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APPLICATIO.� FOR CONSTRUCTrJN PERMIT everett <br />m� e„„p,,,� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CITV OF <br />everett H�ATING SYSTEM_0 GAS � ELECTRIC ❑ -� <br />CUIIDING DEPARTMENT <br />259-8810 <br />DEMOLITION COMBiNATtON <br />OWNIER IMR �OORC55 <br />�� D /�%/s �OS/6� <br />IEN�NT M�ILADDRE55 <br />,�,yp,[e sS ii�U D� s:�..� � y/f <br />X BUILDING X MECHANICAL <br />CITY � IiP PM <br />ZIP <br />X PLUMBIN(i SIGSN <br />[/-y.�a8- <br />'� _ S�no <br />nrn,nntGl OR pE5K3NE�'PA M�M1 �D011E55 CIiV LIP P�pqE <br />OW�V` <br />OENERAICONTRAGTON MAK�WRESS CITv ZIP WqqE 4CENSE� <br />b w �t1�2 <br />MECHANIC�L CONTAA'CTOq MAK 110DRES8 LITY ZiP i110NE LICENSE I <br />�W �I` <br />RUMBIIqGdJTRACTOq M�ILAOORE6S CIiY 21P VNONE IICENSE� <br />NEW ' �, ADDITION <br />DEB:NIBE WORK <br />PROPpSEDUSE <br />1E011L DEBCRIPTpNOF PiqPl <br />�oT e�aK <br />SHOWFR <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />FLOOR DRAIN <br />ALTERATION <br />� <br />SUB <br />PER <br />TOL <br />FOR OFFICE USE ONLY: <br />�RONTSETB�CN RE�FBETBACR <br />Z�s' � z , <br />U9ESONE IOT�RE� <br />� V <br />INT�NE 8� <br />�/ � N <br />OO NO OF STORIES <br />Si ♦ <br />f� Z <br />;YLW1D fIRE9PRN1(LER9REU'D <br />� N <br />O <br />DR yPRMlNLERS <br />PI �YS �PPIqVEU 6Y <br />�7°` ��'� <br />REPAIq � DEMOLITION �. - WOODSTOVEIFRPL INSERT '�.. , BUILDINO FELOCATION <br />Y%.�'� CONT�EP�ANOPNONENO .. . �. . <br />�6Gig 5. F <br />I HEREBY CEHTIfV THAT I HAVE READ AND EXAMINEU THIS <br />APPLICA710N AND KNOW THE SAME TO 8E TRUE AMD CORRECT. AI.L <br />�Tf�CNFWPCOPIES� PROVISIUNS OF LAWS AND ORDINANCES OOVERNINO fHIS TVPE OF <br />WORH JVILL BE COMPLETED WITH WHETHER SPECIFIED NEFEIN OR <br />NOT. TNE ORANTING OF A PERMIT DO[S NOT PRESUME TO OIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS nP ANV <br />OTHER STATE OR LOCAL UW REODUTINO CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTqUCTION. THAT I AM AUTHORIZED BV THE <br />9WNER OF THIS PqOPERTV TO PERFORM THE WORK FOH WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STA1'E <br />CONTRACTORS UW 1827 RCW ANU 298.200 WAC. <br />SION�TlIREOiCONiR�CTOROP�UTINJRREDAOEN� D�TE <br />. "—��% � 9 /0—�__ <br />/Jd Ci/�M �Pa�NT6CIY8U3!NESS�ICFNSENOANDBUSINE88NAME <br />O <br />0 <br />e <br />� 1 5G i _ <br />PIUE SET&�CR <br />7�� <br />J <br />WC�NT 81Tk <br />accuwrtr qoadrtunairv��s <br />4 3 � <br />&l4EMENT <br />N� <br />NEI�NT IIMIUTIOH <br />�� ' / <br />CITY OF EYEREIT <br />LOCAL 8ALE8 <br />TAX COOE IS 8706 <br />NO. <br />T, U M <br />RANOEHOOD <br />WATER HEATER <br />WOOU STOVE <br />METAL FIqEPLACE 6 CHIMNEV <br />FIREPUCE INSERT <br />HEAT PUMP <br />CAS PIPIN6 <br />EXHAUSTFAN <br />BUILDINO ��25•Bi <br />PLUMBING <br />MECNANICAL <br />ADDITIONAL PLAN CH.CN <br />OTHER <br />STATE BUILDINa SUFCNAROE <br />PUBUC WOHNS <br />TOTAL <br />fEE <br />M E.A. <br />SUH TOTAL S O ' � <br />PFRMIT : _-.— <br />TfRli CFF t n i � <br />� <br />