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APPLICATION FOR CONSTRUCTION PERMIT <br />Me Everprmn <br />CITY OF <br />everett <br />BUILDIi:�:, DEPARTMENT <br />259-8810 TO BE COMPLFTED IN INK—PLEASE PRINT <br />I i DEMOLITION � i COMBINATION i BUILDING i! MECHANICAL � i pLiIMBING <br />oN?1�R Me11nI1n11f55 _ —_f.liv____--__—tIP _ . .. . 14InNi1 <br />. _ <br />'��t Y'� �� �? (. -• iti�.,r. � � -b( � -•1. y'r . <br />Lt��L.----� ----_ lo �--- --- —= s---� G 3 <br />lENANT N�II AD011l55 CIIY !IP P11ONE <br />everett <br />e <br />IiSION <br />ARLNITECTOqDESKNLB AI�II �ODpPS� CIIY )11' PIIONC <br />GENEP\LCONTRAC70R M�IL�D�IiC55 GfY tll' PIIONE LICEHSEI <br />MECHANiCALCCYiTN�CiOR MAII.�D�8E55 CIIY dIP PII(kIE IIGENSEv <br />A�. c�. l�'�iu�—J,e��tcr�[l�< <-- - l� �'t— `�$1�1--- z 5�� _i s;� A/,�,. h���h l 5 71� T <br />PIUMBMGCON71UC70R AI�IL�Dflll[55 C.IIY fiP PRONC IICENSE/ <br />CUSSOF WORIf — <br />I 1 NEW I I ADDITION I I ALTERATION i I REPAIR i I OEMOLITION i I WOODSTOVEiFRPI INSERT I I BUILDING HELOCATION <br />TE WWT MPROVEMENT Op MiEPIOR REAIOOEL ONLV CONiACI PERSON AND PIIWlE NO <br />COMTR�CT PqIGE OF WORM: <br />�Cm «- <br />DESLR6E WdiK ANO SWAflE fO0A4[ INVIXVCD <br />USE OF <br />l0T BIOLN <br />VIID.IECT �WORE55 <br />_ ig�G- <br />BATHTUB <br />LAVATORY <br />En/v �s�rowr� ec� o�v on �rr�cu FCHm roriesi <br />°i - ---- <br />�i r A��r <br />IF fl)ITURE OH ITEM <br />T (TOILET) <br />SIi BASIN) <br />8 DISP <br />CLOTHES WASH�R <br />URINAL <br />DRINKING FOUNTAIN <br />SINK <br />FPONTSETB�CN <br />USE20NE <br />0 <br />..__. _..—'.— <br />� <br />PERMIT $ <br />TOTAL FEE $ <br />nunseiuncK I sinesemnck <br />IAI�RLA <br />IYPEOFLONSi.AILOWABIL � IYI'LOfLON5IAG10Al <br />SIZE OF BLOG <br />CCCUP�NCVlOAO <br />RE�SON FOH SPPINNLEBS <br />NO OF STORIES <br />FIRE SPflNMlERS REO'D <br />I I YES I I NO <br />�PPIIC�TIONACC.BY � Pt�NS�PPf10VEf10Y <br />WCANI SIIL <br />IiYES ��NO <br />ncou�eucr xnnvnuuxc� <br />cn�uo <br />OASGMGIIT <br />i i YES I I NO <br />IIEIGIII LIIAItAT10N <br />CIiY OF EVERETT <br />LOCAL SALES <br />-,+x coue is s�as <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 />PROVISIONS OF LAWS AND ORDINANCES GOVcRNING THIS TYPE OF <br />WORK WILL 8E COMPLETEO WITH WFIETHER SPECIFIED HEREIN OR <br />NOT. TI1E GRANTING OF A PERMIT DOES NOT PRESUME TO dIVE <br />A1I7110HI1Y TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHEH STATE ON LOCAL lAW REGULATING CONSTRUCTION OH THE <br />PERFORMANCG OP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF TIiIS PROPERTY TO PEHFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTOHS LAW 1827 RCW AND 296200 WAC. <br />SIIBl�OIIIL UI- GUH I IIAC IJN UH �I II IIORIhU �GEN I IUl E <br />X�('/(C�.J.�/�1`) ✓ / (� !�� <br />APPI ICANIS GIY 111 iSINGS511GCI1SE NO �NO BUSME551UTAE <br />NO. <br />A/0.-A�HNDLG UNf <br />FORCED AIF SYSTI <br />11N1T HEATERS-8. <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGE HOOD <br />WATER FIEATER <br />WOO� STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />1'I AN GI�LCX NUIdIILH <br />13UII.UING <br />PWMOING <br />MECHANICAL <br />�91IEH <br />STA7E BUILDING SUfiCHFRGE <br />STATE ENERGV SURCI IAHGE <br />P11131.IC WORNS <br />TO7�L <br />E.A. <br />SUB TOTAL $ <br />PERMIT $ <br />I [@ I RECEIPI N0. <br />NN <br />e <br />a <br />