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a <br />APPLICATIC'� FOR CONSTRUCT..�N PERMIT <br />�� E�ro�� <br />GTV OF <br />everett <br />BUILDINC DEPARTMENT <br />259•8810 <br />I i DEMOLITION <br />TO BE COMPLETED IN INK—PLEASE PHINT <br />COMBINATION BUILDING �NIECHANICA <br />OWNER MAIL�ODHE55 GI�V IIP pNpl�E ' <br />�'����}�S7�1D �8'�U r�/o*=s,-s� Lv�,ecrr lB,Zo � 337-c�6S f� <br />iE ANT MML �DURE55 CITv ZIP P1qNE <br />�RCNREC�ORDESIONER MAIL�DDRESS CITY ZIP PNONE <br />OENERQGONTPACTCJQ MAII�DORESS CITY IIP PHONE LILENSEI <br />MEGNIINIG�LGONTH�GTON M�ILII�DRE55 GITY 21P PIIpNE ' UCENSEI <br />� � <br />VLUMBINO CONT�CTOR MML �DUHESS CITY 21P VNONE LILENSE � <br />, <br />everett <br />e <br />SION <br />'aa �r <br />NEW !' ADDITION . ALTERATION .. REPAIR ��. �. DEMOLITION .�: WOODSTOVF�FRPL INSERT f.i BUILDINQ RELOCATION <br />TEN�NT IMPPOVEMENT OR INTERIOR REMODEI ONLY <br />CONTRACT PRICE OF WORN: <br />DESCRIBE WORM �ND SOUARE FOOT�OE �NVOLVED <br />PROP06ED USE OF BUILDINO <br />n � a <br />LEOA'_ OESCRIPTION (Y PROPI <br />�or e�ocrc <br />PROJECi <br />m <br />V �(�Hl� <br />BELOW OR ATT�CH FW R COPIES� <br />OF <br />rrf- � � .Z / �. �. � <br />� $ % S'E <br />SHOWER <br />KITCHEN SiNK 8 DISI <br />DISHWASHER <br />LAUNORVTRAV <br />CLO?HES WASHER <br />URINAL <br />DRINKINO FOUNTAIN <br />i110NTfiETBACN <br />SUB TOTAL <br />ncRM17 <br />7(�TAL FEE <br />REAR6ER:.�N � <br />UBE iONE l0T �RE� <br />�WFOiCONSi.�LLOW/iBIE I TYPFO�CONS7AC7U�: <br />612E OF BL00. <br />OCCIIP�NCY IOAD <br />RE�SON FOR BPRINNLERS <br />APPLIC�TqN �CC BY <br />NO OF 6TORIE6 <br />FIPE SPRNNIERS RE00 <br />I , YES NO <br />vuns �vrnoveo er <br />S <br />CON7�CT PERSON �ND PHONE NO <br />1 HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES OOVERNINO iHIS TYPE OF <br />WORK WII.L BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE aRANTIN6 OF A PERMIT DOES NOT PRESUME TO 011'E <br />AUTHORITY TO VIOLATF OF CANCEL THE PROVISIONS OF ANY <br />qTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTIUN OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM Tf1E WORK FOR WHICH <br />APPLICATION IS MAD� ANO I COMPLV WITH THF STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br />5�6N�iURfOFCONTR�GTORON�UTHOR11ED�0ENT DATE <br />X o�/i.�ii e�-��i/.f'.,.� <br />MECHANICAL , <br />FEE NO. TVPF OF! <br />NC—NHNDLG UNI2 <br />; FORCED AIR SYSTE <br />S(i i Jn UNIT HEATERS—B.T <br />METAL FIREPLACE 6 <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SIDESETB�CK � PL�NCNECKNUMBER <br />WC�NiSRE FEE9 <br />VES � NO BwLoiNG <br />flfNo�Mr NoapWflliNL�Mrt3 <br />wa. <br />PLUMBIN , <br />BASEMENT MECHANIC�L <br />� � YES �. � NO <br />NEqHTLIMIT�TION OTHEP <br />STATE BUILOINO SUNCHARGE <br />STATEENEPGVSURCHAROE <br />CITY OF EYERETT PUBLIC WORKS <br />LOCAL SALEB <br />TAX CODEIS 3105 TOTAI <br />M E.A. <br />SUBTOTAL E <br />PERMit 5 <br />TOTALFEE S <br />FEE AEf,EIVTNO <br />VALUATiON FEE <br />