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� APPLICATIO'� FOR CONSTRUCT���N PERMIT � <br />TO BE COMPLETED I1J BLACK INK—PLEASE PRINT <br />HEATING SYS fEM: U GAS ❑ ELECTRII: ❑ <br />BUILDING DEPARTMENT <br />259•8810 Fi�g st't?�NF �clL <br />❑ DEMOI.ITION ❑ COMBINATION I 1 BUILDING I�MECHANICAL I I PLUMBING I� SIGN <br />oWNER ' MAIIADORE55 CITY ZIP PIIONE <br />TENANT MAII�ODRE55 CI1Y ZIP PIIONE <br />KATI-IC-{zItJE GCI�RT �IIZ S. 2h1D AV� 6V62EfT' <br />ARCNITECTORDESIGNEN MAIIADDRE55 pTY 21P PHONE <br />GENERALCONiflACTOfl M��LA�DRE55 CtlY ZIP PIIONE STAIEUCENSE� <br />re � oun.. cr �v�ur� a �r 2t9o� 3Rtu ,dV� w. P�216G'� uJA Gl��? �c,-2435 <br />MECHRNICALGONTflACTOfl MAIIA�ORESS <br />lOT <br />21P PIIONE 51 <br />i�L.l ^71 - <br />CIIV 2IP P��ONE <br />NEW ❑ ADDITION I-I ALTERATION I�I REFAIR I I DEMOLIT�ON I I WOODSTOVE/fRPLINSERT I I BUILDINGRELOCATION <br />corn�ner^ renWsa+nNo mia+e No. rr� <br />rtaerroniranrwn� �2��_^ �NVCiL M�E_������'�l—`�J 1� _ <br />PROPEIIIY �SIIUIYN BELOI <br />BLOCK OF <br />�� <br />ADORESS <br />KITCHEN <br />ROOF <br />0 <br />2Nb �� <br />OR ITEM <br />I=OR OFFICE USE ONLY: <br />FRONTSETBAGK AEAR: <br />USE <br />�Y�l <br />SiiE OF OLOG. <br />Ai7EA <br />iYPE Of CONSL <br />STORIES <br />SP P_ l NKI.E 2 5\`tiC�–1 <br />COPIES� <br />W�"t <br />UJq <br />$ ;$ �— <br />$ <br />SIUE SETOAGK <br />Y�CAtlt SIIE <br />aa�rnucr xoaUvnUxcuxns <br />cuwv <br />R� <br />OGCUPANCYLOAD FlRESPRNKLEPSREO'0 HEIGNTLIMIlAl10N <br />�JZ ��� <br />r 450N FOR SPflINKIERS <br />d�,'�' CdNL�',t`L-,�1� C�� CUi� 10 <br />�aNEBY PLANSAPpR�JVEDBY CITYOFEVERETT <br />dM LOCAL SALES <br />._�. /_. TAXCODEIS3105 <br />I HERE9Y CERTIFV THAT I HAVE R[AD AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO DE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS �NU ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WIiH WIIETHER SPECIFIED HEREIN OFi <br />NOL THE GRANTING OP A PERMIT DOES NOT PRESUME TO G�VE <br />AUTHO(ilTl' TO VIOLATH OR CANCEL THE PROVISIONS OF ANY <br />OTHER SiATE Ofi tOCAL LAW f1EGULATING CONSTRUCTION OR THE <br />PERFORMAfJGL Of CONSTRUCTIUN. THAT I AM AUTHORIZED BV THE <br />OWNER OF TIIIS PROPLR�Y TO PE(iFOfiM TIIE WORK POR WHICFI <br />APPLICHTION IS MAUE AND I COMPLY WITH THE STATE <br />CONTRAClORS 10.27 RCW ANO 29G200 WAC. <br />X C��i%�i� /Z Z <br />Siu i 2� C^� unlE <br />_— i� <br />EOUIPMENT I FEE <br />fORCED AIP SYSTEMS-6. <br />UNIT H[ATEfiS—B.T.U. M <br />CLOTHES D�YERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEA1 ER <br />WpOD STOV= <br />METAL FIREPI.ACE 8 CHIMI <br />FIREPLACE !It �,L RT <br />SUB <br />FEE <br />� <br />OUILDING ' <br />PIUMBING � <br />; <br />MECHANICAL � <br />AUDITIONAL PLAN CNCCK � <br />i <br />srr�wKie� �, <br />_ <br />STAIE �UILDING SUfiCHAfiGE <br />i <br />PUBLIC WURNS � <br />i <br />TOTAL i <br />