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APPLICATICr] FOR CONSTRUCT. 1N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYST°M� J GAS J ELECTRIC , <br />BUILDING DEPARTMENT — <br />259-8810 <br />DEMOLITION !' COMBINATION I i BUILDING l MECHANICAL I PLUMBING f_! SIGN <br />TENANT MRIL ADDRE55 GTv ZiP cMONE <br />•RCHRECT OR DESIGNER M�IL ADDRESS CITY ZIP PHONE <br />GENERAL CONTH�CTOR MAIL AD�RESS CITY 21P PHONE SIATE LICENSE R <br />CONTFAGT PqH:E O: WORN <br />DESCRIBE WdiK AND SOIIFPE FOOTAGE INVOLVED <br />PROPOSED USE OF BUILDING <br />LEG�L DESCRIPTION OF PqOPERTY �SHOWN BELOW OR ATTACN TWO COPIES� <br />lOT BIOCK OF <br />PARGELT�%ID.NUMBER <br />CONSTRUCTIONLO�NLENDER.ADORESS.TELEPHONFNUMBER <br />BATHTUB <br />LAVATORY(WASH BA; <br />SHOWER <br />KITCHEN SINK 6 DISP <br />DISHWASHER <br />LAUNDRV TRAY <br />ROOF <br />SINK ( <br />FOR OFFlCE USE ONLY: <br />fRONTSETBACK PEAR'. <br />USE20NE <br />rme or eoxsr <br />SRE � BLOG <br />OCCUPRNCYL( <br />REASON <br />INiAKE 0Y <br />ETC � <br />SUB TOTAL $ <br />PERMIT $ <br />TOTAL FEE S <br />TBACK SIDE SETBACK <br />i0i AP". <br />NO.OF STORIES <br />FIRE SPRINKLERS NEO'D <br />FIRE AIARM RE09 <br />vur+s nvraoveo ev <br />ORE <br />STATE <br />ST4TE <br />CONTACT PERSON RN� PHONE N0. <br />9 <br />i HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIEO HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OF CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTY t0 PERFORM THE WORK FOR WHICH <br />APPLICATION IS MAOE AND I COMPLV WITH TNE STATE <br />CONTRACTORS LAW 1827 RCW AND 29fi200 WAC. <br />x �.. � ��� 3-9- 9y <br />smw.ruac o.*c <br />rrrE oF EaHw�eHr <br />NOLG UNITS—H.P. <br />AIR SYSTEMS—B.T.U. M E.A. <br />1TERS—B.T.U. M <br />iDRVERS <br />HEAT <br />EXHAUSTFAN <br />VAGRNT SITE FEES <br />CI �ES � N� BUILDINO <br />acuv+xcr xoaoxEwxcuxns �— <br />�9pu" PLCMBING <br />BnSEMENT MECHANICAL <br />Ci VES ���—'. NO <br />HEIGHT LIMITATION ADGITIONAL PLAN CHECK <br />OT4EA <br />$TATE BUILDING SURCHARGE <br />CITY OF EVEHETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODEIS 3105 TDTAL <br />FEE <br />0 <br />8 <br />