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F:'{ ;. �'�; , <br />APPLeCATIt,N FOR C�P➢STRUC�'�ON PERMIT <br />fhe Everpraen everett <br />CITY OF � <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />O DEMOLITION ❑ COMBIMATION ❑ BUILDING �MECHD.NICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAILADORE55 CIiY �21' PHONE <br />Gf/.o-'7"' A1/2 �_S�G . I V 1� O. � ip0 , P,o x 98 a�� (� 7�— I 0 I� <br />TENANT MAILAOOflE55 GIiV ZIP PHONE <br />ANCHIiECTOR0E51GNER MqILA00RE55 CIiV ZIP PIIONE <br />GENER�LCONTPACTO(1 MAILAD�HE55 CITY 21P PNONE UCENSE• <br />MECHFNICALCONiflACTOR MqILADDHESS CITY ZIP pHONE LICENSEI <br />f7l _ /^ i ..�. . �n r� . �.. T �._ _ .. . _ . .. / _ — C . . ?--� _ .. <br />CITY 21P • PHONE <br />� n� <_ �.TlaakH <br />GUSS OF YlORK �,/� <br />❑ NEW ❑ t��DITION I/_4 ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ WOODSTOVE/FRPL INSERT ❑ 6UILDING RELOCAT�ON <br />TEN�NT IMPROVEMENT OR INTERIOR REMOOEL ONLY <br />LEOAL DESCRIPTION OF PfiOPE <br />LOT OLOCK <br />PPQIECTAODflESS <br />�I`02 <br />FLOOR DRAIN <br />BACKFLOW PHEVENTERS <br />OF <br />CCPIES� <br />FRONiSETBACK � REARSETBRCN I SIOESEiOACK <br />USEZONE I LOTAREA I VpCANT5ITE <br />❑ YES O NO <br />TYPFOFCON57.ALlOWABLE I nPEOFLON5CAC711AL <br />512E OF BLOG. <br />',dGUPANCY LWU <br />REASON FUB SPRINNlENS <br />�VPLICRTION PCC. pV <br />NO.OF STOflIES <br />FIRE SPRNKLERS PE00 <br />L7 YES ❑ NO <br />PUYS APPAOVEO BV <br />OASEMENT <br />❑ YES ❑ NO <br />HEIGHT LIM1IITATION <br />CITY OF EVERETT <br />LOCAL SALES <br />TAX CODE IS 3105 <br />AND PXONE NO. <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 OqDINANCES GOVERNING THIS NPE OF <br />WORK 1NILL BE COMPLETED WITH WHc7HER SPECIFIED HEF�IN OR <br />NOT. TfiE GFlANTING OF A PLRMIT DOES NOT PRESUME TU 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 TC PERFORM TH'c WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTO LAW 18.27 RCW AND 296.200 WAC. <br />SIGNATUREO O TflACT OR�UTHOqIZEDAGENT JIATE <br />X ! i� <br />A! UCANTS CITY BUS�NESS IIGENSE N0. AND BU51NE55 NRME <br />NDLG UNITS—H.P. <br />AIR SYSTEM�B.T.U. M E.A. <br />�TERS--B.T.U. M <br />iDRYERS <br />WOOD STOVE <br />METAL FIREPLACE 8 CHIMNEY <br />FIPEPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLANCHECY,NUMBER I FEE I �EGEIPTNO. <br />BUILDING <br />PLUMBING <br />MECHANICFL <br />OTHER /11/) {(� <br />(�.I-l.�hs <br />STATE ILDING SURCHARGE <br />STA7EENERGVSURCHARGE <br />PUBLiC WORKS <br />TOTAL <br />FEE <br />i <br />i <br />