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APPUC�1T10.: FOR CONSTRUCTIJN PERMIT �~�'"'" <br /> �, �. �.y,,, TO BE COMPLETED IN I',JK-PLEASE PRINT � <br /> arvor - - �L(�t�.r �i _ <br /> -- - - -- <br /> everet <br /> H H � HEATING SYSTEM: J GAS J ELECTRIC �(, __ . .. ._ _- . � � <br /> � �"d RUILDING DFPAFTMENT --- ��- — -- — �----- �� <br /> H 259�BB10 � <br /> 9 y y � DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> tY y 1 IIV' I'I�ONk I� <br /> y��i �uden�f�. ���rns /80�$a��e �✓e• E�tre� �j�1o3 3SS-TdG� � <br /> Ki�� R•Inyi � I A.IDN[:.. � (.IiY IIP PRUryI � <br /> �y� >nt�niEC10R�ftiIGNEP AUIt ��OIiE55 CITV ZiY PIqNF ! <br /> yz <br /> O �� o!n ,�IG�ON-I^FAG,iO,R MUL I�DOHE55 C11Y 21P PIIONE IICENSE I — <br /> �W/`�-�v <br /> � �� 1II C�UHiGL C(Miq1Ci(NI MML�DORE55 CIiV DP P1qNE LIClHSE• <br /> QuY (] <br /> {,,: H� i9��MOMGGON�RA�10P M�It���RE55 CI!V ZIP PN011E IICENSE/ <br /> L <br /> � �,.�y fU550f WORN ---- <br /> g� NEW ADDITION ALTERAiION REPAIR DEMOLITION WOODSTOVEiFFPL INSERT BUILDING RELOCATION <br /> M <br /> C��yyy fn �O',e�i�, c. —r c�+r�crecAsor+�r�ovnw�[r� <br /> �[�J� LOqinACl PnILE Of W�Nik (JF'¢C�I�`.' � � �/ O __ <br /> � Uf5C1y9EWORNA O�OOfefC�NV/OI�VED '�.t)f 1�i��4 �U � <br /> �A 1%Ji Ia S_�4s� 1-!I�r_,� <br /> J 'a.� <br /> vnornsFous��nunnir�a C'{frH�v.- I HEREBV CERTIFV iHAT I HAVE READ AND FXAMINED THIS � <br /> -r'j�� APPUCATION AND KNOW THE SAN,F.TO BE TFUE AN,I COFRECT ALL <br /> ircqoryc�P���r��n�i ntv,sHowr�neiowonnne�,�rou��ro�us� PROVISIONS OF LAWS AND ORDINANGES GOVFRNI�!,i THIS TVPE OF <br /> CMf' � /� I I '/ / �YORK WILL BE COMPLETED WITN WHETMER SPEUFIED HEREIN OR <br /> 1p1 d�l�- °���'�" -� - °� �{�LG1JftlH4lMAitle!4 NOT. THE GFANTiNG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV 70 VIOLATE OR CANCEL TNE PROVISIONS OF ANV <br /> _����._ _ _ _ _ OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THF. <br /> — PERFORMANCE OF CONSiRUCTION TNAi 1 AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THF WOi7K FOR WHICH <br /> _. __ APPLICATION IS MADE ANO I COMP�V WITH THE STATE <br /> CONiRACTORS LAW IB 27 RCW AN�296200 WAC <br /> sr.ne.uncwcorrtaecronw�nun�ou¢eo�cer�r oeic <br /> ��r���f ..17�•___�V'�w-����' __.. __ __ X .,�/ �./ .., p � �q <br /> m�oati•nunrsti� _'.�'-...��(�L^� :CL ✓� / � _Jf_-'__._ <br /> eiwuU��6Crtvliu;iHF55lILENSENO �NOBU3ME55 ME <br /> " PLUMBING MECMANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> t�/ WATER CLOSET��OILE71 A C--A HNDLG UNRS-H.P. _ <br /> '�' _ BATHTUB _ �-� FORCEDAIRS`!S7EM5-B.TU. M EA. i <br /> LAVATOFV�WASH BASIN� UNII'NEAtERS-3 TU. M � <br /> ' ' SHOWER �_ ' CLOTHES DRVEiiS T-- <br /> � NITCHEN SINK 8 DISP VENTILATION FAN i � <br /> '�1 DISHWASHER RANGE HOOD <br /> LAUNDRVTRAV WATER HEA7ER <br /> ' ' CIOTHES WASHER WOODSIOVE <br /> � UFlINAL � METAL FIREPLAGE 8 C 1 NEV <br /> '�1 DRINKING FOUNTAIN � _ FIREPLACE INSERT ' <br /> 'rLOOR ORAIN MEAT PUMP _ -�— <br /> 1 ' _ BACNFLOW PREVE RS _ GAS PIPING � <br /> � ROOF DRAINS- INLEADERS E%HAUST 6AN <br /> '_' SINK�S`_RVIC BAR.ETC.I ___ ___ <br /> f _ - _ _ — — <br /> 1 — _ - -�-- <br /> �• SUB TOTAL E SUB TOTAL $ <br /> _I _-___ _--_,_- PERMIT § _ _-.____ PERMIT $ _ <br /> TOTALFEE S TO7ALFEE E <br /> FOR OFFICE USE ONLY: �1', � � <br /> �qr.q�tif�l�n�K � IqAlI5F1PACM StpFSRB�GF PUNGHECFNIIMflFR fFF �ECFIPINO <br /> ZU� 2U� 5� •%� '??1,2 i �/° `� t S ?G�J'" <br /> -- -- - <br /> �,�.� :���a i��+��n� ver,�msrz FEES VAlU11T10N FEE <br /> AO --T- <br /> �`� Q87_ iauunwr, � � <br /> --- - - - ' $..�x, �d- 7,;1 'O ', <br /> . '�. riturnxeunw+H�i trvtnrc�n�....��n-� �xr�.w. a�nru �. .,., .._. .__ - . . .. -_.. _. <br /> I �j crn+ � � <br /> ..�J`J-__. . _..�L-N .. 3 —_"" PLIIMBING . ; �. <br /> _._"" ' —__'." _. _-_"__- �I <br /> '.JI n�OIIXi NO o(SL'i+1 c PASEMENI MECNqNICRL ' <br /> �jtsFLQQ,•1- - = uo - -. . . --- - <br /> ix.runnHcrion0 iinFcm�H.iFasnron ����r��*nMiu*irn� ADDITION�LPUNCNEGM �(�,� <br /> �f _..._ _.- <br /> _1�3_ _ AW I . on�ea I <br /> t ,ornonti�mp.itus — �, <br /> S1Ai1 flUl�.piNf SUfICMAHGF .� � � <br /> . ._ _ "___ . ___..__ .. . _ _.. . _ -- —._o- <br /> ��nn.i e. - � � Puas.r����t.uov CITY OF EVERETT rut,nc woaKs �� <br /> .� � LOCAL SALE"o � <br /> /0�1� TA%CODEIS3105 T�TAL �I _, � �y.�� <br />