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�' APPLICATIOM�FOR CONSTRUCTI�'Y PERMIT � <br />` TO BE COMPLETED IN BLACK INK-PLEASE PRINT <br />NEATING SYSTEM: ❑ GAS j�ELECTRiC � I � u <br />BUILDING DEPARTMENT <br />259-8810 <br />I i DEMOLITION COMBINATION BUILDING �CHANICAL PLUMBING SIGN <br />M�ILRODRE55 CITY r• ' ZyIP �� PH/ON�Ef /'7�/ <br />OWNE?lrw�/ i . G ��`/ '%i%///n/% /il�_ i//d%C// /Ti�(YC�`I� <br />TENANT <br />� <br />MAIL ADDRE55 <br />GITY <br />PMONE <br />•RCHITECTORDESiGNER MRILAD�RE55 CITV Ziv rn�n� <br />GENERQCONTR�CTOR M�IIADDRESS CITV 21P PHONE SinTEUCENSEt <br />oN &��-7��sTsr,� /n�r�� 98z�r Sss9�ws co�e�.�ezir�NN <br />M nC1{/�MC�L CONTN�CTOR M/FIL��ODRE55 CITY 21P -�/ P�MONE /�� / SiRT/E �UC�ENsSE � �+ <br />PLUM�GONTR��� M"/OREE' /NA�✓_ N1t�N?oE 9S17a �7-IO��UIC� CJSNTEG/�LSIQ�"�� <br />CUSSOF WOPN <br />��, I NEW � ADDITION ALTERATIO.V � REPAIR <br />CONTRACTPRICEOFWORK � �' • /� a•^�`� � " <br />OESCRIBE WORN ANO SOU�RE FOOir1G NVOLVEO <br />/ya�vefl ,� ��,o <br />PROPOSEDUSE BUILDING � <br />�A%CE <br />LEGALOESf.RIPTIONP PROPERtt�SMOWNBELOWORATTACMFOURCOPIE5. <br />�pt BLOCN OF <br />BATHTUB <br />LAVATORY <br />SHOWEH <br />ROnF <br />SINK ( <br />FOR OFFICE USE ONLY: <br />FflONT SETBRCK REAR SETBACN <br />USE20NE LOTAREA <br />7YPEOFCONiS.ALlOWAOIE 7YPEOfCONSi.AG1 <br />SREOFBIOG. NO.OFSTORIES <br />OCUIPANCYLOAD FIRESPRNNLER: <br />PEASON FOR SPRINNlERS <br />INTAKE BY I P�ANS APPROVED BY <br />TOTAL $ <br />�11T $ <br />�L FEE $ <br />SIOE <br />DEMOLITION � WOODSTOVE/FRPL INSERT BUILDING FiELOCATION <br />LONTRCTPERSONANDPHONENO. <br />I HEREBY 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 LOCAL LAW REGULATING CONSTRU�TION OR THE <br />PERFORMANCE O� CONSTRUCTION. THAT I AM AUTHORI2ED BY THE <br />OWNER OF THIS PFOPEFiT TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS AD AND � COMPLV WITH THE STATE <br />CONT S LA 8.27 CW AND 296200 WAC. <br />/�i,.., .. � � �3-19_rt Z <br />PLAN <br />UNIT <br />EMS—B.T.U. M <br />T.U. M <br />PLACE 8 <br />INSERT <br />FAN <br />BUILDING <br />OCCU�ANCv NOpOWfIIiHGUNi15 <br />�"�P � PLUMBING <br />BASEMENT MECHANICAL <br />HEiGeT UMITAnON ADDITIONAL PLAN CHECK <br />SPFINKLER <br />STATE BUILDING SUflCHARGE <br />CITY OF EVENETT PUBLIC WORNS <br />LOCAL SALES <br />TAX COOEIS 3105 TOTAL <br />NO <br />00 <br />X <br />� <br />