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�n� <br />H <br />,C��Hf~A <br />� � � <br />�tlH� <br />yy��x <br />� d <br />OH <br />n <br />�,�g <br />t"y� <br />gyy <br />��� <br />HO� <br />; :,,� _. <br />APPLICATIUN FOR CONSTRUCTION PERMIT t,'��°" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />!be Ecer9i �n <br />GITY OF <br />eve rett HEATING SYSTEM: ❑ GAS ❑ ELECTRIC U ---� <br />RTMENT <br />BUILDING DEPA <br />259-8810 <br />k' DEMOLITION COMBINATION <br />� 05VNER �� 6�RRApDRESS .�.30 <br />fli�A��[t'/VC�� �,:� .�� .•�� <br />tENANi—T MA�LA�DRESS <br />L%/(�/� vacnNr <br />MLNIiECTOPpESIGNER hUILADORESS <br />�� �� ��� �� <br />GENERAICONTPAGTOfl MAILF�DRE55 <br />�Vc�r!'KAb�[iR4'¢',�-`� 8i�7 'd�a�•��� <br />AI[CN�NICRLGONTPACTOR MAILR�ORE55 <br />PIUMBINGCONTRRCTOR M41LApOHt55 <br />clAsS oF woRN <br />NEW ADDITION . � ALTEFATION <br />aaovoseouseeF <br />LOi <br />PRWEGT AODFESS <br />iNvavEo <br />:9�� J �� <br />�� ,� <br />PROPEPiV ISMOWN BELOW Ofi <br />BIOCN _ aF _ <br />WATER CLOSET <br />BATHTUB <br />LAVATORY�WASI <br />SHOWER <br />KITCHEN SIN!C 8 <br />DISHWASHEF <br />LAUNDRYTRAY <br />CLOTHES WASH <br />URINAL <br />DRINKING FOUN <br />FLOOR DRAIN <br />ROOF <br />FOR OFFICE USE ONLY: <br />fPONiSELflACN RE�RSEt <br />tISEZONE IOTARER <br />SRE OF BLDG. <br />PEn50NFOR5PRMNLERS <br />�NLAICE BY <br />���: <br />NO. OF STORIES <br />PUNS APPROVED BY <br />TOTAL <br />BUILDING <br />CItY <br />GTY <br />CITV <br />� <br />CITY <br />REPAIR <br />,��, � <br />MECHANICAL <br />ZIP PNONE <br />sa-�_ <br />�LJ Y <br />21P PHONE <br />ZIP PHONE <br />21P <br />ZIP <br />PLUMBING SIGN <br />_ ?O <br />PHONE LICENSF. � ' <br />g:c`l-'lS3d ��i-ci-trcdi=vrif6'c� I <br />PlIONE LICENSE� <br />GIIONE LICENSE♦ <br />�LITION . � WOODSTUVE/FRPL INSERT - �. BUILDING AELOCATION <br />CONiAGTPERSON�AN�PNONE/�/O �t (_ ///�� <br />7Q�C�i9�16i[�[i /�OCU�E'J�J- <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />��PiEsi PFOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GFANTING OF A PERMIT DO[S NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PEFFORhtANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH <br />— APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW��{0001827 RCW AND 296200 WAC. <br />SIGNLIP6,OFCONi C�PAUTNORIZ�DAGENT DATE �-i'�'%v <br />1 �/ � <br />���� � �z� <br />APPL�CANTS CITY BUSiNE55 JCENSE N0. ANO BUSMESS NAAIE <br />AIR S:'STEMS—B.T.U. M <br />QFRS—B.T.U. M <br />iDFYERS <br />PUMP <br />�IPING <br />UST FAN <br />SIDGSETBACK PLANLNECKNUI.I�ER <br />VALANt SItE FEES <br />BUILDING <br />p[tllv4Xr x0 a OWLLLiM1Guniis <br />caav PLUMBING <br />BRSEMENT MECHANICAL <br />MEiGHT IIMITATiON ADDITIONAL PLAN CNECH <br />OTHER <br />STATE BUILDING SUFiCHARGL <br />CITY Of EVERETT PUBLIC lY0RK5 <br />LOCAL SALES <br />TAl( COUE IS 3105 TOTAL <br />� �� <br />