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��� <br />H <br />�Hy <br />1'C � C] <br />�+tl H � <br />y�H� <br />C70�7 <br />OHd <br />��g <br />nY A <br />t"y� <br />HH <br />gyH <br />C]Cy <br />� ��q+ <br />H �A <br />HO[n <br />APPLICATIO.i FOR CONSTRUCT`�"')N PERMIT '',`''"�` <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />rne Ern�9�een <br />cirv oF HEATING SYST[M: J GAS J ELECTRIC ❑_ <br />everett _ —� <br />BUIIDING DEPARTMENT <br />259•8810 <br />DEMOLITION COMBINATION BUILDING JMECHANICAL ; PLUMBING SIGN <br />OWNER MAILRDDPESS GITV ZiP PNONE <br />��.i�r� Slc�l , �,�,.2 �� i� u����. `�� - � . �� 8� <br />TENANT MRI�AOORESS C1TV 21P PNO4E <br />qRLHIiELTORDESIGNER MA1lAD�RE55 CITv 2iP PHONE <br />GENERALCONT(lRCTOR M�ILAD�RE55 GITY ZIP PMONE LiCE�bE• <br />�OV-�� LC�iri' '�i��0 i-��C9 �G`f' �'1feV'(� 9S"7G� �'�Jh ��l /��i'�l�ti�l��C��(�i� <br />MECMANICALCONTNPGTOF �AnIL�DDRE55 CITY SIP �MONE UCENSE� <br />PLUMBINGGONiRACTUR MMlA0�RE55 ���� Zi° �MONE ��GENSE/ <br />CLASS OF WORN <br />� �� NEW I . ADDITION <br />��`�t�ll I _ ��� <br />PROPOSE� USE OP BVILDi iG / <br />� L l <br />IEGALOE RiPTION fPNOPEFiY <br />LOT BLOCN _ <br />. 9;, 4 -�" �13 q I — <br />ALTERATION .� REPAIR <br />.OW OR <br />OF _ <br />_ / <br />���C�. 1i1� I ' u u, �-L <br />PR0.IECT�DORESS <br />SINK 8 DISP <br />DRAIN <br />�� <br />FOR OFFICE USE ONLY: <br />FRONiSETBACK AEAH $ETBALK <br />ivPE 0� <br />SRE Oi BLUG. <br />OGCIIPANCV L <br />INtANE BV <br />SUB TOTAL <br />PEHAIIT <br />TOTALFEE <br />rvPF 0� LONSi. ACNAI <br />f��E S�RNNLERS RCOO <br />PLANS�PPROYEDPY <br />DEMOLITION WOODSTOVEiFRPL INSERT � BUILDING RELOCATION <br />� CONTnCT PERSON AND PNONE NO <br />�p�.�'� �� � <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPUCATION AND KNGW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GfiANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNNiUFEOFCONTRACi0A0RAUTNOPI2ED�GENT OATE <br />X ��� . / <br />/ . �.L 1 Ifl.� �3//i/%� <br />APPLICANiS Uiv gl6'NESc UCENLE NO AND BU9NE55 Nn�iE <br />A'C—A�HNDLG UNITS—H.P <br />FORCED AIR SYSTEMS—B. <br />UNIT HEATERS-87.U. M <br />CIOTHES DRYERS <br />VENTILATION FAN <br />FAN _f <br />----- - _3s 7 3� <br />VAUNi $ItE FEES <br />BUILDING <br />ttcv�.xc. xoaoH����sc,�.+� — <br />teWv PLUMBING <br />BASEMENT h¢CNANICAL <br />HEiGNt uMrt�nON ADD�TIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORNS <br />LOCAL SALES <br />TAX CODEIS 3105 rora� <br />FEE <br />FERMIT S <br />TOTALFEE $ <br />a <br />