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�()�� APPLICATIOiN FOR CONSTRUCT��N PERMIT <br />fh6 Evarprepn <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br />I I DEMOUTION I i COMBINATION � � BUILDING �ECHANICAL PLUMBING <br />��L��i1 LI �Cl�.�i:'61 — ��11�" -1 �1T�Jl.�t-��r�Ll'f�..���,.�U� ���-1 <br />TEN[Ni Id�I�AppRE55 CITY 11P P��ONE <br />m��n�mc�vnuce�uncn u��tsuu�+ess cnr <br />(1�'li{N�l . NTR�CtOR AUII iE55 /�l/ ��tV . <br />11 � . . � �L �r / I � i <br />IAFUUNICAL ONl CiOf1 M�It �OO�E55 CIIY <br />PIUM9INOCOHTA�CIOR MAl1.AnDnf55 f.ilr <br />I I NEW f I ADUITION I <br />TEN�NTIMPROVEMENT <br />GONTR�CT PAICE Of W <br />nr <br />�� ��` _���� y�E�,SE. <br />►��ILL-IUE�l��N�L-1- `i"-'��. <br />71P P��t41F IICENSE I <br />everett <br />e <br />I <br />! i SIGN <br />J C� � <br />iRATION � I pEPAIR i I OEMOLITION �' WOODSTOVE/FRPL INSEfi1 �� BUII DING HELOCATION <br />ori/v com�c� ren;oru � ��o r�wr�e No <br />. `� <br />l�/a � � — -- <br />vnovoseouse �o� <br />�eou oescmvraN or rnorEmr isrwwN oeiow on nt iec�� roun corr-si <br />�ot BLOCN or <br />a <br />CLOTHES WASHER <br />UFINAL <br />�RINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DHAINS—FIAi'�LEADERS <br />SINK (SERVICE—BAq, ETC.1 <br />FPOAT6ETB�GM <br />USE ZdIE <br />TYPE 01 CON51 AILOWABIF <br />91ZE OF qlDO <br />occureNcr�oeu <br />ne�soe�vonscnw��ens <br />APPLIC�TICN �CC BY <br />-•: �;, <br />RE�RSEtB�CN <br />wr nnee <br />IYPF IX CONSI �CIIUI _ <br />NO OP 51011IE5 <br />rmr srneaicns nron <br />IiVES IiNO <br />PUNS �Pf'nCVf � PY <br />�c o� <br />I HEREBV CERTIFV TIiAT I HAVE R[AD AND E%AMINED THIS <br />APPLICATION AND NNOW 1HE SA�1E TO BE �fRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL dE COMPLETED WITIi WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRA�'TING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY T( VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHEfi STAiE ON LOCAI LAW pEGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNEF OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACiORS LAW 18.27 RCW AND 2f6.200 WAC. <br />siuN�mneovcor�rneciononeunan�zeonceNi o�re <br />��Q-���"leti� _� jC <br />PPIK�NiSCI1YBUSME. ICENSENO �N BUSME55N�ME <br />FORCED AIR SYSTGMS—B. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYEfiS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER lil"ATEfi <br />FIREPL�CE IN <br />HEAT PUMP <br />GAS PIPING <br />E%HAUSTfAN <br />8 <br />S SUB TOTAL <br />E —r � PERM1'IT <br />E TOTA . FEE <br />SIOE5EIB�LN PUNCIIECNNUAIOEH fF.E <br />veceNrsne FEES VALUATION <br />I I VES i� NO pUILDING <br />PECfiPi/q <br />aximurt. xowowtui�w;unne —'_—'—__-'____'—_ '__—I ' <br />��� PI.UM(11NG <br />p�SEMENI MECIIANICAI <br />i i VES I i NO --- --. .. _ _ .. ._ .. ... . - - - <br />i�FMm nunencx, on�eR <br />.._ STNE UUItftlNci SURCN�f1l;E <br />STAIE ENERGY SURCH�{7GE <br />CITY OF EVERETT PUALIC WORKS <br />LOCAL SALES <br />TAX COOE IS 3105 rora� <br />