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APPLICATIO.� FOR CONSTRUCTIJN PERMIT �'Vef''� <br /> IIM'I.fY�q�MVI TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GIV U1 <br /> everett I HfA1WGSYSTEM: IJGAS U[16C7HIC IJ � <br /> BUILDING DEPARTMENT -- ---- -- - - - ----- — <br /> 259-8810 <br /> OEMOlIT10N COMBINATION t•'BUILDING MECHANICAL � �PLUMBING SIGN <br /> -- -- — __ _ _ — — -- — — ----- <br /> cwmin �aai enuni ss - � a»� . . rn... ri�or�i <br /> l( • � p p �/ <br /> L�'r�'/NO'I9 _�•._.���'�C/9. ��L��d'l[ :.r-.�/.'J �L�JLL�f_�LL(Ie-� �"�✓i't."�t LC�N �/tJ�='��J �/��s'J��J <br /> ilN�Nf MAlldllOqlS$ � fllY lll' P110NL <br /> ��s�crN+-�zr �ei��c�e�.� Ci� �z����.– --- --- - -- <br /> ANLIIOkLI(Ki[1[SKN[.R M�II �Of1RL�5 C11V IIP PIIONC. <br /> G[NEMI LONiR�f.TOR NMl�DpPf.55 CIIY 21P PIIONE IICkNSE/ <br /> X G� ��/�e / <br /> MCGN�NIC�I U11tlfi�CiON M411 ROf1(1C55 LIIY IiP PIIONC I IC[NSE• <br /> PIWBMGLONiReCiOfi AIML�Df�NESS f.1iv zm � runrve IICCNSEI <br /> C1�550f WORR <br /> I i NEW � �� ADDITION � ALTERATION ' REPAIN DEMOLI710N '� �. WOODSTOVE/FRPL INSEHT I i BUILDING RELOCATION <br /> k --— <br /> cor+�nr.�rinsm�er�n ri�nr�i No <br /> CONTR�L1VRiCE(riW(N1N J3�----.. _ - -- . . .. ..__Ucr^-�r�._l��na(���,� - <br /> niseareewormumsauneiwieouNvcrw.0 , ------�--- <br /> � Snsf.[L .v��s—/'t-->�..,,- .�. v-- -- ----- <br /> rnoPoseouseornunniNr. I HEHEBV CERTIFY 7HAT I HAVE HEAD AND E%AMINED TNIS <br /> � o`1��yiCc� '�pr Ji ss y� �_11c,��_�. ,� ,l c( G_�it✓,� APPI.ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �eeaoescaivrionorrnorcnrrisnoNr+nuowen�nea�r<„r�cnrnsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WOflN WII.L BE COMPLET�ED WITFi WHETHER SPECtFIED MEREIN OR <br /> �ot /S nitx:�_S/n:S � ��L�GE. )_1?���i�� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME T061VE <br /> AU7HORITV 1D VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> O i I1EH STATF OR LOCAL LAW REGULATIn'G CONSTRIICTION OR TNE <br /> - �-� ----- — - - - -- - PERFOHfAANCE OF CONSTHUCTION.THAT 1 AM AUTHORIZED BV TNE <br /> OWNER OF 7"HIS PROPERTV TO PERFORM TNE WORK FOR WMICH <br /> _ ---- --- APPLICATION IS MADE AND I C061PLY WITH THE STATE <br /> CONTRACTQFS LAW 18.27 RCW AND 296200 WAC. <br /> 9GII�luR[UI�[ONLR�CIOHOR�UINONIlE11�GENT �ATE <br /> PROJELT�UDRE55 _—'— —.— _.---_—— � J'C..�L_rl��U� a4 ��.-k'--� <br /> aPP11LANi5LitVBUSiNG5511LEN5F.N0 A BlI51NESSNAAIE <br /> �� �5.�� �"r.'-�i/,'!/N2. CL�' .'c� 7`/ (.�'il <br /> PLUMSIN(i MECMANICAL <br /> NO. TYPE OF Fl%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILE i� _ _ _ _ A/C--A'HNDLG UNITS—HP. , _�— <br /> BATNTUd FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> __--_____._—. __ _ ____ . . _.i.___ __._ ___— ' <br /> LAVATORY(WASH BASINI UNIT HEATERS—B.TU. M <br /> '____-- . . _ - _ __ _- _.— _ —_r— <br /> SHOWER _ _�_ � _ CLOTHESDRYERS <br /> KITCHEN SINK 6 DISP VENiIIATION FAN <br /> � � <br /> � <br /> __—___— _.__.___ _.____—..,____ - _____—__—____— �— <br /> DISHWHSHER RAWGE HOOD <br /> � � <br /> — _____ _.____.._—._—_ __ ._- _'_ <br /> LAUND.9VTRAY � WATERlIEATER <br /> CLOTHES WASIIER —�— WOOD 570VE <br /> — _ _ __ __. ___ --__ --r— <br /> URINAL _ __ _ _ �_ _ METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN i PIREPI ACF.INSERT ; <br /> .__ ___ _ .�_. _ . ._...._� . . �� <br /> Ft.00R DRAIN ' HEAT PUMP <br /> ___ --_._______._._ ____-- - _' ___. _ _.__.__ — _____—.—_---.__ - <br /> BACI(FLOW PREV[MTERS GAS PIPRJG <br /> .—__ —_________—___—.__.__..._ ._ ._._�__-- . . -_ ___ ______-_.__ � <br /> ROOr DRAINS-�RAINLEADERS � E%HAUST FAN <br /> __._ ____ _____-____'_"—"_ _ -_''_-_. . . __ .—____'___ <br /> SINK�SERVICE OAR.[TC� ' _ <br /> � <br /> ' � _ <br /> ___—' ____. '_—_—__-___ _. __.. .—t___ __ __ —'—_____ - - � <br /> . <br /> i � <br /> ___--. .—_—__—__.__ '__ . .—...__ . ..i__ -. _.__'_ -_-__.'_ __ __'--_—_— _ � <br /> i i <br /> _— —__ .._. __ _ . _ ..___.___•— '_.— __-- --_-- -�— <br /> SUO TOTAI. $ SUB TOTAL $ <br /> PERMIT $ r _ PERMIT $ <br /> TOTAI.FFE $ TOTAL FEE $ <br /> FOH OFFICE USE ONLY: <br /> (RONT SETB�LY. REAR SETOPLK SIDE 5[iB�CI: PI AN CHECN IlU1ABER F[E FECFIPT IIO <br /> useZor�e iot�nee VAC�NTSRL FEES VALUATION � FEE <br /> 3�UIIDWG � ;oa <br /> IYPE Of CON15 Al l(IW1811 tYP[Of CONSI AGillq rccur+x[r im n uxii nrrt,umis . .------- - - -----' ----- - <br /> i,e.nm I'!10.!OIN(i � <br /> — _'—_—____' —_' _—_ _ -.. --. _'— _ —_— _--�— <br /> SIZEOFBI.DG NOOFSTURIES OASCMEHI M6CHANICAL <br /> OGcuP�NGVLo�� FIpESr'NNNIERsiI[on 1�LIGIITIIInIi�TION -ABD1i10HkLTlANCHECK ��i `S <br /> OIUHi —_— � <br /> P[�SONfDRSPf11NY.ILfiS � --� - —"-- ---"-- <br /> S I A1 L lil l II DING SUI7GHAflGE �_� <br /> iNI�KE BY rur+sarrnweo nr CITY OF EVERETT PUGIJC WORK$ � � <br /> �n� n / LOCAL SALES �/ <br /> �1\ ��/ TAX CODE IS 3105 ror�� 5 5 �lU ,rj <br />