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- --.___.. ____...r- <br /> �; ,� everett <br /> AppLICATIO:'�1 F�R �NSTRUCTi�N PEAM�T <br /> TO BE COMPLETED IN INK LEASE PRINT � <br /> Ma Even7een <br /> CITY OF - — '� <br /> everett HEATING SYSTEM: AS ❑ELEC IC ❑ <br /> BUILDING DEPARTMENT <br /> 259-8810 � MECHANICAL L_1 PLUMBING ❑ SIGN <br /> � I DEMOLITION l I COMBINATION � i BUIIDING <br /> q7V ZIP PMONE <br /> p W�IIADD�55 .� ,/ � � ' �9 3 <br /> V' Z�P pHpNE <br /> WK/i00RE35 CITV _— _ . <br /> TE T <br /> CITY 21P P�E � <br /> �p�wTEtTOXDE9��p M����OPESS <br /> �K�DpRE55 CITV <br /> 21P P110NE LIGENSE I <br /> GENEMLCON�MCTd1 /� � <br /> P E LICE SE� �I� GA�/ <br /> A�jL� / �� / 7 3 <br /> MEC ILLCONT t IML/�WR �. <br /> �'/^-'• �a� �4 ' �/� P�p�� LICEN9EI � <br /> GLUMBMN3 CONTMCT(N1 MAK RDOPESS <br /> GITV <br /> � CL�SSOFMIORK <br /> : 1 NEW f 1 ADDRION . AITEFA ION�1 REPAIH L I DEMOC�OC PEp���E���FRPL INSERT ❑ BUILDING RELOCAT . <br /> � GONTMCT V1110E OF WOPN / �/}� <br /> DESCRIBEW0IM(N14 �REFOOT INV ED IfKJ <br /> J <br /> ' %l6t�� G /� <br /> I HEREBV CERTIFY THAT 1 HAVE READ AND EXAMINEO THIS <br /> i rnocosEo us�oF eu� APPUCATION AND KNOW'�E SAME TO BE TRUE AND CORHECL ALL . <br /> �. � gE�py�pp�TTACN FOUR fAP�F.S) PROVISIONS OF LAWS MND ORDINANCES OOVERNlN�TH�S TVPE OF <br /> i �E���ryp�pppipfqFERN1��N WORK WILL 8E COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PEflMiT DOES NOT PRESUME TO GIVE <br /> �or �OOK °F AUTHORITY TO VIOIATE OH CANCEL THE PROVISIONS OF ANY . <br /> �.i � `/{J�� Q OTHER STATE OR LOCAL LAW REGUUTING CONSTRl1�T���TME <br /> {'� LV pERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHOR�ZED BY THE <br /> a OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WH�CH <br /> ; APPLICATION IS MAL3E ANO � COMPLY WITH THE STATE <br /> CONTRACTORSLA ona+�Rur�an�vD��o�Ae <br /> ' sKuuru�oF <br /> X � -���'Y�c�"" . . <br /> �" PPO.IEGTAOORESS �pPLIC�NTSGTY INESSLW'EMSE�.'WD���� <br /> ' MECHANICAI. � .. <br /> � ��M� FEE NO. TY�OF E�UIPMEIIT .. <br /> . Np. TVPE OF Fl7RURE OR REM q��qh{NUY.G UNIT�--H.P ' . <br /> - WATER CLOSET(TOILET) � FpqCEQ pIR SYSTEM B. . M E.A. ` <br /> BATHTUB � UNIT HE�TERS—B�T.U. M ' <br /> � � UWATORY(WASH BASIN)� � <br /> i CLOTHES ORVERS , <br /> � SHOWER � VENTNATION FAN ' . <br /> � � <br /> KITCHEN SINK d DISP qpµGE F{ppD � . <br /> �. pIgHWASHER yyp�ERHEATER , � <br /> �� IAUNDRYTRAV � � <br /> � WOOD STOVE . . � <br /> . CLOTHES WASHER . METAL FIREPLACE 8 CHIMNEY � - <br /> � UFINAL � f REPLACE INSEAT ' � <br /> �. ppNJi(ING FOUNTAM � HEAT PUMP � � <br /> FIOOR DRAIN � - GAS PIPING � <br /> - BACKFLOW PHEVENTERS ' � ' <br /> � EXHAUSTFAN . � <br /> qOOF ORAINS—fU�NIEADERS � : � <br /> ' SINK�SERVICE—BAR,ETC.) ' ' <br /> � r <br /> i ��� 1 <br /> _ ' <br /> � <br /> � � <br /> ' sue�or�u. s — <br /> SUB TOTAL S � pEqp11T S ' <br /> PERMIT S ' TtlTAI FEE t '� <br /> TOTAL FEE E <br /> FOii OFFICE USE ONLY: � ""��ND <br /> � g10E5ETB�CK ftANCMECKNIIMBER <br /> F110N1 SETBIItI( RE�H SETB�CI( . <br /> �E$ VAl'JATMON � <br /> �nT nne� v�c�Nr sire , 1 <br /> USE ZdJE BUHOINl3 � <br /> �rw[aca/5crciuu axwwc. �+o.vmhiiMcu�ns — � <br /> nrt a caas.�uox�e r.�. rulMair+c �----�— <br /> Np.OF SiORIES BRSEMENr MECMANIC�I � <br /> 51ZE OF lilDO. j <br /> ' ADOITIONAL PLAN CHECK <br /> �C��V l�p FIRE SPRMI(LERS REO'D VIEIOHT LIMRAtION _ � <br /> I ..OTHES _� �� . . <br /> � � <br /> i <br /> RE�sd+F— oR�Ens ST�TE&AlDMfi 6UNCHIIHOE . <br /> i <br /> � CI1Y OF EYERETT ���g � <br /> nrt�KE e„ rurM�rvrroveo ev LOG11l EALEE I � <br /> tp7M <br />