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APPLICATIO�N FOR GONSTRUCI.ON PERMIT <br />me Ere�p�e�n <br />TO BE COMPLETED IN INK--PLEASE PRINT <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259•8810 <br />DEMOLITION <br />HEATING SVSTEM: � GAS O ELECTFIC J <br />COMBINATION BUILDING <br />.ADORE69 �, . CITv <br />L <br />_� �r�� <br />everett <br />e <br />SIGN <br />� 1�� �: ��,�1-��,1. �!I, `,.�� �\ '; u, ,� -� . T � <br />*EN�NT MAILADDRE45 CITY 21P PMONE <br />•R�HRECTORDES�ONEA M�II��D�iESS GTV ZiP OHpHE <br />OENER/wCANTRACTOR M�IUOOPE64 Cliv ZIP PNONE I�CENBE/ I <br />E NANICILLCOMTRACTOR M�IADDRE65 _ pITv 21F vHOrvE ,I�CE�E/ � ��/ � <br />��j��1�1�Y.L.�11��`;-��fLl�,��iti��1�'ii;Cl% "����` �1��� I���' ��I`'�I'ti� ���i�:i'I •���1-�_3>I �,���>�.1�� .,,� <br />/ wC MBINO CONiR�CTOR M�q �D�RESS C�TV 21P 0 �NE LICENSE I <br />aa �. �.v�. . <br />NEW _ ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVErFRPL INSERT .� BUIlGIN6 RELOCATION <br />__ _ GONfACT PEFSON �ND PMONE NO <br />� _-. . � • - `•1 � <br />�Epµ OE iC PT� NO� OPO�ERrv �SHOwN E101 <br />�O1 BIOCR OF <br />DiSP <br />TRA`� <br />U�iINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACHf�OW PREVENTERS <br />ROOF DRAiNS-RAINLEADE <br />SINK iSERviCE-BAF. ETC I <br />I MEREBY GERTifV THAT I HAVE READ AND EXAMINED THIS <br />APPLICATIOA AND NNOW THE SAME TO BE TRUE AND CORfiECT. ALL <br />coo�ES� PROVISIONS OF LAWS AND OFDINANCES 60ViRNINCi THIS TVPE OF <br />WORK WIIL BE COMPLETED WITH WHEiHER SPECIFIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHEF STATE OR LOCAL LAYI RE6ULATIN6 CONSTRUCTION OR TNE <br />PERFOPMANCE OF CONSTRUCTION. THAT I AM AUTNORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />_ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOf±S LAW 1827 RCW AND 296,200 WAC. <br />61pHefURE O� CONTReGfOR Op �UTHONiZFD A6ENT D�TE <br />1 � �/ <br />x , , . -� ( �� y����� % ��� /�� ,7 -`i 1 <br />i��. �CVIN;� SQT�BUSMESSUC�ENO�NDBUSMf N�4E 7 <br />TVPE OF EOUIPMEN� rcc <br />A C-A HNDLG UNITS-MP <br />FORCED AIF 5"STEA15-B.T.0 M E.A. ' <br />UNIT HEATERS�-B T U M <br />CLO7HE5 DRVERS <br />VENTILATION FAN _T_ <br />RANGEHOOD <br />WATER HEA7ER . <br />METAL FlFEPLACE 8 CHIIdNEV <br />FIREPLACE INSERT <br />NEAT PUMP <br />GAS PIPING <br />ExHAUSTFAN _ � <br />SUB TOTAI S � <br />PEHM17 S <br />-- � -�� -- .. .TOTAL FEE - E _ - --- — — <br />FOR OFFICE USE ONLY: <br />�110Ni5E1BALM NE�RSETB�CK S�DE6ETBACN PLANCHECKNJMBEA FEE <br />uSE ZONE LOt �REA VA��Ni SiTE FEES <br />BU40iNG <br />'w! 0� CONIS �llOW1BlF rw[ 01 CON51 �G�WL otwnM. ra tlVM�, w �'S -- <br />���"� PLUMBING <br />SRE O: BlDO NO 0: fiTOp�ES BASEMENT MECHANIC�L <br />OCNP�NCYLO�D FIRESpqNKlER5RE00 HEIONTIIMIT�iqN ADDITIONALPUNCHECK <br />OTNFR <br />AE �SON FOA SPPM�.iEAS <br />STATE BUILD�NG SUACMARGE <br />iqqe[ Ov P���4 �PPpOYED Bv CITY OF EVERETT PUBLI(, WORNS <br />� � LOCAL SIILES <br />TAX CODE IS 3105 To7�� <br />0 <br />=- — <br />