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t�l���� <br />APPLICATION FOR CONSTRUCTIa1N PERMIT <br />everett <br />�E��� e <br />ciTr oF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259•8810 <br />I i DEMOLITION I i COMBINATION i i BUILDING �ECHANICAL _ i PLUMBING I I SI(3N <br />---- Q <br />arNen ueu ,mnm s � � n - `. --...- rnr `' ' J'1 }���. �-, '� I t� ���`� <br />^b i , � 'Q `�' —:�L_�� frc � �L_ —,��I= �' �._ <br />..�..,. u�n enuncss cin zm ruorn�. <br />��n�—iwnccif.NfO M�II �UfI11C55 LIIY ZII` 1'110N1: <br />GL�SS OF WONK <br />I I NEW I� � ADDITION „ <br />TEN�NTIMPROVEMENIOfi <br />LONTMGT FRIGE OF WJRI <br />IEML UESGXIPTqn tn rn�n <br />�or e�.ocr. <br />b DISP <br />TRAV <br />6NI�I:1 <br />i I REPAIR '. i DEMOLITION � I WOODSTOVErFRPL INSERT i: BUIL�ING RELOCATION <br />— couur,ir[nsur��r+oruor��r�n <br />�1" <br />n[�ow on ei rnr.� <br />_ or _____ <br />i. ETC.�-- ._ . <br />PERMIT <br />1 HEREBY CERYIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />I'ROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANIING OF A PERMIT DOES NOT PRESUME TO OIVE <br />AUTHORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEfl STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PEHFORMANCE OF CONSTFUCTION. 1HAT I AM AUiHORIZED BY THE <br />OWNEN OF Tt115 PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE ANO I COMPLY WITN THE STATE <br />CONTHACTONS LAW 18.27 RCW AND 296.200 WAC. <br />SiGN 111 (N LUNIRACIUfiOHM11H�HIlED�GENi O�TE <br />X �t _ �7� '_ <br />AP �G�MSCIlY1lII5R1[ 'I�LFNSENO• N �IISMESSN�ME <br />FORCED AIR : <br />UNIT HEATFR <br />CLOTHES OR' <br />VENTILATION <br />— - � WATER NEATEI <br />— � WOOD STOVE <br />� METAI. FIREPL <br />- - FIREPLACE IN: <br />-- --i � - - --� �HEAT PUMP -�- <br />--�—_ _ - — <br />GAS PIPING <br />----�-- — FXHAUST FAN <br />_ . __ _.__i__.._ __ __ __ ._.__._. . —_._ <br />�_ __ __ � _ —_ <br />FRONTSETBAGN I �E�FSETBACN I St005G10�CK <br />USE20NE LOiRREA <br />7YP[ Oi CONSi. AILOWABI[ �YM Of LONSI ACIOPL <br />SIZE OF BIDG <br />OCCIP�NCYLO�D <br />REASON FOR SPRINNIERS <br />�PPLICQION �LC. NY <br />Ii0 OF S10f11E5 <br />FIR[ SPRNHlLP50E00 <br />I I Yf_S I I NO <br />PlRNS APPAOV[D f1Y <br />Pl AN CIIECN NIIMO[R <br />vACAHi SIIE rcw <br />I I VES I! NO �jUI1.DING <br />�nm�rKr r�aanxwwr.uxus - --- <br />�x�'�P PIUM�ING <br />BASEMEN7 MECIIANICAL <br />I I YES I i NO -------- <br />IILI(blt I IMIIA➢ON �%711HR —_ <br />_______._. SIAILIIUII.IIINGSUHf.11AliGE <br />S1AiE ENEflGY Sl1HCNANGE <br />CITY OF EVERETT P1113LIC WORHS <br />LOCAI SALES <br />TAR CODE IS 3105 T07AL <br />8.T <br />M <br />_______---- i <br />---T— <br />i <br />SUB TOTAL_ $ ��, <br />PEPMIT S S � <br />iOTALFEE $ <br />F�E R[CEIPTNO. <br />VALUATION FEE <br />— i <br />i <br />—�— <br />� � � � <br />i— <br />i <br />� <br />— ----i— <br />i <br />_ � <br />i <br />