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� <br />`�'_� � �� . <br />APPLICATI� FOR CONSTRUC�OLN PERMIT <br />��IM E�eryrwn <br />{ citr oF <br />� everett <br />� BUILDING DEPARTMENT <br />ti 259-8810 TO BE COMPLETED IN INK—PIEASE PRINT <br />� ❑ DEMOUTION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL <br />❑ PLUMBING <br />hw e � <br />everett <br />� <br />❑ SIGN <br />PLUAIBRMCONTPo1CTOi1 M�ILADDRESS� -_ �O��TY ZIP FHONE LICENSE� <br />cusa oF vronK�,� 1 <br />❑ NEW Y�nDDITION ❑ ALTERATION <br />MENT Oi: INTERIOR REMODEL dJLY <br />.OFWORK: �QOrOOA.O� <br />NID 90UARE FOOT�OE MVOW EO <br />�or e�ocK oc <br />il i... �12� <br />w�i n /.� i•� o /1_n.t � <br />1 — <br />7 <br />� '_ <br />; �_ <br />i <br />� FIIONT <br />.l <br />, use zc <br />OF <br />LAVATORY <br />SHOWER <br />DRAIN <br />C7 <br />J <br />1 <br />; 8QE OF BLD(3. <br />� $5(v �,� h o� <br />OCCUPMlCVLOAO <br />� �� <br />J REASONFORSPPINKLERS <br />APPLICAT: _N ACC. BY <br />� � <br />�.' <br />REARSETB�CK <br />� ' <br />l0T AREA <br />Lo <br />TYPEO�F O`NST.IICIUAL <br />Y �I�-� <br />NO. OF�STORIES <br />FIRE SPRNKLERS REO'� <br />❑ YES � NO <br />(l DEMOLITION I.1 WOODSTOVElFRPL INSERT [ l BUILDING RELOCATION <br />2 L/�-r/^+ • I ppNTACT PERSON ANO PMONE NO <br />/ + � ! <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 A:f� ORDINANCES CaOVERNINO THIS TYPE OF <br />WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HERF.IN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATIN6 CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH TIiE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />SIGN�TUREOFCONTR�CTONOR�UTHONIZEDAOENT DATE <br />X!/�f/ f�4�Ni� G7C��7 .�,!_ Li �%t � O ri <br />APPlICl1N15 CI iY BUSINESS LICENSE NO. /J!D BUSINE55 NMAE <br />uenu�u�n�� . <br />� UNIT HEATERS—E <br />CLOTHES DRYER: <br />VENTILA?ION FAN <br />RANGEHOOD <br />WATER HEATER <br />W006 STOVE <br />METAL FIREPLACF <br />FIREPLACEINSER <br />— HEAT PUMP <br />GAS PIPINO <br />EXHAUSTFAN <br />SIDE SETB�jK PL�N L ECN I <br />,S o � y <br />WC�NT SITE �� FE <br />L] YES X� NO BUILOING <br />OCtiiwx[Y NO.OfVMIIiXGUN�t6 <br />�� PLUMBING <br />.Z <br />B�SEMENr MECHANICA <br />YES f 1 NO <br />NEIOHTLIMIT�TION OTHER <br />/ <br />STATE BUILC <br />STATE ENER <br />CITY OF EVERETT PUBLIC WOF <br />LOCAL SALES <br />TAX CODEIS 3105 TOTAL <br />EMS—B.T.U. M E.A. <br />T.U. ir1 <br />8 <br />?�-r7p <br />