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APPLICATIO.. FOR CONSTRUCT►JN PERMIT <br />tneeVe�proen TO RE COMPLETED IN INK—PLEASE PRINT <br />cin oF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />DFMOLITION <br />COMBINATION <br />MAIL <br />HEATING <br />❑ ELECTRIC ❑ <br />BUILDING JC <br />CRY 21P <br />'v 1 E,t� � �i �-�k <br />PLUMBING <br />.�IL/�v v c.'. — .. . - <br />TENANT Cr�^ MRIL RDDRE55 CITY 21P PM N <br />�l 1 I 1� <br />pRGHITECI0RDE51GNER MRRADDRE55 CITY ZIP PNONE <br />S�'�1� <br />��n, Z�p FHONE IICENSE • <br />GENERALCONTRRCTOP MAI"_RGDRE55 <br />j%�11c� <br />MEGMANMRLCONTRRGTOR MAILAOORE55 <br />LITY ZIP FHONE LILENSE• <br />PLUMBING CONTRACTOR MNL ADORESS GTY ZIP PMONE <br />t <br />everett <br />e <br />S <br />SIGN <br />� <br />��� ADDITION .. ALTERATION �. FiEPAIR �� DEMOLITION . WOODSTOVE/FRPL INSERT ,_, BUILDING RELOCA I <br />� CONTACT PERSON RNp PIIONE NO <br />��ov " � r�-m� <br />CONTR�GT PRICE OF WORN — <br />DESLPIBE N ORN AND SOUAPS FOOTAGE INVOLVBD <br />(� (1�S Ft-iEZn�(�cc^c -f— C�nS Z I hQ� <br />raoroseo usE ov euaort+c <br />�C � . <br />IEGRL UESCNIPiION Oi PPOPERTV ISNOWN BELOW OR ATTRCH FOVR COPIES) <br />LOT . _ BLOCN OF <br />BATHTUB <br />LAVATORY <br />SHOWER <br />DISP <br />URINAL <br />///EC✓ J 2 <br />PERMIT $ <br />T(]TAL FEE $ <br />FOR OFFICE USE ONLY: <br />FRONT SET9RGK FERB SETBRCR <br />USE20NE IOTRRER <br />iYPEOiGONiS.PLlOWA6lE n'PEOFLONSt.ACtOAI <br />SRE OF BIDG. NO. OF SiORIES <br />OCCUPRNGYlORO <br />RERSOHFOR <br />iNTACEBY I PUNSAPPROVEOBY <br />SIpE SETDAGK <br />VRCRNT SITE <br />CCCJG4NCV HOIXbAflIMGOMi15 <br />cnwv <br />BASEMENT <br />NEIGHT LIMITRTION <br />CiTY OF EVERETT <br />IOCAL SALES <br />TAX CODE IS 3105 <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIt� OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE FROVISIONS OF ANY <br />OTHeR STATE OR LOCAL LAY! REGULATING CONSTRUCTION OR THE <br />PERFORM.ANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHIC'i <br />APF'LICATION IS MADE ANO I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296.200 WAC Z� r��� <br />SIGNRTURE OF CONTRRLTOR OR AUTMORREO RGENT DATE � / <br />x � .l �an_ .,,.� <br />pND BUSINESS N�ME <br />TYPE <br />;ED AIR S`.'STEMS—B.T.U. M <br />HEATERS—D.T.U. M <br />HOOD <br />HEATPUMP <br />GAS PIPING <br />EXHAUSTFAN <br />AN CMECK NUMF <br />3S�/3 <br />BUILDING <br />PLUMBING <br />AIECHANICAL <br />FDDITIONAL PLAN CHECK <br />OTNER <br />STATE BUILDING SURCHARGF <br />Pl1BLIC WORKS <br />TOTAL <br />TOTAL FEE S � YT ' <br />FEE PECEIPTNO <br />VALUATION FEE <br />1 <br />ys''�` <br />_ 1 <br />� _" <br />yf , « <br />