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APPLICATI6.� FOR CONSTRUCT�dN PERMIT <br />rrreE�rer�ree� TO BE COMPLETED IN INK—PLEASE PRINT <br />GTV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />G DEMOLITION Cl COMBINATION <br />r� <br />TENANT <br />HEATING SYSTEM: �[GAS O ELECTRIC ❑ _ <br />f BUILDING <br />LIY <br />21P <br />everett <br />e <br />L Ci PLUMBING ❑ SIGN <br />PNONE <br />u��i 9 ��v/ -? 5� -.2 3�1q <br />PHONE <br />�RCHRECTORDESIGNER MARADDRE55 GTV 21P PMONE <br />GENERALCONTMCTOR MA�LADDRE55 CITY Z�P FMONE LICENSE� <br />MECH/WICAICONTR�CTOR Ia�ILADDRESS CITY ZIP PNONE LICENSE• :� <br />S��►�/eW r-l��F,nG-, /202 Ch�°sfn[Ct,�#-8 c�'",Vt`rPfl wGt �l��ol-��-33U� <br />PtuuBMGCONTRACTOR MAILADORE'.S CITY 21P PMONE LICENSE• <br />CLASS OF wONK <br />❑ NEW ❑ ADDITION �; ALTERATION <br />CONTR�CT PRICE OF WOPK � <br />DESCRIBE WORK AND SOUARE i00TAGE INVOIVED <br />PROPOSEDUSFOFBUILUING �F� <br />LEG/�l OESGRIPTION OF PROPEHTY ISHOVM BELOW OH <br />LOT BLOCK OF _ <br />CLOSET <br />SINK 8 DISP <br />TRAY <br />ROOF <br />SINK ( <br />FOR OFFICE USE ONLY: <br />fRONTSETBACN RE�RSETBALK <br />USE20NE LOTAREA <br />7VPE Of LONiS. ALLOWABIE 7YPE Of CONSi. �LTI <br />SRE OF BIDG. NO.OF STORIES <br />OCCUP�NCYLOPD FINESPRNKLERS <br />REASON FOi15PPINKLERS <br />BY � PL�NSAPPROVEDBV <br />❑ REPAIR <br />TOTAL S <br />d17 E <br />1L FEE S <br />S�DE SEiB�CI( <br />VAGJIi SITE <br />❑ DEMOLITION :J WOODSTOVFJPRPL INS2RT L; BUILDING RELOCATION <br />CONTACT PERSON AND PlqNE NO. <br />I HEREBV CERTIFY 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 TVPE 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 CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCPL UW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNANREOFCANTMCTORORAUTIORIZEDAGENT DATE <br />��/`�'1/t )11iJ'/t /Yl�- !f (y(�� <br />APPLICANTS GITY BU51 55 LICENSE NO. I1N�SINESS NMIE <br />FORCED AIR SYSTEM�B.T.U. M E.A. <br />UNITHEATERS—B.T.U. M <br />CLOTHES DPYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIREPUCE INSERT <br />PLAN CHECK NUMBER <br />SUB <br />BUILDING <br />p�P�Mtv NOIXDNLLUNGONi13 <br />�"01P PLIIMBING <br />B�SEMENT MECHANICAL ' <br />HEIGHT IIMITATION A�DITIONAL PLAN CHEGK i <br />i <br />OTHER ; <br />STATE BUILDING SURCHARGE � <br />CITY OF EVERETT PUBLIC WORKS ; <br />LOCAISALES , <br />TA1( CODE IS 3105 �TAL ; <br />