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APPLICATIf11 FOR CONSTRUCT�N PERMIT � <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />�HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING Ci SIGN <br />n�Fp _ � MAIIADDBESS CITV 2iP _ PHONE _`— <br />PMONE <br />ARCHITECTORDESIGNEF MAILADORESS CITV ZIP PNONE <br />GENERALCONTRAGTOR MAILADDRE55 CITV Z1P PMONE STREUCE�St� <br />MECHANICALCONTRAGTOR MAILRDDRESS CITY 21P PHONE SUTELICENSEt <br />PLUMBINGCONTR�GTOR M�ILADDRESS LITY ZIP PMONE STATELILENSE� <br />� CONTRACT PPICE OF WORK � r�\Ob <br />DESCRIBE WORK AND SOU�RE FOOTAGE �.NVOLVED <br />IEGAI. DESCRIPTION OF FROPI <br />LOT BLOCK <br />�ARCELTA%I.�.NIIMBEH <br />CONSTf1UGTI0N LOAN LENDER, <br />SINK <br />TRAY <br />FOR OFFICE USE ONLY: <br />cenurcnnece AE�R: <br />USE <br />SIZE OF <br />CONTpCT PERSON ANC PHONE NO. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED TIiIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIGNS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />.OWORATTACHTWOCOPIES) WORK WILI BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMI7 DOES NOT PRESUME TO GIVE <br />oF AUTHORITY ?O VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br />PERFORMP�NCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />PHONENUMBER �\J `I <br />� �l`�t����\Z�` Q—\L��QY <br />qw �E O�tE <br />SUB TO' <br />PERMIT <br />TOTAL F <br />lOT AHEA <br />NO.OF STORIES <br />� <br />FIRE SPRIN1NLIERS REO'D <br />/VV <br />fIRE RL�RM REO'0 <br />Na <br />p�pNSAPPROVE�BV <br />D�iE � �D/�i <br />SI�E <br />FORCED AIR SYSTEMS—B.T.U. <br />UNITHEATERS—B.TU. M <br />CLOTHES DRYER5 <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOD STOVE <br />GAS <br />PUN CHECKflUM9�N , � <br />, /rcr. ., <br />❑ YES ❑ NO BUILOING <br />y@a'�cuwxc xoorowmixeux�rs <br />PLUA�BING <br />BASEMENT ��� <br />❑ YES i�3"N� <br />HEIGNT LIMITATION <br />2b� <br />CITY OF EVERET <br />LOCIIL SALES <br />TAX CODE IS 310 <br />MECHANICAL <br />ADDI710NAL PLAN CHECK <br />OTHER _ <br />STATE BUILDING SURCHARGE <br />PUBLIC WOFKS <br />TOTAL <br />i <br />a <br />