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APPLICATIOI�FOR CONSTRUCTI� N PERMIT everett <br />� E�ro�� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />� 1 DEMOLITION ❑ COMBINATION <br />MAIL ADORESS <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING <br />cirv <br />❑ MECHANICAL <br />aio ! PNONE <br />ZIP <br />❑ PLUMBING ❑ SIGN <br />��n. Z�p PNONE LICENSEI <br />PWMEINGGONTRACTOR M4ILADDRE55 <br />CLASSOF WORK <br />C NEW G ADDITION LI ALTERATION ❑ REPAIR fJ DEMOUTION L I WOODSTOVEIFRPL INSERT u BUILDINd RELOCATION <br />CONTACT PERSON AND PHONE NO. <br />------__..�.�,.�� ti/�r� - -a G i �,�� ass-yr,�s <br />�no <br />LOT BLOCK <br />UB <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />SINK <br />LOW OR <br />� <br />SUB TO <br />PERMIT <br />FOR OFFlCE USE ONLY: <br />FRONT SETBACK REAR SETBAC <br />iV/Si <br />5 <br />a <br />S�DE <br />FEE <br />�r3�8 -i89� <br />I HEREBY CERTIFV THAT 1 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 />NOT THE GRANT�G OF A ERMITJDOES NOT PRIESUME TO GIOVE <br />AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />APPLICATFONISSRMADE A DPE COMPLY WIT�HKTHER STATE <br />CONTRACTORS LAW 7827 RCW AND 296200 WAC. <br />SIGNAN RE/pFL/pr�TRACTOROf�U'/.�/y IZE0�6ENT DATE <br />I'I�l / /f / . .•i n / �C /l��.i il ��/^ / � <br />�RCED AIR SYSTEMS—B.T.U. M E.A. <br />IIT HEATERS—B.T.U. M <br />OTHES DRYERS <br />INTILATION FAN <br />�NGE HOOD <br />4TER HEATER <br />DOD STOVE <br />_TAL FIREPLACE & CHIMNEY <br />REPLACEINSERT <br />AT PUMP <br />4S PIPING <br />iHAUST FAN <br />SUB TOTAL S <br />PERMIT E <br />TOTAL FEE 5 <br />K NUMBER FE ! RECEIPT NO. <br />L�q��( u, <br />USE ZOHE LOT AREA ^"••••• _.._ G � QQ <br />��1 1.� � BUILDING � 0O V o� <br />i <br />iYPf 0� CON75. ALIOW�BLE ttPE OF CONST. ACiOAL aN�Ntr NO d VMLLiaGUNiiS i <br />c9011° PLUMBING � <br />SIZE OF BLOG. NO. OF STOPIES BFSEMENT MECHANICAL � <br />REASON FOR <br />INTAKE BY <br />ADDITIONAL PLAN CHECK ' <br />FIPESPRNKLERSREO'D MEIGHTUMITATION i <br />OTHER ' <br />KLEHS STATE BUILDING SURCHARGE Y''� <br />P SAPPROVEDBY CITY OF EVEREIT PUBLIC WORKS � / <br />�yy� LOCAL SALES � � j <br />� � n TAl( COOE IS 3105 �TAL <br />