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BUILDING DEPARTMENT <br />259-8R 1 o <br />DEMOLITION <br />MAIL <br />MAIL <br />ICATIC 1 FOR CONSTRUCT )N PERMIT <br />TO BE COMPLETED IN BLACK INK —PLEASE PRINT <br />HEATING SYSTEM: G GAS ELECTRIC ❑ _ <br />COMBINATION BUILDING MECHANICAL <br />AODRLSS -- Dlry PLUMBING SIGN <br />'o iY .F33 NE <br />440w-.r &4f S dui /Pc GSAti <br />ADDRE59 CI'Y <br />• � ZIP n....... <br />CITY <br />NEW ADDITION ALTERATION REPAIR DEMOLITION <br />Ow C�ONTA <br />(TRACT PRICE OF WORK /At STT� �� I/tf7� may! <br />LEGAL UL SCRIPTION OF PROPERTY (SHOWN BELOW OR ATTACH F <br />LOT �_— BLOCK <br />� OF <br />SINK <br />SUB <br />FOR OFFICE USE ONLY: <br />FRONNf7 <br />REAR SETRAGK <br />{9E�7BAf,K <br />USE ZONE <br />F-1 <br />LOT AREA <br />TYPE OOf[ONTS AILOWASIf <br />IMOOFF CCONSTI`A6 <br />z F <br />MNO <br />5SFRG <br />OF STORIES <br />R <br />1CCUPANCY LSIAD I <br />FIRE SPRNKLER5 <br />INTAKE BY <br />WOODSTOVE/FRPL INSERT <br />N AND PHONE NO <br />LltNbt <br />iaelle. <br />If <br />BUILDING RELOCATION <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO ';E TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANL )VERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHE I11(.R SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION, THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RAW AND 296.200 WAC. <br />FAN <br />SIDE 9ETBACIS <br />I <br />PLAN CHECK NUMBER <br />39.3.,2- o <br />/ACANT SITE <br />FEES <br />BUILDING <br />KcaAMc No a uHulr� alrts <br />_ <br />�A• I <br />PLUMBING <br />ASEMENT <br />✓) <br />MECHANICAL <br />SIGN r LIMITATION <br />ADDITIONAL PLAN CHECK <br />'7 I <br />SPRINKLER <br />STATE BUILDING SURCHARGE <br />CITY OF EVERETT <br />LOCAL SALES <br />PUBLIC WORMS <br />TAX CODE IS 3105 <br />TOTAL <br />wx* <br />T.U. <br />3 > lri,3 <br />RECEIPT NO. <br />