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!� � iJI�H <br /> APwLICAT101��� FOR COMSTRUCTI�N PERMIT <br /> noE • �Qa� everett <br /> ��T�oF e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK—P EASE PRINT <br /> � � DEMOLITION I I COMBINATION _ � BUILDING �I ECHANICAL I I PLUMBING ❑ SION <br /> �w'+c �un2 uon�\ . �/'.. ' � �0�� /��-C.KJ�-�l1 / � V �W I , / �'cr'I CJY�J(J� <br /> C <br /> c� <br /> IEIUNt ^ 1�M�R�DORE55 CIfY ZIP PIqNE <br /> /al A <br /> C.XJ 1 <br /> �f1C111IEG IX1UE90NER M�ILADURE55 CILY 71P PIIONE <br /> n�ic r9�aon ALLET�'IIFLURACGAS;lNC.--- �r ������ uceNse� "' <br /> 259•5492 —355�7730— 742�2944 ������ �' . <br /> ueuunmuea+rnecto i'i09cflWougell arr zir r��orie LICENSE� <br /> Ewrott, W�ahington 98201 <br /> PLUUB:YOtONIR�CiOfl MAlL�00t1E55 GLV IIP �IIONE LICENSEI <br /> C1A550F WOPK <br /> . � I NEW I I ADDITION�LTERATION I I REPAIR ! I OEMOLITION I I WOODSiOVE/FHPL INSERT I�1 BUILDINQ RELIX;ATION <br /> IF�UIITIMP110VFMENfORIME��EM�L�V GONUCTPEfi50H�NDP11q1'NO . <br /> / <br /> CON�O�CT P010E Of WJfiN. (,�X L _._ _ <br /> D[5(:f11B KAND CV� TOOT�OEINV 0 � . <br /> ����� ��'�-�c — - ;: <br /> , vnoiroseouseoFeurorc+c C I HEflEBV CEHTIFV THAT I HAVE READ AND [%AMINED THIS ���.��' <br /> - � APPUCATION AND HNOYJ THE SAME TO BE TRUE AND COfiRECL ALL � -�:a <br /> - �eo�ioescmn��arnoremris� r+ :iowonnnncuramr.orirs� PROVISIONSOFIAWSANDORDINANCE560VERNINOTHISTYPEOF � ��� <br /> , WORK WIIL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR ������. <br /> � iot _ iAa:K oF _ NOT. THE GhANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUfHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY , <br /> � OTHEF STA7E OR LpCAL LAW REOULATING CONS7pUCTION OR THE � <br /> ! � — PERFOAMANCE OI'CONSTRUCTION.THAT 1 Ald AUTHORI2ED BV THE <br /> i OWNER OF THIS PfiOPERTY TO PERFORM THE WORK FOR WHICH <br /> . __—_ -- APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTR:;TORS!.AW 18.27 FlCW AND 296.200 WAC. <br /> �� 6�ON�TU9EOfCON�RACT0110R�UTNORRED��ENT D�TE <br /> � PROJECT ADDRESS ^ � /�/��ENSE NO.AND BUSME NMIE I OI'�I� ' <br /> 1�-IC.1 � � �PPLICnNTSCI'YO <br /> � PLUMBINO MECHANICAL <br /> � N0. TYPE OF FI%TURE OR ITEM FEE N0. TVP�OF EOUIPMENT FEE <br /> � yyATEfl CLOSET(TOILET) � NL—AIHNDLU UNITS—H.P. � <br /> .— <br /> � OA"fH?UD ; FORCEDAIRSYSTEMS--B.LU. M E.A. � <br /> L+VAfpRV(WASH BASIN) UVIT HEATERS—B.LU. M � ,, <br /> dHOWER _ ; CLOTHESCIRYFR.S �_ ; <br /> KITCFIEN SINK 6 DISP � ��ENTILATION FAN � <br /> . OISHWASHER � NANGE HOOD � <br /> LAUNDHYI'RA1' ; WATERFiEATER ' <br /> � CLOTHES WASHER � WOOD STOVE, �— �i <br /> — ' �-- <br /> � URINAL ' MEIAL FIREPIACE 8 CHIMNEY � <br /> � ORINKINq FOUNTAIN � FlHEPLACE INSERT � V <br /> � FLOOR DRAIIv � HEAT PUMP � <br /> ' BACKFLOW PREVENTERS ; OAS PIPINQ ' <br /> � fl00F L�RpINrRAINLEA0ER5 --� EXIIAUSf FAN � <br /> SINK(SERVICE—BAR.E7C.) _ _�_ 1�_ � _ <br /> '-- i i <br /> — __ � <br /> — � ' � <br /> ---i— -- T <br /> i i <br /> SUB TOTAL S ; SUB TOTAL f 'p� <br /> PERMIT S � PERMIT { �� <br /> TOTAL FEE S ' TOTAL FEE f ..� <br /> fR(MlISF.ID�CK REARSf:10�CK SI�ESE7PTCN PIANCHECI,NUMOER FEF. NECEIPTIq. <br /> use zor+e �or nnee wceNr sne FEES VALUATION FEE <br /> I I YES I I NO BUILDING � <br /> �rrracoxs�euoweeit n�rcararsrecmu �'��+ '�^'�*��"�^�'^1e -- <br /> s�av � <br /> PIUMBIN(3 � <br /> i <br /> SI2GOfBLCO ND OF'.TIXIIES BASEMENI MECHANICAI. r� � <br /> � � ��$ � � ND -- — I <br /> OCCUPANCYlOAO fI11E5'P1:NLEfI5f1E(]D IIEN111TLIIAIf�IION �T���R � <br /> I � YE;i I I NO _ STQE PUILD�NO SUf1C11MGE � <br /> _ i <br /> nensa�va+srmNKtcns --- --- — <br /> STATE ENERfiY SURCHAROE i <br /> err�x;er�eccar nntiserrnovenm CITYOFEVfflETT PUIfLICWORIfS ' <br /> LOCAL SALES � — <br /> �AX CODE IS 3105 70fAL _ i/�;�v� <br />