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APPLICATIC .'� FOR CONSTRUC7 JN <br />TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION u <br />nwuca uu <br />PERMIT � <br />HEATING SYSTEM; U GAS ❑ ELECTRIC U � <br />I'!BUILDING <br />uir <br />� <br />CITV <br />f I HIECHANICAL <br />ZIP PlqNE <br />PMONE <br />7 PLUMBING � i SIGN <br />ARCHITECTOqDE51GNER MAILADDRE55 CIiV 21P PNONE <br />SL-� F - ..rilfHf f�S �Y� <br />GENENALCONTRALTOR MAKMORE55 CITY ZIP PHONE STATELICENSE/ <br />SA+r� AS � �,t< <br />MECHANIC�L:,ONTR�CTOR M�IL�$$ CITY ZIP PHONE STAiELICEN5E1 <br />P�UMBINGCON7RACTON M�ILADDRE55 CITV ZIP PNONE STATELICENSE� <br />GLASS K <br />. EW I_I ADDITION I. ] ALTERATION ,: REPAIR I I DEMOUTION I I WOODSTOVE/FRPL INSERT i I BUILDING REIOCATION <br />/ CONT�CT PERSON ANO PHONE H0. � <br />L�t/ < <.. v — UI <br />LEGAL DESCRIPTION OF PqOPEHTY (SHOWN BELOW OR �TTACH <br />lOT BLOCN pF <br />� <br />� PRQIECT MDRE� � � � <br />� PLUMBINf1 <br />��. NO. TYPE OF <br />� WATER CLOSET <br />BATHTUB <br />UVATORY (WAS! <br />SHOWER <br />KITCHEN SINK 8 <br />FOR OFFICE USE ONLY: <br />PRONTSETB�GK REAR�S�TBACK <br />USE�F LOTAPEA <br />SUBTOTAL $ <br />PERMIT $ <br />TOTAL FEE $ <br />SIDE SE7HRCK <br />VACA� ITE <br />ttPEOiLONiS.�IIOWABIE IYPECftON57�CiUAL <br />� �N <br />SIZEOFBLDG. NO.OF3TORIES <br />$0 � I <br />OCCUPANCVLOAD FIRESPflNr:LER5Rk0'D <br />z � <br />REASON FOR SPRINKLERS <br />PLANS APPROVEO BY <br />L <br />OCC�f1NCv NOMOW[IIMGUMi15 <br />GPOUC <br />� ^� <br />BASEMENT <br />Nfl <br />HEIGMT LIMITATION <br />3s, <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />_e-%C�.�- � C2�vf-�.aP� .?��-3 y 7d'i <br />i HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE 1ND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN�NG THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTNER $TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK fOR WHICH <br />APPLICATION IS MADE AND t COt.IPLY WITH TIIE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />PLAN CHECK NI <br />3 F� <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />PERMIT <br />TOTALFEE <br />� <br />RECEIPT N0. <br />