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■ <br />APPLICATIC-I FOR CONSTRUCT`IN PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />WPATIMr SYSTEM: <br />❑ ELECTRIC O <br />BUILDING DEPARTMENT <br />259-8810 <br />COMBINATION <br />Oi BUILDING X MECHANICAL <br />Ji PLUMBING 1 SIGN <br />DEMOLITION <br />MAR ADDRESS <br />CRY <br />ZIP PHONE <br />;y;l1c <br />OWNER <br />TPA\L i:lak5 <br />�15'lI Al <br />F /SOd4 <br />�«j <br />TENANT <br />MAR ADDRESS <br />CITY <br />21P PHONE <br />ARCHITECT OR DESIGNER <br />MAR ADDRESS <br />CITY <br />ZIP PHONE <br />ZIP PHONE FCE <br />&WeIGe E LICENSE / <br />GENERAL CON TRACTOR <br />MAILADDRESS <br />CITY <br />, 3C[R\ Z4-' <br />ZIP PHONE <br />STATE LICENSE <br />MF.CHANICA TRACTOR <br />MAll A0DRE55 <br />CITY <br />• <br />11 nn_e,. %id>JE/3[I <br />d✓1 <br />'•n CA rn -. �'+_ <br />_ <br />Jr1Ur <br />!; ! <br />%.V17-\�2�[l <br />/ )IP PHONE <br />STATE ULENSEP <br />PLUMBING C TRACTOR <br />.. . A• 1 <br />MARAI1baS �1II <br />• _ .wrL.ef �J_..�Er dr0 AI.IrI. <br />MAG11VOI k 1.1/ %9?1 <br />.1-�y D <br />/:2--4A_�/ �DEtilfnn 4� <br />CONTRACT PRICE OF WORK J <br />DESCRIBE WORK AND SWARE FOOTAGE INVOLVED <br />CONTAC`PERSONANDPHONE NO 883��g2 <br />Reitz; T� <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED 1 HIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROPOSED USE OF BUILDING <br />n 1 S • <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE Cc <br />5 , H4 I raT� IAA ,o <br />LL BE D WITH SPECIFIEDHETHER HEREIN IV <br />LEGALOESCRIP NOFPROPERTYISHOWNIBELOWORATTACHiWOLOPIE51 <br />o GIVE <br />DOES NOT PRESUMET <br />NOR THEGRA TANG OF APERMIT DOES <br />�— OF Qle ' FL _ <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />BLOCK <br />LOT 2 <br />e7 ' <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />BY THE <br />P IaO S J•J- % <br />PERFORMANCE OF CONSTRUCTION, THAT 1 AM AUTHORIZED <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />.r <br />•, <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br />d PARCEL TAX I D NUMBER <br />I <br />CONSTROCTXkI LOAN LENDER. ADDRESS. TELEPHONE NUMBER <br />C%�T <br />' S %71 <br />U <br />nATE <br />S GNaUIIE <br />• - i PRO1F/-7iODRES/^� `C\/ `�/ <br />cnv Prsuv ss rx:rxsv rn <br />rwmon..+ �..��.... .'r.. FEE I NO. <br />8 DISP <br />FOR OFFICE USE ONLY: <br />FRONT SETBACK <br />REARS <br />Z� <br />USEUSE ZONE <br />AP <br />LOT//� <br />yLT <br />TYPE Of CONST <br />NO OF <br />M YES ❑ NO <br />r,wunT W01 M"UNR <br />FIRE SPRINKLERS REGD BASEM[NI- <br />t / i- YES [Y. NO <br />GpR HEIGHT LIMITATION <br />FIRE ALARM REGD A F <br />CITY OF EVERETI <br />LOCAL SALES <br />TAX CODE IS 3105 <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRYERS <br />Vr NTILATION FAN _ <br />33� v <br />BUILDING <br />PLUMBING <br />MECHANICAL <br />ADDITIONAL PLAN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />PUBLIC WORKS <br />TOTAL <br />FEE <br />30 <br /><'J <br />