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APPLICAT�,�,N �OR CONSTRUCti.bN PF�RMIT <br />,_, .�,�' <br />� che E�vrp�xen <br />CITY OF <br />� everett <br />BUILDING DFPARTMENT TO BE COMPLETED IN <br />259-BB10 <br />�� DEMOUTION I� COMBINATION I 1 BUILDING <br />ON1ER AUIL�DORP55 IiY <br />AIhC,,-f- � �+K��1 �� � ""� i t�.L' � <br />TFIMNT MAR�DDlIE55 ���� <br />A C ITEL�� MAIL�DUn[SS ' '� <br />CEN@R/�LCONiRACTO� M4l ES <br />\�� �(a� — � <br />MECH�NIGILCOHiR�CTOR M�ILRl1�RF55 <br />PIWBiN4COHTPACtpR M�ILAODRESS <br />C1A59 OF WORN <br />❑ NEW Il <br />7ENANTIMPPOVEMEHTOR:NL <br />CONTMCT PRCC Q` WORK: <br />DESCH�BE ONKANDSOU�RE <br />PR��OPO�S^EUy��J EO:BUILDIN <br />.Sll=—K.�— <br />LEO�U. DESCRIFTIDN Of FRO01 <br />�p� _ BIOGN <br />OHLY <br />� _ <br />OF <br />�TEM <br />�LEASE PRINT <br />ECHANICAL I � pLUMBING <br />�� 01 �'���s�i - �-d �� <br />)ip PIIONE <br />Zi� PIIDNE <br />21P. r � i iHONE ��� LIGAE i <br />-���v ir�cac� <br />��,� q i :�� <br />��� � <br />LIGENSE � <br />everett <br />� <br />1=7 SlGN <br />f 1 REP�IR I 1 DEMOLITION I! WOOOSTOVEiFRPUtlSERT LI BUILDING RELOCATION <br />� CONTACT PEliSON �ND PHON[ NO <br />I <br />I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br />APPLICATION AND KHOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />40T. THE GRANTING 6F A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY T(� VIOLATE OR CANCEL THE PROVIS�ONS OF ANV <br />OTHER ST�TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2E� BY THE <br />OWNER OF THIS PROPGRTY TO PERFORM THE WOHK FOR WHICH <br />APPLICATION IS M�De AND I COMPLY WITH THE STATE <br />CONTR�CTORS LAW 18.27 RCW AND 296200 WAC. <br />SIfNn1U�EO�COf11(IAqORUR�UT110PIZEDAGENT OATE <br />X�� .,., . � ,o ,1�, a„ � . .�/,� ►��;,, <br />� <br />IICENSE <br />ANICAL <br />TYPE OF EOUIPN <br />A/C—A/HNDLG UNITS—H.P. <br />FOFiCEO AIR SYSTEMS—B. <br />UNIT HEATERS—P.T.U. M <br />HEAT PUMP <br />GAS PIPING <br />� SUB TOTAL $ <br />�� PERIAIT $ <br />TOTPL FEE $ <br />FRONTSCTB�GK REARSETBAGK SIpESEiBRGR PLANCNECKNUMBER <br />r USE20NE IOTAREA VACANTSIiE FEES <br />'. [ ] YES L7 NO BUILDING <br />TVPEO�CONS7AlOWABLE ttP[OFCONS7.RC7U�l acur+ntr NOpVeRItMGuxnb <br />4R00P pLUMBING <br />; 62EOf BLDG. NOAPSTORIES OASENENT MECHANICAL <br />IJ VES f.1 NO <br />� OTHER <br />� OCC7PANCVIOAp FIHESPRNNlERSREOD HEIGNTLIMITATIDN <br />fJ YES !_I NO S7ATE BUIIDING SURCHnRGE <br />I REAS'JNfOHSPHINNL[RS <br />I StATEENERGVSURCHARGE <br />IAPPLICRqNAGC.BV ^lANSAPPHOVEDBY CITYOFEVERETT PUOIICWORKS <br />� LOCAI SALES <br />TAX COOEIS 3105 rorn� <br />FEE <br />N�ME <br />� <br />E.A. <br />a� <br />g �f � <br />s y� � <br />RECEIPT N0. <br />FEE <br />�T� <br />_�_ <br />i <br />�i— <br />y� ' � <br />i <br />i <br />i <br />i <br />��' <br />i <br />� <br />i <br />i <br />�r � <br />