />�/�L <br />6/�/v <br />� fS� <br />CfiEE <br />TURE OR <br />SUB TO <br />PERMIT <br />FOR OFFICE USE ONLY: <br />FRONiSETBACN REARSETBACK <br />�5[ZONE IOTRREA <br />IVPE 0! LON15 AtIOWABIE iYVE Of LON57 ACtUAI <br />5R[OFOLDG. NO.OFSTORIES <br />OCCUPANGYLORO FIPESPRNKLERSREO'0 <br />RCASON FOR SPRINKLERS <br />INiArcE�Y PLPNSRPPROVEOBY <br />I HEiIFBY C�RTIFV THAT I HAVE FEAD AND EKAMINED THIS <br />� APPLICATION AND NNOW THE SAME TU BE TRUE AND CORRECT. ALL <br />FOUP COPiE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME �O GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PPOVISIONS OF ANY <br />�}�2 3 ;Z —5 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMP.NCE OF CONSTRUCTION. THAT 1 AM AUTHORIZED BV THE <br />/��' �C� OWNER OF THIS P�OPERTY TJ PERFC�RM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />� � ?�J S�GNATUR[OFCONTRACTOHORAUiHORIZEDAGENT JRTE <br />, . Arl_ � i � �CANiSLITYDU5iNE55lICENS[NORN BUSiNE55N�E <br />PORCED AIR SYSTEMS—B.LU. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WAiER HEATER <br />WOOD S?OVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACEINSERT <br />�— HEATPUMP <br />�_ <br />GAS PIPING <br />T�..�..���r�..� <br />5 <br />VACRNT SITE f Ct, <br />DUILOING <br />acu>�v:r xomoanuxcuYns <br />caouo p�U1dBING <br />BASEMENT MECHANICAL <br />HEIGMT LIMITATION �ODITIONAL PLAN CHECN <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT auouc woaKs <br />LOCRL SALES <br />TAX COOE IS 3105 TOTAL <br />SUB TI <br />PERMI <br />TOTAL <br />N0. <br />� <br />