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� <br /> APPLICATIG�.� FOR CONSTRUC '7's.�JN PERMIT ��«�''� � <br /> 1 e r tne Every�een TO BE COMPLETED IN INK—PLEASE PRINT <br /> CIiY OF <br /> everett [ HEATING SYSTEM: U GAS U ELECTRIC ❑ —� <br /> �UILDINC�EPARTM[NT <br /> 259•8810 <br /> '��� DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN ��r <br /> �� ER IMIL��ONE55 qLY 11P P�KKlE � <br /> ,c � , � �wE/sl �7ls-rt'(Sh- � Evf zS8- 217�1 <br /> TENAHT M�IL�DPE55 CITV 21P �HONE <br /> �� ,�,� �RCNiTEGi OR DESIGbER AUR�DDRE55 CILV ZiF PNONE <br /> 3 <br /> Q(�� GENFRnICONTR.�GTOi�� �UiIADOPESS CITV 'iP PNONE IICENSE/ <br /> L9`p� <br /> NEGHIWK�LCONiRAGI'�R MOI�DDPF.55 CIfY ZiP PMONE �LENSE� <br /> � N.v.�f-�w4= �•. 3i�v •NLc �Ne �✓T 5Y14/� 2S5�Ji N,�,.�✓� <a3,¢z- <br /> ^ PLUMBINOCONIRACTOR MAR4DOPE55 CrtY ZIP V��ONE LICENSEI <br /> �W _ <br /> QY `C1��540FWOf11( <br /> ��„� � 7!NEW ' � ADD�TION - ALTERATION '. � RFPAIR OEMOLITIOY �. WOOUSTOVE/FRPL INSERT . I BUILOIN6 RELOCATION <br /> y ( GONIAGIPERSONANDPNONE1q <br /> �f_(� OL <br /> M ' CONTFACi FIIILE OF WOfi�._ II,v , <br /> DESCH�BE WOAN M10 SOU/'RE FOOT�OE�NVOLVEO <br /> g�'0 �lTA+a- � `wh � /�"i/f — — <br /> ba rnovosEousE BUIIDINII I HEREBV C[RTIFV TNAT I HAVE FEAD AND E:�AMINED THIS <br /> y k [ APPLICATION ANO KNOW THE SAME TO BE TRUE AND CORflECT.ALL <br /> Q iem,� scni qrvoF r d'Ei1TYI51qWNBEIIMOH�TUCRFWNGOPIE51 PROVISIONS OF LAWS AND ORDINANCES(30VERNINO TNIS TVPE CF , <br /> WORK WIIL BE COMPLETED WI'fH WMETHER SPECIFIED HEREIN OR <br /> � ipr eioa� oF NOT. THE GRANTINQ OF A PERMIT DOES NOT PRESUME TO OIVE , <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV �. <br /> OTHER STATE OR LOCAL LAW PEGULATIN6 CONSTRUCTION OR THE - <br /> � -- PERFORfAANCE OF CONSTPUCTION.THAT I AM AUTHORI2ED BV THE � <br /> � OWNER OF THIS PROPERTY 70 PEHFORM THE WORK FOR WHICH • <br /> APPLICATION IS MADE AND I COMPLY WITH THE S1ATE . <br /> CONTRACTORS LAW 18.27 RCW AND 296..'00 WAC. � <br /> SN1N�i0HE0FCONTMCTOROR�U71qH2E0/�GENT pATE ' <br /> y�<<- ,�/5 �- ,��. x ,e" ,�'�....,, s� <br /> PROJECT�DOFE55 �pp���NiSCITVBUSINE55 ENSENO�N�BUSMESSNAME <br /> iWMBINO MECHANICAL <br /> f�� . NO. TYPE OF FU(TUNE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE I <br /> C WATER C�OSEi(TOILET) NC—A/HNOLG UNITS—H P. <br /> � . BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. _�_ <br /> � IAVATORY(WASH BASW) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> , �� _ KITCHEN SINK 6 DISP VENTILATION FAN __ <br /> DISHWASHER RANGE HOOD <br /> � � � IAUNDFVTRAY WATER HEATER _ <br /> � C,LOTHES WASHER WOOD STOVE <br /> '; ��� � _ URINAL _ IdETAL FIREPLACE B CHIMNEY <br /> DRINNING FOUNTAIN FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP <br /> I 6 BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—RAINLEADERS E%HAUST FAN ' <br /> I �� SINH(SERVICE—BAR,ETC.) <br /> � T <br /> �� I ' 1� SUB TOTAL 3 SUB TOTAL S yo ' <br /> :I I _ PERMIT 3 PERMIT E /� <br /> � TOTAL FE E TOTAL FEE S <br /> l FOR OFFICE USE ONLV: __ _ <br /> � FPONISEiO�GN RE�HSEtB�GK Si0E5ETB�GK NLANLNECKNUMOER f[E AECFiPINO <br /> USE T.DNE ior�nee v�cnN*srte FEES VALUATION FEE <br /> BUILO�NG <br /> IYPE(ifLONiS�IIOWABtk 1VP[pGONS1ACIWl occwux� xonewm�xr,cas ---- <br /> °R�j° pLUMBING <br /> SiZE Of BLDO NO Of StORiES flA5[MENT MECNANICAL �S ' <br /> GCCUP�NCYIOAD irt1E5PRNNLERSREOD HEN'iN1UMIi�TKK1 AUDITIONA�PLANCHECK __ <br /> OTHER <br /> RE�SONfORSPRiNnlERS <br /> STATE BUILDING SUHCHAHGF <br /> INI�NEBV �L�HSAPPNOVEDNV CITYCFEVERE7T PUBLICWOPN$ <br /> LOCAL SAIES <br /> TAX COUE IS 3105 TOT�� Sj' ; ' <br /> , <br />