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.(: e.i:1'. <br />APPLICATIO�FOR CONSTRUCTI� PERMIT <br />!M EvNprwn <br />cin oF <br />, . ; everett <br />I' BUILDING DEPARTMENT <br />i ` 25g.gg� p TO BE COMPLETED IN INK—PLEASE PRINT <br />i ❑ DEMOLITION ❑ COMBINATION ❑ BUILDING �E�CHANICAL ❑ PLUMBING <br />I OWNER MAII D�RESS CITV 21P PNONE <br />� �Y��o l� � �e158v� - 3c�o� �' � �-� � v - cv-r ��- c�� <br />�� TE�UNT M�IlAODflESS CITY 21P PNONE <br />DESIONEN MAIIADDqESS <br />cin <br />ZIP <br />u-EN8lS� L <br />` I <br />everett <br />e <br />❑ SIGN <br />��.� '� <br />PLUMBINfiCIXiTMC7ON MI11LI1DDRE55 CIiY ZIP PHpNE LICENSEI � <br />CWB OF NOIiK <br />�❑ NEW O ADDITION '��.iLTfRATION O REPAIR ❑ DEMOLITION ❑ WOODSTOVEIFRPLINSERT O BUILDIN6RELOCATION <br />'7EWWTpAPROVEMENTORI PIOflREA100E�1__ONLVr�� CONT�CTPEPSONANDPNONENO, <br />=� CONTMCTPflICEOFWOHK: <br />, : OEBCNIBE ORK u1u sal <br />vnovo�eo usE a eun o <br />i <br />� ,� � LEOILL OE6CRIPTION OF PROPF <br />...IAT BLOCK <br />r� 'J�HIOJECT <br />I <br />�SINK 0 <br />PRONTSETHACK <br />USEZONE <br />TYPE Of CONSL ALLOWABIE <br />8'_ OF BLIXi. <br />OCCUPANCVLOAD <br />REABON !'OR 6PflINKLEi15 <br />APPLICATION ACC. BY <br />WASHER <br />INVOLVED <br />nn �e q! <br />LOW OR <br />OF <br />SUB <br />� <br />e <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 GOVERNINa THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PHOVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APF'LICATION IS MADE AND I COMPLY WITH ThiE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SI6NATUREOFCONTMCTONORAUTMOAQEDAOENT DATE <br />�l/. Ai, � . , � / 1✓/ /1 /h. _ .,A., n T//�, <br />UNIT <br />7 <br />NEMSETBACK SIUESETBACK PLANCHECKNUMBEfl <br />LOTAREA VACANiSIiE FEES <br />❑ YES ❑ NO BUILDING <br />ttPEOFCONST.�CTUAL Oxuw.ntr No.aowElUNauNrt6 � <br />`•GRWP <br />�� . PLUMBII!G <br />NO.OFSTORIES BASEMENi MECHAN'.CA <br />❑ YES ❑ NO <br />FIRESPflNKLER5RE0'D MEIOHTIIMITATION OTHER <br />❑ YES ❑ NO STATEBUILDINGSURCHARGE <br />STATEENEROVSUPCHARGE <br />PUNS �PPROVED BV CITY OF EYEREIT PUBLIC WORKS <br />LOCALSALES <br />TAX CODEIS 3105 TOTAL <br />6 CHiMNEY <br />FEE <br />RECEIPTNO. <br />FEE <br />�— <br />: <br />� <br />i <br />i <br />���- <br />Ci�l ; <br />i <br />�'l.'M1*nil4:.f4;`.� =�� :l +M;.' �C. � ���4'E��. � x' :'�':t�Wi�n'i>�} «':..k ' 'j : . v ' '.1.. „ . <br />. �4' . 1 ..L( <br />