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.: <br /> . , ,.., .: .. .. . , . <br /> .. .. . . . ;'..::_..J: > ... , . . . .. : .. � . ::+:L�-:: u�.::... . . . . .. .. .. � . . ._ .. . . � .....:._L:.:tl...v.[L.tc.�fne:afu. <br /> APPLICATII.N FOR CONSTRUCti �ON PERMIT everett <br /> �E�,r,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cm oF <br /> everett HEATING SYSTEM: U GAS ❑ELECTRIC U <br /> BUILDING DEPARTMENT <br /> 259-BB10 <br /> i J DEM TION i I COMBINATION i i BUILDIN(i i i MECHANICAL i i PLUMBIN(i I I SIQN <br /> M.AII:�[�D��45 /� ftTY..� ^P Pf10NE r- � �(/ <br /> / �---1._� . .,/ 9 .' !�' ��/L��. L�� � ~' � �— V� <br /> 7EWJ1� YALL ADOHE6S CITY 21 PHONE <br /> ARCNIIECTORDESIbNEN I.UIL�DOIIE55 LITY 21P PIIONF. <br /> OEI UILCONTMCT M�0.1100PESS CITY IIP PNONE IICEN5E1 <br /> MECMANIGLLfANTRACTOfl MAR ADDIIESS � � � GfY IIP P/IONE LICENSE/ <br /> PlUlWOCdiTMCTOR WKMOPEbS CITY IIP V110NE IILENSE/ <br /> i <br /> � U/1860FWONN <br /> � ❑ NEW ❑ ADDITION I_I ALTERATION REPAIH I I DEMOLITION I I WOODSTOVE/FRPLINSERT I_l BUILDINORELOCATION <br /> � <br /> d �� CONLICT PERSON AND PNp1E NO. <br /> x+ <br /> ; COIIiMCTMICEOFWOIY( � <br /> t DE W0111(AND RE FOOTME pNOlVEO <br /> I <br /> I <br /> � ?.� � I NEREBV CEHTIFY THAT I HAVE REAO AND EXAMINED TMIB <br /> APPLICATION AND NNOW THE BAME TO BE TiIUE AND CORFECT.ALL <br /> l[MLOEtCRMTqNOfW10PER7Y14NOM�MlELOWORATTACNFWRCOPIE9) PROVISIONBOFLAW9ANOOROINANCE860VERNINOTMI8TYPEOF <br /> WORK WILL BE COMPLETED WITH WHETMER BPECIFIED HEREIN di <br /> iot xoc� or NOL THE aRANTINO OF A PERMIT DOES NOT PREBUME TO aIVE � <br /> AUTHORITV TO VIOLATE OH CANCEL THE PROVI810N8 OF ANY <br /> OTHER 8TATE OR LOCAL LAW HEQULATINfl CON9TRUCTION Oil TME � <br /> PERFORMANCE OF CON9TRUCTION.THAT I AM AUTFiORIZED BV TME <br /> OWNER OF THIS PROPERTY TO PERFONM THE WORK FOR WNICH �' <br /> APPLICATION IB MADE AND I COMPLV WITH TME BTATE �� <br /> � CONTRACTOR9 LAW tE27 RCW AND 29E.200 WAC. �^ <br /> fiION�TU11E0FCONTRACTp10qA11T110111IED�WENi MTf '� <br /> I. <br /> I <br /> M10JFCT !8 � �+, <br /> � �iPLV µTBCITV U8M1E6lICFN NDWBNIE NAME <br /> J <br /> KwNNIp MEq1ANICAL <br /> N0. TIIr!O�/ItTU1M OII IT[M fEE N0. TYK OF EOIN'MEM F[[ ' <br /> WATER CLOSET(TOILET) � A/C—AIHNDLO UNIT&—H.P. � <br /> BATHTUB ' FORCEDAIR8Y8TEM9—B.T.U. M E.A. � <br /> LAVATORY(WABH BASIN) � UNIT HEATERS—B.LU. M ; ! <br /> BHpy,lEp � CLOTHE9DRVEFS � _ , <br /> � KITCHEN BINK�DISP � VENTILATION FAN ' � <br /> DIBHWASHER � RANOE H000 i ` <br /> LAUNDRV TRAY ' WATER HEATER ' i <br /> � CLOTHEB WASHER � WOOD STOVE i : <br /> URINAL ' METAL FIREPUCE 6 CHIMNEV � � <br /> ORINKINO FWNTAIN � FIREPUCE INSERT i ` <br /> � FLOOR DMIN � HEAT PUMP � <br /> BACKFLOW PREVENTERB ; OAS PIPINO ' <br /> ROOF OMINS—RAINLEADERS � EXHAUST FAN � <br /> i BINK(SEHVICE—BAF,ETC.) ' ' <br /> � � . <br /> i � <br /> � � � <br /> � � <br /> i <br /> i � <br /> i &UB TOTAL S i SUB TOTAL S ' <br /> PERMIT S � PERMIT i � <br /> 1 <br /> TOTALFEE { ' TOTALFEE { � <br /> i FOR OFFICE U8E ONLY: <br /> FRdITlET41CM iIEIRSETBACN bIDE6ETBACN PI�NGNECNNUYBER FEE RECEIPTNO. <br /> usela� IOTAPEA VACNIT61TE FEEB VALUATION f[E � <br /> ' 6uILDINO i 5 <br /> � TYPFdCOMT6.AllOW/�lE TYPFMCONST.ACNAL ocnMucv xonuttuaGUNm � i <br /> � ��w PLUMBIN6 � i� <br /> � BQEOflL00. fa.OFBTORiEB 0�6EUENi MECHANICAL i <br /> � OCCIMANCYLOAD FIREBPNNMlER9NE0'D 11EqHTLM11T�T10N ADDITIONIILPUNCHECN � 1 <br /> � �. <br /> OTMER � � <br /> � pEABON FOR 6PXMNLER9 � <br /> STATE BUILOINO SURCHAROE i � <br /> wruaar au+a�rrnoveoer CITYOFEYERETT PUBI.ICWORK& � ' <br /> �ociu��a ' <br /> , ruc cone i:aies TOTAL 3 ; — <br /> i <br />