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APPLICATI�.i FOR CONSTRUC7 _ �N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM• U GAS ❑ ELECTRIC ❑ <br />BUILDING DEPAHTMENT ' <br />259-8810 <br />l; DEMOLITION 17 COMBINATION f_ ] BUILDING I 1 MECHANICAL i.1 PLUMBIN(i �l SIGN <br />OWNER IMIL ADDRESS CITY 21P PMONE <br />Dan Mann 3710 Rucker Everett 98201 353-7161 <br />TENANT IMRMDHESS CITY 21P ourvuc <br />ARCNITECTORDESIGNER AUILADDRESS <br />GENERALCONTRACTbR MAIL�OURE55 CITY ZIP PIqNE STATELICENSEI <br />Everett Builders. Inc. 19010 61st Ave. N.E. ll3 ArlinQton, Wa. 98223 EVERER*301P1? <br />MECM�M�GLCANTR�CTOR MAILAOOf1ES5 CITY 21P PHONE STATELI:ENSER <br />PLUMBRI(3 CONTRACT(M I.UIL ADDRESS CIiY ZIP PHONE 5TI1TE I.ICENSE f <br />C1A55 OF WJfiK <br />C.� NEW [� ADDITION L 1 ALTERATION l�( qEPAIR I�I DEMOLITION I I WOODSTOVEiFRPL INSERT I J BUILDING RELOCATION <br />CANTACT PERSON AND PMONE N0. <br />CONiRACTPRICEOFWORK Dan Mann (353-7161) <br />DESCHIBE VAIp( MID SOUAflE FOOTAGE INVOLVED <br />24 sa. comoosition roofinQ on entire residence <br />LOT BLOCK 13 OF <br />PROJECTiWDRESS <br />3710 Rucker <br />WATER CLOSET (TOIL <br />e�n�rue <br />LAVATORY(WASH BA: <br />SHOWEH <br />KITCHEN SINK 8 DISP <br />TRAY <br />FOR OFFlCE USE ONLY: <br />FRONTSE7B�CN REARSET <br />USE ZONE LOT AREA <br />ivre a coxrs. a�ow�e�e Trve oF coi <br />SRE OF BLDG. NO. OF ST <br />OCCUPANCYLOAD FIRESPR� <br />flEASON FOR SPRMNLERS <br />INTAKEBY I �NSAPPROVEDBY <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />FWRCpPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />� 9 19t WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE O L LAW REGULATING CONSTRUCTION OR THE <br />PEqFORMANC OF CO TRUCTION. THAT I AM AUTHORIZED BV THE <br />NER OF TH PROPEiiTY TO PERFORM THE WORK FOR WHICH <br />APPL ATION S MADE AND I COMPLY WITH THE STATE <br />CONT TORS 1827 RCW AND 296200 WAC. <br />� l � � 1� �� <br />S�GN UNE p/�iE <br />� <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATEH <br />WOOD STOVE <br />METAI FIREPLACE 6 CHIMNEV <br />FIREPUCE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />VACANT SITE <br />BUILDING <br />OCWWKY NOIXpW(LIINGUHItS <br />�R0°P � pLUM81NG <br />PASEMEN7 MECHANICAL <br />HEIGHT IIMIT�TIOr� ADOITIONAL PUN CHECK <br />_ SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 �T�� <br />SUB TOTAL $ ' <br />PERMIT S � <br />TOTAL FEE $ <br />PECEIPT NO. <br />VALUATON FEE <br />�i <br />c ,_ <br />� <br />i <br />i <br />