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' � �1r'��r�i; �. ,r t, '�, �. <br />APPLICATIdnI FOF CONSTRUCT��N PER�IAIT <br />LON 6 rorprewn <br />CIIYOP <br />everett <br />BUILDING DEPARTMENT <br />Z59-g8�� TO BE COMPLETED IN IWK—PLEASE PRINT <br />DEMOLITION COMBINATION BUILDING �.:Ii�IECHANICAL PLUMBING <br />��w+rtn , u,�� .nnmss � � i - cnr im ruoe�c <br />�(�i�� � i. (�tl���:> . �1�1����,r�c�i �)��� f-���'u rr� -� �,�� -�_��i`. _ <br />iry.r+r. �.uu nunacs r.nr zm rna�F <br />�-�Cc v►�c�, [1.� �—r�t,� ��i1�Y' – -- -- -- --- – <br />�ar.r�necronnesi,rurn ra�n �noness rnr zm ruon: <br />1 IE� I`� I' TRi L70� �1-� A; �i�55 `,�� �� �`) /+ j II u I <br />� �1� rlE )� <br />EGIUNIGMf. TNACiOR M�il �DpRE55 C❑ � <br />AUII �ODR[55 <br />CUSS OF'NONN ` ' <br />I I NEW I: ADDITION /?�ALTERATION I i REPAIR <br />TENAN7 MPPOVEIAEM OP INiCRq(fl RLMOD[L Ot1lV <br />Cp11TP�CTPRICEOFWORK: 'IC�,•I.UIf <br />F�OO_1���G/Ii�M f�1.VE0 I <br />�t1.� ��ii�i��i� liiY � d_]{� ( <br />PROPOSED VSC Oi BG"!D�YG . <br />�I��� <br />IEG�I DESGRIPTIDN OF PROPEPTY �SIIOWN O[lOW ON <br />LOT 9lOCK _ _ OF _ <br />PRQIEGT AflOPES / / � I �_ <br />� �t <br />UVATORY�WAS <br />SHOWER <br />KRVri�?� SINK B <br />SINK <br />�!� ilt�..� <br />TOTAL <br />CIiY <br />zm ` ri��+e <br />(�r-th:�-�c t�.t�tl�����i= <br />21P PIIONE <br />Vf ) l L �-� �� l`a3 L-1- <br />nr rria�E <br />J_ �IIC NC� <br />��� - <br />I ICFNSE � <br />�� -13 <br />I ICBNSE / <br />everett <br />e <br />i I SIGN <br />I I DEMOLITION �; WOODSTOVE/FRPL INSERT I I BUILDING HELOCATION <br />� cor�uc� vensor� um rua+e e�o <br />FRONTSETB�CN I �E�RS[TBACK � SIpESElOACH <br />USEZONE � IOTAPLA <br />IYPE 0( LON51 Al IOWAbI[ I IYP[ OF COflSI ALi00.l <br />SIIE OF BI DG <br />(h;G11PAHCY IORD <br />RE�SON FOR SPRINNlGRS <br />•PPIICATIqULG BY <br />NO OF SIORIES <br />FmE srm�H� ens nio�o <br />I I YES I I NO <br />ri eris �raeoveo nv <br />\'Af,ANI SiIE <br />iiYES I iN0 <br />OCCYIYAMY NOf�1pW(IIiNfUlU15 <br />cnnio <br />ons�uem <br />i I YES I I NO <br />IIHGIIT I IMIi�TION <br />CI7Y OF EVERETT <br />LOCAL SA�fS <br />TAX COOE IS 3105 <br />� <br />I HEREBV CERI"IFY THAT I HAVE READ AND EXAMINEU THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />PROVISIONS OF LAWS AND ORUtNANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Ofl <br />NOT. THE GRANTING OF A PF.RMIT DOES NOT PRESUME TO QIVE <br />AUTIIORITY TO VIOLATE OH CANCEL THE PFOVISIONS OF ANY <br />OTHEt; STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFOFMANCE OF CONS7RUCTION. THA7 I AM AUTHORRED BV THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I GOMPLY WITH Tf1E STATE <br />CONTRACTOPS LAW 18.27 RCW AND 296200 WAC. <br />SIGNAIUH[OICUNiRAG10HOliAl1111(NIIIFO�GENi D�IE <br />X\l� �,�u, � ,i� ��_. ,.���a�'Ih►,� <br />�NIS GITV UUSINC�i I ICCA$E HO ANb <br />�NICAI <br />TVPE OF EOUIPMEN <br />AiC—A�IINDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.0 <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYEFS _ <br />VEWTIIATION FAN <br />WATEF HEATER <br />WOODSTOVE <br />METAL FIFEPLACE 8 <br />FIREPLACE INSERT <br />fiEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />_ I L'/�'1 _ •(��Gl-� <br />PIANCUECNNlIMOEB I FEE <br />BUILDING <br />PI UME3ING <br />MECHANICAI <br />OiIIER <br />STA1 E dUI1.01NG SURCHARGE <br />S7AIEENIcHUYSUPCHANGE <br />PUI3LIC WOHHS <br />TOT�L <br />SI ��J TOTAL <br />PEfiMIT <br />TOTALFEE <br />R[GEIPI HO <br />J <br />]u <br />