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ppPLICATIOK^ �OR CONSTRUCTIC^ 1 PERMIT ��� <br />TO BE CQb1PLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM � GAS 0 ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 MECHANICAL L 1 PLUMBING I I SIGN <br />L] DEMOLITION C COMBINATION f 1 BUILDING <br />ZIP PHONE �� i, <br />CITY <br />IENANT <br />MAIL ADDFE55 <br />� <br />MAII ADDFE55 <br />PLUMBINGGONTMCTOR M��� <br />GpNTR� GT P� OF WOAK — <br />9b �, O� <br />PROPOSED USE Of BllILOING <br />✓ t� i �x.��if ` <br />�EGAL OESCRiPiION OF PROPEHTY �SHOWN 13ElOW ON piTAGN T WO COPIES� <br />l0T BLOCN OF <br />PARCELTAXID.NUMHEN <br />CONSTRUCT <br />SINK <br />ROOF <br />FOR OFFICE USE ONLY: <br />FPONTSETBACN REAR' <br />iYP( OF CONST. <br />SQE OF OLOG. <br />OCGUPANCVLO�O <br />REASON <br />INTAKE BY <br />AREA <br />FIRE SPRRIKLERS REOD <br />o�re <br />BY <br />�✓E �v � . �74 <br />L1TY ZIP <br />��Ty ZIP <br />LITY ZIP <br />CITY ZIP n�.� <br />� r�.. T , //G... �n//_ %u �a <br />7� ���� <br />PNONE <br />CON7AGT PERSON AND PMONE NO. <br />SLAIE <br />� <br />STAiE <br />1 <br />� <br />i HEREBY CERTIFY THAT I HAVE READ AND E%OMINED THIS <br />PROV SAONS OF �LAWS AND O D NANCES GOVERNING TH 5 TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEflEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE Ofl CANCEL THE PflOVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />ApPLICATION'SISRMADE ANDPE COMPLV WITOHKT ER STATE <br />CONTRACTOFS LAW �9.z� RCW AND 296.200 WAC. <br />i / /��-�-- 1 Z. 'J- <br />on <br />S�ON UHE <br />i—B.T.U. IA <br />lERS � <br />FAN <br />$IDE SEIBACN PLAN GHECK�� " <br />_ � � <br />vncnnrsrte � FEES <br />❑ YES ❑ NO BUILDMG <br />acuc�xcr xaaawuu1+cuxus <br />G4GIG pLUMBING <br />BasEMEN' MECHANICAL <br />n vEs n No <br />HEIGMT IIMITA710N ADDITIONNL PLAN CHECK _ <br />OTHEN <br />STATE BWLDING SURCHARGE <br />CITY OF EVERETT PUBLIC WOFKS <br />LOCRLSALES <br />TAI( CODE IS 3105 TOTAL <br />F7 <br />0 <br />I <br />YM <br />e <br />a <br />