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APPLICATIOK �OR CONSTRUCTIL.� PERMIT <br />� E� g,�� TO BE COMPIETED IN INK—PLEASE PRINT <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />HEATING SYSTEM: ❑ GAS <br />� <br />everett <br />e <br />DEMOLITION }C COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br />p�Eq MRII �DDRE55 GTY ZiP YNONE <br />�'�PA�c/k DEEs� 3$� z7 GJ�z-.vo,c� �ticxGrr' 9 Yz u[ z� z— z 3� Z. <br />TEN�NT MML�DDRESS�a �J�v �2 ��TY Z�P PMONE <br />/' � F s-sp S?3 —G ,.?76 <br />o e� rh vn <br />qFCNITECTORDE5IGNER MRILROpRE55 <br />f.ITV IIP PNONE <br />� � AEsiw✓ i z r�i 8�'�v� 4% E��.eE%z" �.➢"Z � L 3Y 7_ � '`� `/ <br />GENERI�LGUHTRFCTOR MMI�ODRESS CITV ZIP PHONE UCENSE� <br />OAI /� �/ pNpqE �ILENSE� <br />MECH�NIC�LGONTR�CTOR M�Ill1DDftE55 ��TY Z�P <br />PLUMBINGCONTP�LTOR MML�ODRE55 <br />qry 21P PHONE LIGENSE t <br />I_ NEW <br />ppNTR�CT PRICI <br />OESCPIBE WORK <br />PPOPOSEous � <br />� <br />LE6�LDESCPiF1 <br />�oT 13 <br />ADDITION �. - ALTEFATION � ' REPAIR <br />�w.�. /G, 9DU r,� <br />GT�DORE5/5 <br />Z % [✓ <br />]U�REFOOTAGEINVO'.VED <br />- Da.eN,,�,e �o� <br />o�N�a��ay 3 � <br />� � <br />PROPEATY�SHOWNBELOWORATI CM <br />BLOGN �_ OF � <br />V :iINK 8 DISP <br />SHER <br />iV TRAY <br />S WASHER <br />�G FOUNTAIN <br />DRAIN <br />Cl��iQGI� <br />SUB <br />FOR OFFICE USE ONIY: <br />fRONTSETBRCK AEARSETBACN <br />20 � Zpr <br />1'i_ ZONE � LOi RRER, � <br />R � <br />IYPE Of CONiS ALLOWAPIE iYVE 0� CONSi >LtU4l <br />�u - <br />G iZ�OF B�G +.�'� NO.Of SfORI[5 <br />mY)�f � <br />OGCUPANLVLORO FlRESPRNKLERSREO'D <br />�I/A 1Jo <br />�,� <br />ev <br />e� <br />S <br />$ <br />DEMOLITION WOODSTOVFIFRPL INSERT .. BUILDING RELOCATION <br />CONTALT PERSON AND PMONE NO. <br />Q�n�k DE� S E 733 - b o i(o <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICA?ION AND KNOW THE SAME TO BE TRUE AND CARHECT. ALL <br />PROVISIONS OF LAWS AND OFiDINANCES GOVERNING ; niS NPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIt_�D HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRFSUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEI THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF �ONSTRUCTION. THAT I AM AUTHORIZED BV 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 296.200 WAC. <br />SIGN�NREOFCONTR�CIORORAUTNORIZEDAGENT O�TE <br />r <br />�P IC�NTSCITYBUSINESSLIGENSENO.ANDBOSMESSN�ME _� <br />AIR S`.'STEMS—B.T.U. M E.A. <br />HOOD <br />HEATER <br />STOVE <br />FIREPIACE & CHIMNEY ._ <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />$IDE$[TBRLK PIPNGRtMrvV e <br />� �t I Z-fr $I'� <br />vncnr�* srce F ES <br />^ a���o�N� <br />acuo�xcr xoo�ox[��wcux.•s <br />s�ou� /� Z pLUMBING <br />BRSEMEr+T MECHANICAL <br />HEiGNT �ufM' nnor+ ADDITIONAL PLAN CHECK <br />�` �, OTHER <br />STATE BUILDING SURCHO.RfiE <br />CITY OF EIiERETT PUBLIC WORNS <br />LOCAI SALES <br />TI1X COOE IS 3105 TOT11L <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE $ <br />!� <br />T <br />