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y [� Fa <br />coEro <br />�° �: <br />r <br />� e M <br />b�° <br />N � <br />�� <br />O M <br />� � � <br />M <br />H <br />f+ H <br />N <br />O N <br />��r <br />O � <br />� <br />pppLICATIC J FOR CO[�lSTRUC7 ,�N PERMIT ��"E`'�E,�. <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />f� HEATING SiSTEM J GAS ��.1 ELECTRIC 'J - - - - --- - � - I <br />6UILDING DEPARTMENI / <br />259-8810 ��ECHANICAL P�UMBING SIGN <br />COMBINATION BUILDING � <br />DEMOLITION - Z�p ri�or+e J <br />o,� ,.ini�non�nss �1 /r�cirv ;. - .�.3� , 7' ��� ! <br />? J� � I ���/ (� ��l � � %De. �<' �� c. p�—� _.- <br />l'r�,��E-�5 _7;c. ��,� zP PONE <br />i[NANi MAILA��NESi ��» / �,�Q�1.L _ <br />�` il2 � �� ` <br />` CILY ZIP P ONE ��O O�L�� <br />nftCHItECTORDE51GNE8 MAILAODRE55 S <br />C���� ����Z�p PMONE SiAtE LIGENSE • <br />,.�.��...�rnumsciDH �IAILADDRE55 .� nLI1V �.. � 5-� -./ <br />� .2, 1- 3CL�'J L' F!N . �+ .T -_�_.-1 _�, <br />iN � <br />niai� n <br />NEW ADDITION <br />�— <br />�iRACT PRICE OF WORR <br />E WORN AND SOt1PRE F <br />G � <br />�a� u5E OF URUIYG <br />�O1 BLOCN _ <br />, .r_ a ,�zG�_ <br />I:H� <br />i( <br />DRAIN <br />�— TOTAL <br />FOR OFFICE USE ONLY: <br />iPO4T5Eip�GN REANSElOACN <br />US[ 20NE lOT ARER <br />w <br />IVCEOfCON15.AlLOWABIE lYPEOfCON51AL1U�L <br />SREOFBLOG NOOFSTOP�ES <br />OCCIIPANLV LOAD G1RE SPRNNLERS REO'I <br />qLp$ON FOP SPRINNLER$ <br />-.._..,,.�—T r�nr+s nrreoven ur <br />CiTY <br />REPAIR <br />C/ ;�� c <br />.�, s <br />Z�p PI�DNE StAiCUCENSE� <br />. ._.._ cieiCllfFNS[� <br />[ih <br />DEMOLITION WOODSTOVE�FRPL INSERT BUILDING RELOC�TION <br />I CONtACT PERSOf1 ANO PMONE NO <br />iy r..,-i � �.�-j.� _ <br />(i:.i l � 1 `r � <br />i HEREBY CERTIFY THAT I HAVE REA� AND E%AMINED THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORfiECT. ALL <br />coaiEsl PRO`.'ISIONS OF LAWS AND ORDIWANGES GOVERNWG THIS TVPE OF <br />NOT. THE GRA 7OING OF �D ER 11TJOOES NOT PiiIES MEFRO GOE <br />OTHER STATE OF1 LOCAL LAN1 EGULATING CONSOTRUCTION OR THE <br />� •3 <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOFIZED BY TH <br />OWNEP OF THIS PROPERTV 70 PERFORM THE'NORh FOF 1':HICH <br />APPLICATION IS MAUE AND � COMPLV WITH 7HE ST,1TF <br />CONTR�AGT7ORS LAW 1827 RCW �ND 29G200 WAC. <br />/ / �� [;/ � ' �^ .. <br />7(_��lG'tt� il/���� (�{,, .,. � �_ f � _ . <br />_ �.,� � <br />— �� �-- <br />MECHANICAL�.. .______...^..f.T FEE <br />FOFCED Alfi <br />U�IT HEATEI <br />FAN l— --- <br />,�����,,,,..,. �:'���% <br />vncaHr sire FEES <br />6VILOING <br />aar�v.r xommu�:�::�:"�ti <br />caoo= � PLUId�ING <br />BASEMENi MECHANICAL <br />��— AU�ITIONAL PLAN CHECK <br />NEIGdT IiMITAiION <br />SPRINNIER <br />STATE BUILDING SUfiCHARGE <br />CITY OF EVERETT Pl1�LIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 Tora� _ <br />TOTAL <br />r.' � n[c[mrvo <br />/ <br />