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APPLICATIG�rrl FOR CONSTRUCT�ON PERMIT <br />ina e�re�qreen TO BE COMPLETED IN INK—PLEASE PRINT <br />GTV OP <br />everett <br />BUILDING DEPARTMENT <br />259-8870 <br />DEMOLITION COMBINATION <br />HEATING SYSTEM: <br />BUILDING <br />cm <br />❑ ELECTR�C ❑ <br />PMONE '� <br />t�`a` '��� <br />TEN��N'T/� ,� � MRIL r1�DRE55 (� CITY 21P PIIONE <br />PHLHITECTOR�1 ER MAILADDFE55 CILY ZIP PIIOYE <br />GENERALCONTPACTOR MAILADORE55 CITY ZIP PMpNE LICENSE� <br />ca� <br />�� l /1 .�.li l <br />PMONE <br />�i <br />� <br />everett <br />e <br />� SIGN <br />CUSS OF WORR - <br />, NEW �. ADDITION �� ALTERATION �� REPAIR I. ; DEMOUTION , I WOODSTOVE/FRPL INSERT " BUILDING RELOCAT�ON <br />I) � /���/� /jICONTFLT PERSON AND PNONE NO ^ <br />GONTRAGT Pfll[E OF WOR I�--/ �/ �• i.JL) 11 �d /.1 A i n�. �n iY�o . l/�/n � i� i n(/ / <br />�' 31 <br />PRC <br />� <br />iot <br />� <br />i <br />BLOCK pF <br />3 1-- I/�G_ /1 <br />URINAL <br />DRINKING F <br />FLOOR DFiA <br />BACKFLOW <br />ROOF DRAII <br />SINK ISEAV <br />d�y-a���z/ <br />I HFREBV CERTIFY THAT I HAVE REAf` AND EXAMINED THIS <br />�.�/ APPLICATION AND KNOW THE SAME TG tiE TRUE AND CORfiECT. ALL <br />FOURGOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />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 OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMAhCE OF CONSTRUCTION. THAT I AM AUTHORIZED OY THE <br />OWNEFi OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />S1GNRiUPE OF CONTR�GTOP OR RUTHORREO RG'cNT D�TE <br />�11 �-�Gu�L`��t l-�l-��_ <br />RPPLIGANTS LITV BUSME55 ��CENSE NO. �ND BUSME55 NAME <br />FORCED AIR SYSTEMS—O.T.U. M E.A. <br />SH BASIN) UNIT HEATERS—B.T.U. M <br />CIOTHES DRYERS <br />8 DISP VENTILATION FAN � <br />' RANGEHOOD <br />� WATER HEATER <br />HER � WOpD 5?OVE <br />' MEIAL FIREPLACE 8 CHIMNEY <br />NTAIN FIREPLACEINSERT <br />, HEAT PUMP � <br />FOR OFFICE USE ONLY: <br />PRONTSET9ACK REANSETO/CN <br />US[ZONE <br />ivFE01CONi5 AIIOWABIF <br />SYE OF BLDG. <br />OCCUPANCYlOnO <br />R[ASON (Oq SPPiNFlERS <br />INTANE BY <br />IOTqREp <br />SUB TOTAL $ <br />PERMIT $ <br />TOTALFEE $ <br />SIDE SETBACK <br />VACANT SITE <br />iYPE 01 (ONSi. ACIOAI <br />NO OF STORI[5 <br />FIHE SPNNNL[RS Rt0'D <br />PLANS APPROVEO BY <br />FAN <br />euaoiNc <br />OCLLinWCv NOO�PM1IlONGUHItS <br />caovr p�UA1BING <br />BnSEM[NT MECHANICAL <br />MEIGMI' IIMItATiON /1D�ITIONAL PLAN C4ECK <br />OTHER <br />STATE BLIILDING SURCHARGE <br />CITY Of EVEflETT PUBLIC WOflKS <br />LOCAL SALES <br />TAX CODE IS 3105 rorn� <br />TOTAL S <br />u11T $ <br />PEGEIPTNO. <br />Oa <br />�OU <br />�` <br />