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I,o,1����uu� �� <br />APPLICATIQ` FOR CONSTRUCT� 1�.1 R�Rzll�l��; <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />C I i ;. - - �yri?cTT <br />I HEATING SYSTEM: �$, `] ELECTRIC ❑ � � � � � <br />BUILDING DEPARTMENT � <br />259-8810 <br />❑ DEMOLITION f l COMBINATION I I BUILDING ECHANICAL i 1 PLUMBING L I SIGN <br />o„� I�P � Cl��' � p��C�S��J» l�fY-�'11�0� �. -I�V� `I��.0 3 uJ3 -'�� 1 <br />TENAN \�\ `, MFiLADDRE55 CITY 21P PHONE <br />\ �\\� — <br />qRCMi7ECTO�R\0E51GNER MAILRODPESS WTV ZIP PNONE <br />1 \1� <br />GENEflAt LONTRRCTOR MRIL ADORESS QT� ZIP �HONE STATE UCENSE t <br />MECHRNICALCONTRACTOR MAII>DDFE55 <br />Y1 �,J. � <br />PLUMBINGCONTRACTOR MAIUO�RESS <br />AND SW RRE FOOTAGE INVOLVED <br />un <br />CITY <br />�� <br />PRJPQSE \ P BUI�DING <br />� <br />LEGAL DESGRIPiION OF PROPERTV (SMOWN 9ELOW OR ATTACM TWO COPIE51 <br />LOi BIOCK OF <br />PPRCELTR%ID.NUMBEP <br />CONSTNUCTIONLOANLENOER. <br />CLOSET (TOILET) <br />IB <br />RV (WASH BASIN) <br />IR <br />N SINK 8 DISP <br />\SHER <br />3Y TRAV <br />=S WASHEfl <br />VG FOUNTAIN <br />DRAIN <br />_OW PREVENTERS <br />FOR OFFICE USE ONLY: <br />FRONT SETAI.CH REAR SETBFCK <br />USE20NE <br />ivPE Oi GON57 <br />SRE OF BLDG <br />OGGUPANGVI <br />REASON <br />iNTANEBY <br />FEE <br />SUB TOTAL $ <br />PERMIT 5 <br />TOTAIFEE $ <br />LOT�FER <br />NO.OF STORIES <br />FlPE SPflINK�ERS REO'D <br />FIPE ALAPM R[OD <br />PI.FNS Pf'PROVE� BY <br />onTe <br />SIDE <br />0 <br />YHUNt Jlnit <br />PMONE <br />CONiACTPEHSONANpPHONENO. <br />I <br />M <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />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 />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPEFTV TO PERFORM THE INORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br />CONTRACTORS �AW 1027 RCW AND 296200 WAC. <br />x (�`�LL�1L�)-��nt�-�'['ih/,�-� ����11Q3 <br />s�c�+ni q[ C o�rz � <br />a�nw <br />VENTILATION I <br />RANGE 11�70D <br />WATER HEATE <br />WOOD STOVE <br />METAL FIREPL <br />FIREPLACE IN�. <br />HEAT PUMP <br />GAS PIPING <br />EXHP.USTFAN <br />EOUIPMENT <br />EMS—B.T.U. M E.A. <br />T.U. M <br />`, VES C NO BUILDING <br />nccuPaxcr xoamvmixeue�.is <br />cnouo pWMBING <br />BnSEMENT MFCHANICAL <br />- YES G IJO <br />HEiGNTUMITFiION ADDITIONALPLANCNECK <br />OTHER <br />STAiE BUILDING SURCHARGE <br />CITY OF EVERETf PUBIIC WORNS <br />I.00AL SALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTAL <br />PERMIT <br />TOTALFE[ <br />$ <br />$ <br />a <br />r <br />