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APPLICATION FOR CONS'��UCTION PERMIT <br /> everett <br /> . . _-' IlaEreryreen � <br /> CITV OF <br /> everett <br /> BUILDIN�DEPARTMENT <br /> 259•BB10 TO BE COMPLETED IN INK—PLEASE PRINT <br /> xDEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWNER M�iL�DOHESS ---- Citv ZiP PNONE <br /> ��� �.1. T/ah�( si 7 Alver�.x�n $/� .�c� �zoi asa-6s38 <br /> TE/UNT MMLMDRC55 CITY 2tP PHp1E <br /> � � �im P <br /> � �qLHI EOTd1�ESK'iNEF �M�IL�DDRE55 CILV IIP PIqNE <br /> w�� �ti� Drs, , ^ aoi S�Ave� .� Ec�iro�s QSa'o 77� S� . <br /> OkNEPQCpITR�CTOR M�R�OORE55 drv 2iP ilpZCp VHONE IICFNSE� <br /> ��� Sm ��S . Sr�u P�, �r/P /o��S l�o,�. S.�. L,�S,�ticnr'�� 33�-�6P3 ao i Sm,f�s.F. ►z�P� <br /> MECH/JIICAIGONTPALTOR MML�DDRE^5 LITv IIP PNONE IIGENSE� <br /> ��� MWMBINGCONTR�CTOR M�IL�D�RE55 GTY 2ia MIroNE LICENSEI <br /> CLASS OF WONK <br /> �{] '�, : NEW i J ADDITION � �- ALTERATION . REPAIF DEMOLITION WOO�STOVE/FRPL INSERT �. i BUIlDINO RELOCATION <br /> A GONi�Ci PERSON�VlO PHONE NO <br /> �Y TEIUNTIMPPOVEMENTOPINTEPqFREMODELONLY � <br /> � .:ONTMCT PPoCE OF W011N: <br /> UESC I WONK�N REF T�dEINVOLVED /,' Se� S /1� <br /> ��„� vNoro,sc/ous oceuwou+o � C/}�� I HEREBV CEFTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> �y�p �TM?P APPLICATION AND KNOW THE SAMF TU BE TRUE AND COFRECT.ALL <br /> a PROVISIONS OF LAWS AND ORDINANCES GOVERN�NQ THIS NPE OF <br /> LE UL UESCNIPTION OF PROFEPLY ISHOYRI BEIOW Of1�TT�CN(OUP COPIE51 <br /> �� u /�j WOPN WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> icr yi-y�-ya a�a� J(j�_ a NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ���/�/D AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> _ � —�� ��/�� r � �� PEHFORMANCE OF CONSTRUCTION.THAT I AM AUTHORRED BV THE <br /> ! OWNER OF THIS PROPEFTV TO PERFORM THE WORN FOR WHICH <br /> F APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> � �r CONTRACTONS LAW 18.27 HCW AND 296200 WAC. <br /> ,__)7i10�1S GD. �5 SiGN�tUREO�CpITR�LTOFONAUTH0IZF0�6ENT �QE �,�� ��f�SL <br /> S�7 ���Pf�Y. �UB/'lU ' x'l���� ���'���y�i �r��[ � /�/� <br /> FRQIECTAOORE89 ��'f -- <br /> ��� �'r'LILANiSG1tVBU51NESSLICENS NO NDB ESS <br /> �1 ���� MECHANICAL <br /> Np. TYPE OF fOITUFE OR REM FEE NO. TYPE OF EOUIPMENT FEE <br /> '�' WATER CLOSET(TOILET) � A/C–NHNDLO UNITS–�H.P. <br /> BATHTUB ' FORCED AIR SVSTEMS--B.T.U. M E.A. ' _ <br /> " LAVA�ORV(WASH BASIN) UNIT HEATERS–B.T.U. M _T <br /> SHOWER CIATHES DRVEHS <br /> '�' KITCHE��SINK 6 DISP VENTILATION FAN �_ <br /> '�t J DISHV/ASHER _ RAIIGE H06D _ � <br /> UUNDRV TRAV WATER HEATER <br /> CLOTHESWASHER � WOOJSTOVE <br /> ��' URINAL METAI FIREPLACE 6 CHIMNEV _ _ <br /> '�' _ DRIN!:INO FOUNTAIN i FIREPLACE INSERT <br /> FLUOR DRAIN HEAT PIIMP <br /> 1 ' OACKFLOW PREVENTERS GAS PIPING _+_ <br /> � ROOF OHAINS–RAINLEADEHS EtHO.UST FAN _ <br /> '�' _ 'SINK(SERVICE–BAR,ETC.) =– � <br /> —'}__ <br /> 1�/ , ' � <br /> i ' <br /> j SUBTOTAL S SUB TOTAL S ' <br /> PEFMIT f PERMIT S � <br /> TOTALFEE S TOTALFEE S ' <br /> FRONTSE(B�CN AEAP6E7B�CR SIDESETBRCN PLANGNECNNUMBEfI FEE RECEIPiNO. <br /> usEtpr�p LOTARE� vecnetsiT¢ FEES VALUATION FEE <br /> '� VES � NO BUILDING <br /> lYP[OfCONSi�IOWA&E ttPEOiLOM51.AL1UAl accuwMcr xaqowtui�uxi�f <br /> �abJ° PLUMBMfI <br /> _ <br /> S¢EOFBLoa. NO.oiBTOniEs Bn5E1AEHT MECHANICAL � <br /> '� � VES � . NO � <br /> OGLUPNICVLWO FIRESPPNNLERSREQO NE�CiMTLIMIUTiON OTNER _ <br /> ' ' VES � �. NO STAiE BUIL�IN6 SURCMARGE <br /> RFASONF0115PpINNlERS <br /> STATEENEROV:iURCHARGE <br /> ♦PPIIC�TqNACC.9Y MNS�PPNOVfUBY CITYOFEVEREIT PUBLICWOfIKS <br /> LOCAL SALES <br /> TAI(CODE IS 3105 ror�� ' <br />