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APPLICAT101. FOR CONSTRUCTI.�N PERMIT �°�"�"" <br /> �t�o W TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTV OF <br /> everett _ . _ _ _- ---- <br /> � HEA7ING SYSfEM: IJ GAS IJ ELECTRIC U .._ __ _. _ _ . -----� <br /> BUILDING DEPARTMENT - - ---- —-- -- <br /> 259-8810 <br /> I I DEMO�ITI��—�- COMBINATION BUILDING Z1MECHANI���'/�JSPLUMBING i SIfiN <br /> EP --' MMI ADORE55 - . _'- ._. . . ..-_ - _ . "_ _ PIq11E <br /> 6h l`1�0_ f��., �v�_._�`�f_.. - <br /> EN�NT" <br /> 1A�I1 A�ORE55 LITY ZII' P110NE <br /> _'___" .__ '_ _" . _ .__-"'_. <br /> . __'_"______- ._____- <br /> APCHITEG10fl0E51GNEP N�IIAUORE55 I:IIY IIP PIIONE <br /> __"""-__-_'___"-_"__._- <br /> _'______".____. _..__..'__"_ ___ <br /> (iENERM CONIR�f.711R M�II �Itp1iC55 f.IIY 211' YIIONE II. I <br /> ______"_____.. .__..-____'_.....__..____.__� <br /> - -----"--"-"-- '-� -'-' -� � LIfY 2i1' PIIONE �jIICENSE� <br /> AIELIUNICUGOfIjNACIOfl MMI�O�IlE55 � ^ 1 t`�,•r1l� w,o-'�/ •w� �07 /�� <br /> �,,..✓, 4i.f�-�1.� _7�ld -_�t�4._ .�1u -�` v�-- _7�lat_ �� — .� <br /> PIIIMpINOCONIMf,l011 M411 APPIILSF CIIY !11' PIIOIIf IICLNGCI <br /> .. __"" _ _ _. .. " __'_ <br /> gs a wonK <br /> �YNEW I I ADDITION i � ALTERATION � � REPAIR __DEMULITION '__WOODSTOVE/FRPL INSERT . � BUILDINQ RELOCATION <br /> CONUCI PF.IISON�NO VIIONE HO <br /> Gd17R�CTPPICEOFWORN ���/ ___ --'— <br /> ��Ip�y/pqK�Np9q1 R� fFOOT�GEPIIfVIXVEO <br /> ���I{I l Irt. t „�: <br /> vroroseous¢oFa ow+o I HEFcBY CERTIFV TNAT 1 HAVE READ AND E%AMINED THIS <br /> (' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> L � PHOVISIONS OF LAWS AND ORDINANCES dOVERNINO THIS TYPE OF <br /> lEdiU.0 SCR�PT ovr N7YIg����BELOWOP�T7�GNFWIICOPIE6� yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot eiocK � NOT. THE GRANTINO OF A PERMIT DOES NOT PRESUME TO 61VE <br /> � AUTHORIiV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEH STATE OR LOCAL LAW RE�ULATINd CONSTHUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAi I AM AUTHORIZEO BV THE <br /> OWNER OF THIS PROPEPTY TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> CONiHACTORS LAW IB.27 RGW AND 298.200 WAC. <br /> SION�IUBE OF Clk1IRAC IOR ON�UTIIONIZEO AUENI OA7E <br /> . __...__.—._.._.._ _ � � R <br /> i PIIO.IEGiMHIHE65 -----�--'�-""—""'"- � "" �yl'IICANISf.11V11115Mh5S���SMC55NMlE '------- <br /> � <br /> ��� MECNANICAL <br /> ►q, TVPE OF FlIRUNE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEH CLOSET(TOIIET) __ � ___ A�C—A/HNDLG UNRS—H.P. ' <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. '_ <br /> UNITHEATERS-�B.?.U. M � <br /> LAVATORV(WASH BASIN) __ ' � <br /> --r <br /> —'--' ___— _'--- � <br /> SHOWER _L_ __ CLOTHES DRVERS _ <br /> � KITCHEN SINK 6 DISP � VENTILATION FAN <br /> �— — � <br /> DISHWASHER � HANOE HOOD <br /> -- ------'— --r WATEH IIEATER � <br /> I.AUNDflV TRAV ---'------ '-- .---- .-.---1__- -- - -WOOD STOVE ---��-------"-- `- <br /> CLO?HES JJASNER -- , — METAL FIHEPLACE 8 CHIMNEY : <br /> URINAL _ — � <br /> pRINKING FOUNTAIN � _ FIREPLACE INSER7 � <br /> � HEAT PUMP ..;_ <br /> FLOOR DRAIN �__ � <br /> BACKFLOW PREVENTEfiS _� 6AS PIPING _._..+_ <br /> I p00F DRAINS--RAINLEADERS __ __ � E%HAUS FAN = ' <br /> � <br /> SINK(SEflVICE-BAR,FiC.) __ _.__.�_ �._ � � '''� � <br /> — � —....---- ----�-- <br /> - ------- -_._-_._ -_•--- ' -- -------- - � <br /> — — — � __.__ <br /> — --- <br /> ' --- - -- ... i__..-- - ---- <br /> -------.__..._--'-------- � <br /> — -- ------' �--�---- � � <br /> � � ______ ___-'_'-_�__ -__ _______---___"�-_'-"_ <br /> _-"'_'__ '___�— <br /> i <br /> SU�TOTAL S ' ___ SUB TOTAL S _ � " ' <br /> � <br /> PERMIT S T PEFMIT S �S�'� <br /> TOTAL FEE S '�—� TOTAL FEE f "J <br /> fOR OFFICE USE ONLY: <br /> _ -'--- - - --. . .. _ ..-. qECEIPTNO <br /> FIIONTSET&1CR HEARSETBACN 6NESE7B�f.K PUNLHEf.NN11M0ER FEE <br /> USE dONE i m ei�u ver.�in srr[ � FEES VALUATION FEE <br /> � <br /> �ilillUlNG <br /> IIPfOfGONISqIUWABIE IYPEOfLON51�GlW m.u�a�Nu pudoM��uru.uM�ls ---"--------- ----' � <br /> cx�.�v _-- pIUMBING ' <br /> __ �____.'_— __ — '_ _---�— <br /> i <br /> 61IEOFBL00 IXIOFSIOPIE9 O�SEIAEHT MECIUNICAL � <br /> �_— <br /> '_ __ __'—_"__ — � <br /> AODIilONA4 PLAN CNECN � <br /> OLCUVWCYIO�D FIPESPNIINIEfl5PE0� ��E1611TlIMIT�iION _ <br /> � <br /> OIHER � <br /> ---�— <br /> REASON FON SPRINNI EPS ' <br /> SUIEBUILOINGSURCIIARGE � _ <br /> IM�NEBV rieNs�vreoveoev� CITYOFEYEflETT PIIBUCWORKS � <br /> 1 LOCAL SALES ? �� <br /> _-- I-- TAI(COOE IS 3105 io��� v� � � <br />