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.� APPLICATIO� FOR COt�STRUCTs�-JN PERMIT �� <br />� TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />HEATING SYSTEM: U GAS ❑ ELcCTRIC l.l <br />�r� <br />Cn y <br />a�HCHn <br />rxa <br />y z r�i <br />� H� <br />y y'� <br />H <br />x <br />� H t7 <br />HC��+7 � <br />C,]� C) <br />aH� <br />4 <br />t yy <br />g H <br />C� C U� <br />� � C�J <br />HO[N/� <br />Gc a � <br />ml 1 <br />BUILDIPJG DEPARTMENT <br />259-8810 <br />DEMOLITION COMBINATION BUILDING XMECHANICAL PLUMBING i SIGN <br />ONRJEF •iLFDDRE55 CITV ZiP PHONE <br />�(�.,n�o+� �e�5in,-tl, P U I°� o�c o�2��$ Gu �uc�r� -�'i go3� ��-] -��t ol � <br />TEN�NT MFILApDFE55 .IT ZIP PHONE <br />qqCHiiECTOflOESIGNER MAIL�DORE55 LITV ZIP PMONE <br />GENERALGONTRACTOR MAILA�OFE55 �t � Citt ZIP PHONE STATEUCENSEa <br />/I <br />IdECMANICAL ONTPgCTO MA�L���RE55 v CITV ZiP PHONE Sb9' STATELICE115[a <br />�I/.p ilyio,�ti S4 �i ��nX-lao`i S�al.l�o�to !.�'1� Y'4��D? �18`/-idv� <br />_._._..___.._.....�,... .�.�� nnn �c rirv I 21P PHONE STAT.LiCE1lSE4 <br />CUSS OF WORK <br />�(] NC-W I�'� ADDITION i ALTERATION <br />CON"3ACT PFILE OF WOR� <br />��DE RIBEW PH NDSOUAPEFOOTAG[INVOLVED <br />�i�.e.S,nhihKler < <br />PI/IO�POSEDUS'OFBUIL�ING � <br />—�y[/\eh�c-.� <br />LEG�L OESCPiPTION OF PROPERiY (SNOWN BELOW OR Al <br />�pT BLC'H OF _ <br />REPAIP <br />FOUR COPIES� <br />FEE <br />`/ KC.C.» J �+V .C'.. / . <br />DEMOLITION '� ' WOODSTOVE/FRPI INSERT '. BUILDING RELOCATION � <br />CONTAGT P:RSON ANp PHONE N I� <br />c.� i p L� ecS�c� ��. �-�6 R- I�LLZ— ;� <br />�� Sk� �o�� - as 1- �6s� I <br />I HEREBY CERTIFV TH "- I HAVE READ AND EXAMWED THIS I <br />APPLICATION AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL � <br />PROVISIONS OF LAWS ANU ORDINANCES GOVERNING THIS TYPE OF I� <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR � <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUPdE TO GIVE I <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY iI <br />OTHER STATE OR LOCP.L lAW REGULATING CONSTHUCTION OR THE <br />PERFORMAN� � OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH �i <br />APPLICATION IS MADE AND I COtdPLY WITH THE STATE ii <br />CONTRA TORS 827 W AND 29fi.200 WAC. I <br />2. <br />SGNP ��p O� -E <br />LrtV({p5ryF5512FN5CN0 � <br />FvC—h'HNDLG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. <br />11N1T HEATERS—B.T.U. M <br />8 DISP VENTILATION FAN <br />� RANGEHOOD <br />� WATER HEATER <br />HER � WOOD STOVE <br />. METAL FIREPLACE & <br />FOUNTAIN <br />PERMIT <br />TOTAL FEE <br />FOR OFFICE USE ONLY: <br />� � FRONTSET9ACK �EAqSETBACN <br />USEZONE LOTAR[A <br />rvaF OF WtlIS. PLLOWABLE IYPE Of GOHSi. AC1UAl <br />oF e�oc <br />FIflE <br />REASON FOR SPFiNKLENS <br />INiAK[DY PLANS�PPROVED�Y <br />3/Ib�?Z Ju1 <br />VFCANT <br />GAS PIPING <br />E7(HAUST FAN <br />FEE <br />E <br />��q9 j F�D .n )/ I PECEI`PT,NO^. <br />I v / �� d D. <br />_ vei uA710N FEE <br />BUILDING <br />:vxql 1:J Ov VAEIIn,GUN'.�5 <br />�°b� � ,y PLUMBING <br />SEhieNi MECHANICAL <br />NU <br />IG'ITLIMItATiON �DDITIONALPLANCHECK <br />SPfi1NNLER <br />STATE BUILDI��G $l1RCHARGE <br />CITY OF EVERETT PUBLIC WOflKS <br />LOCALSALES <br />TAX CODEIS 3105 TOTAL <br />, ;l:') <br />