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APPLICATIOI�� FOR CONSTRUCTIVN PERMIT <br />IM EwryrNn <br />CITV OF <br />everett <br />BUILDING DEPARTMENT <br />259-8810 <br />❑ DEMOLITION I I <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />)N I I BUILDING MECHANICAL ! i pLUMBINQ <br />� r r�ar+e 2i 1� _ Ct.70'7 / u\ <br />��T jA�R 1100RE53 �i:ITV � � ZiP ^IICNE <br />MCNffECTIX1DE8qNER M�IL�DORE55 GRY im PNONE <br />OENERQCJNTN�GTqI M1R�DDRE6S CiTY tIP PHONE LIGENSF.� <br />GTY <br />jiP <br />Plqhf � LIGENSE � <br />LICFNSE • <br />everett <br />e <br />C] SIaN <br />C NEW �L1 AODITION yr.nLTERATION I I REPAIR I I CcMOLITIQN I I WOODSTOVEffFPLINSERT 1�� BUILDINORELOCATION <br />TEN�NT IMPROVEMENT ON INTEFIOJR� PE/M�ODEI O�NjLV� GUNf�CT PE1130N �NO PHOIIE NO <br />f�tY11N�ETORICEOFWOfIM: p•Il/ O.7r/� __ <br />LOT BLOCN _ � <br />PROJECT <br />FIIONt BET&1CK <br />SUB TOTAL S <br />PERMIT S _ <br />TOTALFEE E <br />RE�R BETBIICN 61DE SE7B�CN <br />U8E20NE I LOTAIIE� <br />trrFacaxsruiowui[ I irrcacoesi.�ciuu <br />BIZE 0: BL00 <br />OCCUPANCYld1D <br />REABON Fdi BPPINMlER3 <br />�vruc�rarr�cc.ar <br />Nb OiBiORiEB <br />FIRE 6PRNKLERS REdO <br />I.l VES I .I NO <br />VlANS �PPROYED BV <br />��'`� . <br />V�CANT SIIE <br />! I VES I I NO <br />acuwMcr rqaowiwrqi <br />GapN <br />B�SEMENT <br />I I VES I I NO <br />NEKiMT I�MITAiION <br />CITY OF EVERETT <br />LOCAI SALES <br />TAX CODE IS 3105 <br />I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE THUE A4D CORRECT. ALL <br />PROVISIONS OF IAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br />WOf7K WILL BE COMPLE:TED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE l3RANTING OF A PERMIT DOES NOT PRESUME TO QIVE <br />AUTHOHITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REOULAT�NG CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTFUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PEIiFORM THE WORK FOR WHICH <br />APPLICATION IS M DF ND I COMPLV WITH THE STATE <br />CONTRACTORS lAW .27 F AND 296200 WAC. <br />616NATUf1E ON7 �CT ON�Ut ORIZEO�OENi D�TE <br />l <br />X �oD�1�'A� Ca <br />�PPLICI SCI VSIN E SENOMI�BUSINESSN <br />EATERS—ES.T.U. M <br />:S DRYERS <br />ATION fAN <br />HOOD <br />HEATER <br />iTOVE <br />FIREPLACE 8 CHIMNEV <br />ACEINSEHT <br />11MP <br />�INO <br />iT FAN <br />SUB <br />PUNCNECNNUMBER � �EE <br />BUILDINO <br />PLUMBINQ <br />MECHANICAL <br />OTHER <br />STATE BUILDINO SURCII�ROE <br />STATE ENERQV SUfiCNARGE <br />PUBIIC WORNS <br />TOTIIL <br />S D '� <br />s s� <br />_ , � <br />PECEIPi NO. <br />FEE <br />�� <br />_ � <br />� <br />� <br />� <br />�—� <br />� <br />i �ii� � <br />......_» ..........T. i,. . . � ....... _ .._ . , . .._ _ -.... ,._.. <br />