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APPLICATIOI„ FOR CONSTRUCTI..:N PERM1� <br />��,E�qro,�„ TO BE COMPIETED IN INK—PLEASE PRINT <br />CITV OF <br />everett � <br />BUILDING DEPARTMENT <br />259-8810 <br />' i DEMOLITION ; i COMBINATION <br />M�IL �DD'1E55 <br />ARGNITECTORDESIONER M�ILADOPE55 <br />HEATING SYSTEM: <br />BUILDING <br />O ELECTRIC ❑ <br />MECHANICAL PLUMBING <br />GNONE <br />rrvnt <br />everett <br />� <br />SIGN <br />�i��i'„'_��19n���✓C/c.� �9�Ty� ciL(_l/� ��MVN� LICENSEI //[JB/I <br />ECH�NICQCONTPACTOR MARADUPESS CITV / zIP PHONE UCENS� <br />PLUMBINQCONIR�LT011 M�II�DDRE55 GTY zlP PHONE LICENSE� <br />GU55 OF NORK <br />1 1 NEW i 7 ADDITION <br />CONiRAGTVRICEOFNVNN � <br />DESCRIBE WORK �ND OUARE F <br />I <br />PROPOSE0115E OF BULLUING <br />�ot <br />� 'l� <br />PROPER7 <br />BLOCK <br />WATEH CLOSET <br />BATHTUB <br />IAVATORV(WAS <br />NITGFiEN SINK 6 DISI <br />DISHWASHER <br />UUNDRY TRAV <br />CLOTHES WASHER <br />URINAL <br />DRINKiN6 FOUNTAIN <br />FLOOR DRAIN <br />MLTERATION ! i REPAIR <br />/SG� , � - <br />INVOIVED <br />'� DEMOLITION i I yyppDSTOVE/FRPIINSEHT i� BUILDINGFELOCATION <br />CONTACT PERSON AN� PIqNE NO. � <br />" 1 HEREBY CERTIFV THAT I HAVE HEAD AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC'f. ALL <br />LOW OR�TT�CNFWRfAPIES� PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TIPE OF <br />WORK WILL BE G�MPLETED WITH WHETHER SPECIFIED HEREIN OR <br />°r NOT. THE GRANTIN�3 OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />�j OTHER STATE OR LOCAL LAW REGULATIN6 CUNSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOfl12E0 BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPIICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTOR LAW 18.27 RCW ND 296200 WAC. r-� � <br />SI6N�TURE OF C H�LI �R OR �UTHO RED/�OENT ��TE IQ �/ / <br />X ✓i � . n <br />SUB TOTAL S <br />PERMIT S <br />TOTALFEE E <br />FOR OFFICE USE ONLY: <br />FIIONTBET&1CR REIIN6ETBACN <br />USE ZONE LOT �REA <br />TVPF 01 CONiS �LLOW�BIF P/VE Of Ld15T. �CNAI <br />52E OF BLUO NO OF 6TORIES <br />BPI11NKlERS <br />INT�NEBV I �NS�VPROVEOBY <br />�� r� �.��. <br />CITV SINESSLICENSENO�ND <br />TYPE OF EOUIPMENT <br />A/C-A/HNDLG UNITS-H.P. 0 <br />FORCED AIR SYSTEM B.T.U. M <br />UNIT HEATERS-B.LU. <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPLACE 6 CHIMNEV <br />FIREPLACE INSERT <br />MEAT PUMP <br />GAS PIPING n $ <br />BUILDINQ <br />pC(UNNCY IpdUMIIINGWIib <br />�"" PLUMBIN6 <br />B�'EMENi MECHRNIC�L <br />HEIONiUMIT�T1011 ADDITIONALPUNCHECK <br />OTHER <br />5TATE BUILDING SURCHARGE <br />CITY OF EVERETT PUBIIC WOi7K5 <br />LOCAL SALES <br />TAX COOE IS 3105 TOTAL <br />fEE I AECEIPTNO <br />�oo <br />