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APPLICATIO� .� FOR CONSTRUCTC��N PERMIT <br />�ne E�a��een TO BE COMPLETED IN INK—PLEASE PRINT <br />CITV OF <br />everett � <br />BUILDING DEPARTMENT <br />259-8810�ryL /ff2m�r' <br />DEMOLITION COMBINATION <br />5'� � <br />iPDESIGNER MRIL <br />%1�)• / � <br />MRACTOR MRIL <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />2/�UILDING <br />CITV <br />C��i/3 ..S <br />CITY <br />Cliv <br />Cltt <br />' MECHANICAL <br />21P <br />ZIP <br />/ <br />21P <br />ZiP <br />I PLUMBING <br />t/�� ��� <br />PHONE LICENSE t <br />�'3y /l,'rl <br />PNONE UCENSE� <br />everett <br />e <br />SIGN <br />��� <br />PLUMBINGCONTRRCTOR MAILA��PESS ��T�' ZIP PNONE LICENSE• <br />d�� � <br />CLASSOFWORN / . ' <br />� �. NEW �ADDITION . � ALTERATION '. � REPAIR . . DEMOLITION . WOODSTOVFJFRPLINSERT ... BUILDINGRELOCATION <br />/� /�� CONTRCT PERSON AND PHONE NO. <br />COMiF�CT PRICE Oi WOPN <br />L�=S°o� d� ' <br />nESCRIBE WORK AND SOUpRE FOOTRGE INVOLVED �` � /� <br />�E�� qIPTIONOiPROPEPTYISHOWNBELOWOR <br />LOT�/ BIOCK � �F �( <br />/T�iQ�7» A� !/�[�� i <br />.�9/.7- mmZ-- B/y <br />119S1 <br />ROOF <br />SINK ( <br />FEE <br />FOR OFFICE USE ONLY: <br />FRONTSETBACN� REARSETBACK � <br />USElONf: LOTRREA <br />S <br />IYPE Of CONiS AIIOWABIC iV�E Of LON4 ACipAL <br />SIZEO°BLDG. NO.OFSTOR�ES <br />Sf � � <br />OLCUPANC� IORD FIRE SPRNMLERS REO'D <br />1 / lA /VV <br />INiANE PY I PlANS APPROVED BY <br />J b ,; <br />� <br />I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PHOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br />WOfiK 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 PROPERN TO PERFORM THE WORK FOR WHICH <br />APPLIGATION IS MADE AND 1 COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGN�TUPEOFCONTP�LTOROF WTHORI2EO�GENT D�TE <br />X . � �.�.rr.r.� �v ,�/,�� 2 <br />A�P 1 �NTSCITYBUSMESSIICEN5EN0.ANDBUS�NESSNAME <br />FAN <br />FAN <br />SIDE SETBnGrc __ � ��^^ �^��.^ f"v `?�7' <br />/ CJ J(l: J <br />VAGANT SIIE FEES <br />eui�owc <br />occu>.vw xoavnuuMcuxns <br />Gqp1° PLUMBING <br />�1 <br />BASEMENT MECHANICAL <br />u <br />HEIGNT LIMITATION AODITIONAL PLAN CNECK <br />�, <br />OTHER <br />STATE BUILDIN� SURCHAFGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCALSALES <br />TAX CODE IS 3105 T�Tp� <br />M E.A. <br />M <br />S <br />S <br />$ <br />FEE,�.�D I REC��PO(/U/(U <br />�7 � <br />F� <br />