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�`� everett <br />APPLICATIIiN FOR CONSTRUCT�ON PERMIT <br />� e <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />!M! Evaryrenn <br />CRV OF <br />everett HEATING SYSTEM: •,.l G�0 ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 SIGN <br />., ..�..,,� �T�r,u r.nuawa7iON BUILDING MECHANICAL PLUMBING <br />OWNEN <br />II <br />iCNPNT <br />G[NERRL <br />• n ccc <br />21P <br />a� <br />� <br />� 57-�� �� <br />PHONE <br />0 <br />CLASS OF NVPN � <br />' NEW �. '� ADDITION LTERATION .' FEPAIR DEMOLITION . WOODSTOVE/FRPL INSEA? .. BUILDING RELOCATION <br />/���'ip� CCNiPGTPERSONPNOP��O'1EN0 /� nQC .�yJ 1[�I-� / <br />C~ _ �_C�4 ���I�%-�_l� �I <br />CONTR�GTPPiGEOFWORN �/�/� <br />DESGRiBEWORK�N SOU f00 EI OLVED £���-iTy�} <br />C.��t_ <br />� A , LL'i- �1 ./ /� ' <br />PPOPOSEOUSEOFBUIL�iNG I HERFBV CERTIFY THAT I HAVE READ AN� EXAMINEO THIS � <br />APCI.ICATION AND KNOW THE SAME TO BE TRUE AND CORPECT. ALL <br />L[GRLDESCRIPTIONOFPPOPERLYISM014NBELOWORAtTACNiWRCOPiE51 PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />io� eLaK oF NOT. TNE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE i, <br />r�/f J�7-��—C[J/ � I OTHER ST TE OR LOCAL LAW REGULATING CONSTRIUCOT ON OR THE <br />��' PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER Or THIS PROPERTY TO PERFORM THE WOFK FOR WHICH 'i <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE � <br />— CONTRACTORS LAW 1827 RCW AND 296200 WAC. ' <br />SIGN�TUREOFCONiRALTORORAUTHORIZED�fE4T D�fE I <br />X . .� e i% /. ,,. .�z _ ,.. �✓.Jlt� �I <br />:.,� <br />SINK 8 <br />HER <br />TRAY <br />PERMIT <br />FOR OFFICE USE ONLY: <br />FPONTSETBACK REAR SEtAnCM <br />us[zoNe iornnEn <br />ttPE 01 :ON15 AIIOWRBIE iYPE Of WNSt ALtU�I <br />SREOP�LDG. NO OFSTOfUES <br />OGCl1PANGYLOA� FlPESPPNNLEPSBEO <br />PfA$ON FOR SPRINI(L[RS <br />iN[nKE�V PLRNSAP�ROYEDOY <br />� <br />ATION FAN <br />HOOD <br />HEATER <br />STOVE <br />FIREPLACE 8 <br />SIpES[IDACN PUNCHELNNUMPEP �EE <br />35�' <br />vncnNrsrcE FEES <br />BUILDING <br />awv�xcr xoaunvinauvn <br />�^W° PWMBING <br />8�5'MENt 61ECHANICAL <br />HEiGMiIiMITATiON ADDITIONALPLANCHECK <br />OTHER <br />STATE OUILDING SURCHARGE <br />CITY OF EVERETT Pl18LIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />M <br />SUB T( <br />PERMI <br />TOTAL <br />RECE�PL <br />u <br />