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- APPLICATIC^1 FOR CONSTRUCT''`)N PERMIT � <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: ❑ GAS ❑ ELECTRIC ❑ <br />BUILDING DEPARTMENT <br />259-8810 <br />Cl DEMOLITION ❑ COMBINATION I 1 BUILDING I d MECHANICA�_ !�' PIUMBING C� SIGN <br />CITV ZIP PHONE . <br />OYMER i <br />MRILADDRE55 - . - . -i v j <br />�,��'��jJJ _t�11�-i� Z ': �l�• l[1;;(_;: r�, �l'�1:. (Cc_l.[ 11 �, , ,. ��, . �J�� ��,. /,. <br />TEN NT MAILADDRE55 61TY Z(P ' PHONE <br />RRCHRECT OR DESIGNER MRIL A�DRE55 CITV 2iP FNONE <br />GENERALLONTRACTOR <br />MEGH�NICPLCONTRPCTC <br />PLUMBING GONTRACTOR <br />pr� ppC c....�^��1FNT CQ INi. <br />qDORE55 ��Ty <br />r,.� � c Marine V�: . Or. <br />7A <br />pp� E��p �� CITY <br />2�0"2441 <br />RODRE55 CIiV <br />CONTRRCT PRICE OF WORK <br />;-��� C_ <br />�.- <br />OESGRIBE WORN �NA SOUARE FOOTAGE INVOLVEO � <br />�� <br />�(� �J� JC.i "�l,l�' <br />, <br />PROPOSED USE OF BUILDING <br />I�i�,_� . <br />IEGAL DESGRIPTION OF PROPERtt �SMOWN BEIOW OR ATTACN TWO LOPIE51 <br />LOT BLOCK OF <br />PFRCELTAXI.D.NUMBER <br />CONSTPlILT10N LOAN LENDER. AOORESS. <br />KITCHEN <br />ROOF <br />SINK ( <br />SUB <br />FOR OFFICE USE ONLY: <br />FRONT SETBALK FEAR SETBACN <br />USEZONB LOIRFER <br />iYPE Of CONSi. ��O OF STORIES <br />SIZEOFBLOG. FIRESPRINKLEPSREOD <br />OCCUPANGY 104D FlRE ALARM PEO'D <br />REASON ' <br />INTANE BV PLANS APPPOVEO BY <br />DATE <br />S <br />S <br />5 <br />Z�p rn�nc <br />Zip PMONE <br />Z�p PNONE <br />C� I�L'C l�c`1'� <br />LICENSE� /`/� J <br />LIGENSE � <br />CONTACT PEFSON AND PHONE NO <br />' _y� e� <br />-J_'�"J i �������_���\J � 1� .����i � <br />i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO GE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCE3 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 CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY 70 PERFORM THE WORK Fv^5 WI�lGn <br />APPL�CATION IS MADE AND I COMPLY WITH THE �??A?c <br />CGNTRACTORS LAW 182i RCW AND 296200 WAC. <br />/ � �. � ... . � <br />/ � (� �� <br />x ���C L � �`_ �' ""� / . / � <br />S�GNRME � [4iE <br />NO. <br />FORCED AIF SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHESORYERS <br />VENTILATION FAN <br />INSEFT <br />FAN <br />SIOE SETBAGK PLPN GHtGrt nu <br />7 <br />�., / L� <br />VACANT SITE FEES <br />'= YES -� NO BUILOING <br />p[f,pPeHCY NO Otp,y[�p4GW45 <br />6B�° PLUMBING <br />BaSEMEr+T MECHANICAL <br />�'—� YES u NO <br />MEIGHT IIMITATION ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX CODE IS 3105 Torn� <br />)TAL 5 <br />f $ <br />FEE $ <br />FEE � RELEIPTNO. <br />a <br />N <br />� <br />