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APPLICATIC"'1 FOR CONSTRUCT"IN PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />BUILDING DEPA <br />259•8610 <br />f ! DEMOLITION <br />COMBINATION <br />MRIL RODRESS <br />��7 1 y T � <br />MnIL AODRESS <br />HEATING SYSTEM: ❑ GAS O ELECTRIC ❑ <br />BUILDING ❑ MECHANICAL I] PLUMBING [ i SIGN <br />Y�1VFIt <br />S1Q'33 B.Z�.� <br />PMONE <br />ARCHITECi OR DESH'iNER MRIL RDDRE55 CITY ZIP PHONE <br />!fd-k✓7`vc�( 5'4`� iy7�iv �%kl.^.✓� Q9o33 8�2-9�s�/ <br />GENERILLGONTRnCTOR MAILADDRESS CITY ZIP PNONE STpTEIICENSE• <br />Sr� ��c k <br />MELHRNIGRL CONTR�CTOR MAII ADORESS GTV 21P PHONE SiRTE UGENSE • <br />PWMBINGCONTPACTOR MRILADDRESS GITY ZIP PMONE STATELICENSEI <br />�pryT pi PRICE OF WORN <br />��moo <br />DESCRIBE WORN RND SOUARE FOOTAGE INVOLVED <br />G°�R Fa NT � G 6o s <br />�o/3s� @ %?� <br />PPOPOSEDUSE BUILOItjGR �N <br />L°rF� /�� � <br />LEGALDESCRIPTIO OFFFOPERTYISH.eOWNBELOW ATfAtI <br />lOT BLOCN —Jf�i� <br />� z � � sr�.� �� s ��- _ <br />%z'Vls h�7'/� <br />P�RLELTAXID UMBER <br />—��� -�<2 -/S l3-� <br />LONSTRUCTION LO�N LENOER, AODNESS, TELEPHONE NUM I <br />� <br />FOR OFFICE USE ONLY: <br />FRONi SETBACK REr1R SETBACN <br />Z0� <br />USE E LOiAHEA <br />I�-Z �� a <br />7YPEOfLON57. NO.OFSTORIES <br />OF BIUG. <br />INTAKE BV <br />FIRE SPNINNLERS REGD <br />Al O <br />FlRE AIARN REO�D <br />Nv <br />PLANSAPPROV�D9Y <br />J'�' <br />r- <br />onre ?/1_9�9 <br />FEE $ I <br />S�DE 5 T CK <br />/ <br />VRCA ITE � <br />i i YES IG NO <br />nccuo�rKv rroo�^w�wxcuxus <br />GNWa <br />�'1. <br />BASEMENT � <br />�� YES 9 NO <br />HEIGNT LIMITATION <br />� ' <br />CITY OF EVERETT <br />LOCNL SIILES <br />, TAX CODE IS 3105 <br />NT�T�E�O�A¢ S�ONE //'/7 [ `(� �i�61(I <br />�-. <br />�y--! v r� w�5i ffi ��� ����-� w �t- <br />,roF- e'�a-4'ds'y. <br />I HEREBY CENTIFV THAT I HAVE READ AND ExAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR f.ANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORRED BY THE <br />OWNLR OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND 1 COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />� <br />j �s'`��dvto�-Y�` ,�"-�:-- i�-% ,t-a -9y <br />Sq�RE OATE <br />FO CFD AIR SYSTEMS—B.T.U. <br />UNI EATERS—B.T.U. M <br />CLOT S DRYERS <br />VENTILA ION FAN <br />RANGE H D <br />WATER HEA R <br />WOOD STOVE <br />METAL FIREPLAC (WOOD BU <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUB <br />PER <br />TOT <br />Ff.K NIIMBER FEE / <br />Bl"niNG S � � <br />i <br />PLUMBING <br />— � <br />MECHANICAL <br />i <br />FDDITIONAI PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE I <br />PUBLIC WORKS �� <br />TOT�� �v3..� <br />