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APPLICATIdr�l FOR CONSTRUC'hrON PERMIT <br />� �, , n ,\ /� � n/ everett <br />Me En+ryreen V\JCJ.) �J � �`/ � <br />', cirv oF (115� • <br />: everett <br />� BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />� 259•8010 � I pLUMBING ❑ SIGN <br />❑ DEMOLITION I 1 COMBINATION fl BUILDING �ECHANICAL <br />-� <br />U uennooness <br />OR OESIGN��IL AUDRE55 <br />M�II <br />MAIL <br />CIASS OF YIOIIK <br />❑ NEW ❑ ADDITION <br />reww* <br />CONTiV <br />FOOI�GE <br />PROPOSED VSE OF BUyrinu <br />LEdLL �ESLRiPTION OF PROVE <br />LOT BLWN <br />iINK 8 <br />iER <br />TRAY <br />Ir tA(�� 7TV dJd--! <br />.i r zm rHone <br />��ty Z�p PIIONE <br />- �� � �21P• C..` .�E <br />i <br />��Ty l PMONE <br />�� <br />���y IIP P110NE <br />LOW OR A11�GN <br />� <br />LIGENSE 1 <br />�f.ENSE t <br />f] REPAIR I 1 DEMOLITION I I WOODSTOVE/FRPL �NSERT rJ BUILDING RELOCATION <br />coroucT rensoN nr+o rHa+e r+o. <br />I HEREBY CERTIFY THAT I H�VE REAU AND EXAMINEU THI:i <br />.4PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALI. <br />�ROVISIONS OF LAWS AND C�DINANCEF GOVERNING THIS NPE OF <br />�NORK N'ILL BE COMPLETED WITH \NIiETHER SPECIFIED HEREIN OR <br />tlOT. THE GRANTING OF A PERMIT �OES VOT PRESUME TO QIVf <br />FUTHORITY TO VIOLATE OR CA�ICEL THE PROVISIONS OF ANI' <br />OTHF!i :iTATE OR LOCAL LAW REGU'_ATING CONSTRUGTION OR THE <br />P_RFORMANCE OF CONSTRUCTION. THAT I PM AUTHORIZED BY THE: <br />ONNF.F OF THIS PROPERTY TO FE'aFORM THE WUPK FOH WFi1CFl <br />APPLICATION IS MADE AND I COMPL� WITH 1HE STATFi <br />CONTRA�TORS LAW 1827 RCW ANO 296.200 N'AC. <br />513VAiUREO=CONiRAC10NORRUTNOFREOtGENT DITE <br />AIR <br />IlANGE HOOD <br />�lATER HEATE <br />V/OOD STOVE <br />NETAL FIREPI <br />� SUBTOTAL $ I — <br />PERMIT $ <br />TOTALFEE $ <br />�qONT SE'BRCN REAP SEiBAG< SIDE SEIBACN PUN LHECN N 1MBER <br />JSE ZONE LOT AREA VAC�NT SITE FELS <br />f 7 VES ❑ NO BUILOING <br />IYVEOft015i.nLlOW�BIE irPFoffA�51JCtUAI occur�va MoaOMlUxcuxrts <br />cnouo pLUM01NG <br />itZEOFBLDO. NO.OFSTORIES B�SEMENT MECHANICAL <br />IJ YES I I NO <br />OTHER <br />JCGUPANCYW�U FIPESPFNKLE9SRE0'D NEIGNiLIMITATION __ <br />f] YES I-I NO S1AT[BUIL�IIIGSUPCNAPGE <br />1EA50N FORliP01NKlERS <br />STAT[ENERGVSURCHARGE <br />�PCLIC�PCM!lCC.BV PLANSRFFROVEDBY CITYOFEVERETT PUBLIGWOHNS <br />LOCAL SALES <br />TAX CODEIS 3105 Torn� <br />8 <br />FEE <br />A. <br />FEE 3 <br />RBCEIP-NO. <br />O <br />u <br />