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APPLICATlO1. FOR CONSTRUCTI..N PERMIT '"''""' <br /> rn,�c.�•,�.��� TO BE COMPLETED IN INK-PLEASE PRINT � <br /> ciTv or <br /> everett - -- --- ---� <br /> BUILDING DEPARTMENT HEA7ING SVSTEM: J GAS J ELECTRIC ..! <br /> �- ---- - - --- - - ------- <br /> 259-8810 `.�,, <br /> � �DEMOLITION COMBINATION__ -�nUILDING MECHANICAL PLUMBING SIGN v <br /> uwH[n rani�aoua�ss crrv nv w�oru � <br /> 1 1 ; ,„ ', �,, t' c1 r, �� ' �+�s Z:�L 3 ` <br /> AJ � � , �a;� �i» , ,��r, �r� �_ ��,-irr- • : ;c; _ ;� � <br /> nr�er�r 1 u�i�eocness arr DN r�air�c <br /> ��+T��Jlll `�14i >1f•.TU1— _ <br /> �RCNREf.TORD6IGNER 4AIL�D�PE55 CRv 21V PNONE <br /> � H —�t.. sTy_ vJ�l �� _,fN� . <br /> �y� GFNER�ICONiR�G �� � M�R���RE55 GiTY IiP F�qNE IICENSE� <br /> p � MECIUNICAI CU11IR�i R����It AD�NE55 GTY ZIP P110NE IIGENSE• <br /> G H <br /> >Hy <br /> H � PLIIMOINGCONiP�C10P M�IL�pD11E55 CIlY Zlv PIIONE IICENSE• <br /> M' �y� CUSSOFWORN --- -- <br /> O� HO� kNEW ADDITION ALTERATION FEPAIR DEMOLITION WOODS?OVE�FRPLINSERT BWLDINGFELOCATION <br /> yH D-„/�,� �9/G � CONt�CiPER$ON�NOPHONENO w :.S�I�E�JLfG <br /> r �CI.((!.Q!! J LJ v�•. �� <br /> � �y$ cor+ra�cr vnic[or wnan _ _ ��..-. �} l-(,nJ6� (V�t J P,-7-�`t 1 <br /> tzl M OESCRIB!�`IORN� sownE r � r�c[ir+voivro <br /> c �" t�" , y � r.+ <br /> � � <br /> ,�,� �g raovoseouseo�ew�omc I HEREBv CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> C,)• � C,(1!' ��`�� APPLICATION AND KNCW THE SAME TO BE TRUE AND CORRECT.ALl <br /> y y iece�oeunirrror+or vaovenrv isNovm onowoa eriecHvouncovies� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> y WOiiK WILL BE COMPLETE�WITH WHETHER SPECIFIED HEREIN OR <br /> t� ioT e�ocK or NOT THE GRANTING OP A PERMIT DOES NOT PRESUME TO GIVE <br /> �"� AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> g �p.� . \ OTHER STAiE OR LOCAI LAW REGULATING CONSTFUCTION OR THE <br /> ��y — _ - PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> �.y OWNER OF THIS PROPERTV TO PERFORM THE WORN FOR WHICH <br /> [al APPUCATION IS MADE AND I COMPLV WITH THE STATE <br /> H y CONTRACTORS LAW IB 27 Rf,W AND 29fi200 WAC. <br /> O scr��runcercaan�r,roeoneui�oa¢[o�eer+r oetE <br /> .._..—.__._ x �J�.<'n` � �: <br /> n11QlECT�DDRE55 <br /> (��� ������- � � �,I �'���1� /,Pp�rt;�N15(i�vFlU'.iNfS51iCC�KFNOADflU5MES5NAME <br /> J <br /> PLUMBIN6 MECiIANICAL <br /> NO. TVPE OF FIXTURE OR ITEM fEE NO. TYPE OF EOUIPMENT FEE <br /> '~ � WATER CIOSET�TOILET� ___: __ ArC- AHNDLG UNITS-H P. � <br /> � �' BAIHTUB ' FOACEDAIRSYSTEMS--B.TU. MEA. � � <br /> LAVATORV(WASH PASIN) -r UNIT NEAiERS-B.T.U. M L— <br /> '... .� SHOWER _�_ __ CLOTNESDFiVERS <br /> .,� �� _ HITCHEN SINH 8 DISP VENTILATION FAN ' <br /> DISHWASHER RANGE HOOD �— <br /> I.AUNDRV TRAY ' WATEq HEATER <br /> �� � CLOTHES WASHER __ _ _WOOD STOVE <br /> � '! URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUN�AIN FIREPLACE INSEFi <br /> '� � FLOOF DRAIN _ y_ HEAT PUMP _ _ - <br /> �� I BACKFLOW PREVENIERS GAS PIPING <br /> ROOF ORAINS-RAINLEADERS EXMAUST FAN —� <br /> SINK�SERVICE-BAR.ETC.) <br /> —�- — <br /> � -__ —___ —. — <br /> _ - - — _�— <br /> � � SUBTOTAL $ ; SUB TOTAL E ' <br /> — .___ . -__—__,_._._.-- <br /> ERMIT E PERMIT E <br /> — _ _'___. _._.__ ____ __ �— <br /> TOTALFEE 5 TOiALFEE S <br /> ' FOR OFFICE USE ONLV: <br /> fBONI5E10�CR PF�RStfBACe S�OCSEIN�C• �'IRN�1� nNiiMltlll Vf[ AECEIPiHO <br /> 20 ' _ zs '�r�� < 2 v <br /> usra�r �nrenee vec�r�tsnc FEES lVALUATION FEE l <br /> � �� f1UII.DING TCiCi{ ��� i Q(/ <br /> IwIO�CONI5Al10W�Bi1 IVPI�ICOHSI�C1�Al nc,irc�ir qnrvrx��.��rr=n�� ----'-------- -- -- - ---1-.� � <br /> ��� PLUMBING <br /> _�-/`�— - -b-� -- -- _ <br /> 5¢E of BIOc No oF sloRies OAS[u:.Ni M[CHANICAI <br /> GZ� 5f N� -- <br /> OLCUPANCVLO�� IIHESVRNItlCfl5RC0D 11[IGIItIIMIIA�I(Y! ADDI110NALPLANCHECN <br /> N� ' •S otHea <br /> NE�SONfORSVPINNlkRS - <br /> S1ATE DUILDING SUHCHARGE i,j� <br /> wieKe nr -- vuHser�raovmar - - - CITY OF EVEflETT rueuc wonKs � <br /> 9� LOCAL SALES <br /> TAX CODE IS 3105 T�7�� ��� �c�-7� <br />