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APPLICAYI�.�I FOR CONSTRUCI.ON PERMIT <br />IIiN E�PIqIPN� <br />CITY OF <br />everett <br />BUILDING DEPARTMENT <br />259-BB10 TO BE COMPLETED IN INK—\PL/EASE PRINT <br />i DEMOlIT10N i I COMBINATION i I BUILDING x MECHANICA <br />�FCMITECTOROESIGNER AIAIIAUDRE55 <br />C.ITY <br />C11V <br />zm <br />� �'� <br />zm <br />21P <br />i ! PLUMBING <br />Y11Vv• � <br />PIIONE � <br />PIIONE <br />everett <br />e <br />I I SIf3N <br />cV�I�TR�,T�P IAM�`CI,J� ��!'���% ! Cl/ k.LX.'(�l. Q�!rL.i�� I�T�Gl�ES�I 1�IGENSE� <br />a <br />MECH�NiL0. GONT GTOR M�IL �DDRE55 GITY 21P `/ j%� N' , F NL1�NI�� L� <br />VT1l.�t <br />PLUMBINGLdITR�LTON G111.�DORE55 CI'Y 2iP PHONE LIGENSEI�—��� <br />l'AASS OF WOflK lv ' <br />f_I NEW L 1 ADDITION ,�M�TERATION I I REPAIR I 1 DEMOLITION I I WOODSTOVE/FRPL INSERT I J BUILDING RELOCA710N <br />TENM/TMPROVEMENTOq:NTERIqi/JyF /M�O�DEIC�NIY GONI�LiPER50NANOP110NEN0 <br />fANTMGT a1UCE OF WORM: L� —I/ /% r—' _ <br />USE OF <br />LOT <br />.RDJE�.�ODRE55 <br />eiocK <br />V(i FOUNTAIN <br />DRAIN <br />FRONTSETB�CK <br />USE 20NE <br />1VPE Of fANSi �LlOW1BlE <br />512E OF BLOG. <br />OCCUPMlGYIO�D <br />REASON FOR SPRINNlENS <br />�PA1C�TlON �CG. BV <br />I I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />_i APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br />lOW OR �TTACNFWRCOPIES� PROVISIONS OF LAWS AND ORDINANCES GOVE3NIN(3 THIS TYPE OF <br />WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />� NOT. TIiE GFiANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTIiER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CUNSTRU'�TION. THAT I AM AUTHORREO BV THE <br />OWNER OF THIS PRO"ERTV TO PERFORM THE WORK FOR WHICM <br />— APPLICATION IS MADE AND I COMPLV WITH THE 3TATE <br />CONTI;ACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGN�TUHEOFCJNTRACTOROR�UTNORREDAGENT O�TE i <br />X <br />$ <br />FORCED AIR <br />UNIT HEATEF <br />CLOTHES DF <br />VENTILATIOP <br />RANGEHOO <br />M <br />PLACE 8 CHIMNEY <br />INSERT <br />REARSE70�GK 510[SETB�CK PIANCII[CKNUMBEfl FEE <br />�ot nee� wcnur siie FEES <br />I�� YES I I NO pUIL�ING <br />rvPEOFCON57AtiuAl acur�ncr xoaqttwxcuwts <br />�a�P PWA�3ING <br />HO.OFSioR�ES BaSEMENT MECHANICAL <br />I I YES I I NO � <br />FIfiESPPM"'_cP5RE00 MEiGMTIIMIiAT10H OTHEH <br />I I YES I I NO _ STAiEBUILDING5URC1{qRGE <br />S7ATEENEPGYSURCHnRGE <br />PLANS�PPROVEDBY CITY OF EVEHETT PUBLIC WORKS <br />LOCALSALES <br />I TAl( CODE IS 3105 TOTAL <br />SUB TOTAL S ^ <br />PEFiM1T E �~ <br />TOTALFEE 5 � <br />RECEIPT NO. <br />