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APPLICATIO.. FOR CONSTRUCT�.JN PERMIT everett <br /> ��E�o��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cin oF <br /> everett HEATING SYSTEM: IJ GAS IJ ELECTRIC U —� <br /> EUILDING DEPARTMENT — <br /> 259-8810 <br /> I I DEMOLITION COMBINATION BUILDING �ECHANICAL PLUMBING SIGN <br /> o�,EA 1�1�a1�'c�r�c,�„o�iyZi ,�aKuR �U�,��tl� 9SxaL P„�.�7� <br /> iEN�NT M�II�O�RESS GITV IiP NONE <br /> ARCNRELTOROESIGNER tA�IL�D�RE55 CIfY 21P P110HE <br /> GENERAL CONTRALiUB IA�IL�OORE55 CIiY 21P FIIONE IILENSE I � <br /> MEC�� 1/IC�ON�R�CT`�//I ei�I��55 t///✓ CIYL�E�;[/(�(f� IT_lXLL`IL_ �iLDI �IONE / UCE��I/✓rIY��II U(JP <br /> % /[ /r� I � ��y�.v��� <br /> PIUYBIN6CON ACTOR M4Il���FESS �/ CIiY ZIP PIION"c IIGENSE I <br /> I <br /> ClA55OF WORK <br /> I I NFW I I ADDITION I I ALTERATION � I REPAIR � �. DEMOLITION I I WOODSTOVEIFRPL WSER7 �� i BUILDING PELOCA710N <br /> J/ ���/� CONI�CT PFRSON�ND V110NE N0 <br /> W <br /> CONTR�GT PPK.E OF WORR — <br /> OESCPIBE P�K�NII pU�R F�IHVqVEf1 , <br /> � �� '��t�¢�'.J���� � <br /> rnoroseouse eunoi a �� T 11�KD I HEREBV GERTIFV THAT I HAVE FEAD AND E%AMINED THIS ' <br /> �"( _ �(��n��P � aa���'�- APFLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL �• <br /> LEOALD SCPIPTqNOi P R ISNOWNBEIOW RA1 5\LIIiWPCOPIE51 PROVISIONS OF LAWS AND OFDINANCEu GOVERNING THIS TVPE OF �� <br /> N'OFK WILL BE COMPLETED WITH WHETFIER SPECIFIED HEPEIN OR <br /> �pt etocK oF NOT. THE GRANTING OF A PERMIT GOES NOT PRESUME TO OIVE �•. <br /> AUTNORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> pTHEH STATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE I <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 2§6.700 WAC. <br /> SIGN�TIIREOFCOtITR�CTOPON�Uf110HIZEDAGENI DA7E <br /> PRQIEGT�DDRE55 �-"'�����"""'` , � a I <br /> � � ^ �PPIIC�NfSGIlYfl115i E SIIGENSE �NDBUS SSN�M'� . <br /> �`. <br /> PLUMBING MECHANICAL _ <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE . <br /> WATER CLOSET(TOILET) A.�C—A/HNDLC UNITS—H.P � ; <br /> BATHTUB --' FORCED AIR SYSTEMS—B.T.U. M E.A. �. <br /> LAVATORV(WASH BASIN) 1 � UNIT NEATERS—BS.U. M � <br /> SHUWFH Cl OTHES DRYERS ' <br /> KITCNEN SINK 8 DISP � _ VENTILATION FAN �. <br /> DISHWASHER � RANGE HOOU � r <br /> LAUNDRV TRAY WATER HEATER _ `. <br /> CLOTHES WASHER WOODSTOVE <br /> URINAL �METAL FIREPLACE 8 CHIMNC-Y ' i; <br /> DHINKING FOUNTAIN FIREPLACE INSERT _�_ <br /> FLOOR DRAIN HEAT PUMP _ . <br /> BACKFLOW PREVENTERS ; � GAS PIPWG � , <br /> ROOF DFAINS—flAINLEAOERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR.ETC.) ' '— . <br /> __—__--_____._--_ ____-1— _— --_.-- , '' <br /> , � , <br /> .___---_'__ ..._ _— --�— <br /> --___ ____ _____.— . � <br /> —.—_— --1-- � <br /> _'_"_— ____�_ _ _�� � <br /> _ ' <br /> SUB TOTAL 5 ' SUB TOTAL S �L <br /> rERM1T S T PERMIT S � � � <br /> TOIAL FEE S TOTAL FEE S ' . <br /> FOR OFFICE USE ONLY: <br /> FPONTSETBACK HE�RSE70�CN SIpESETN�CN PI�NG�ECKNIIMOFR FEE RECEIPTNO <br /> ❑SETONE iotene� veeeNrsrte FEES VALUATION FEE <br /> OUILDING <br /> iYPF Of CONtS AIIOWABII IYPE Of LON51 ALill�l a[urwn Nn n owuuNLu4n5 -- '— � <br /> cue�v PI.UMBING � <br /> �r��—p�— <br /> SIIEOFBIpp NOOFSTORIES AASEMFNI MECHANILAL _ _ _�4:1A / <br /> — <br /> b_.....�y_ <br /> OCCOP1NGYlOAD FIRESPRNNLERSNEO'� NEIGHTIIMIT�TI(NI AODITIONALPUNLHEL'N <br /> OTHEF � <br /> PE�SON FON SPRIIINLERS <br /> — ..__ ----r— <br /> S1AiE BUILDING SU�iCNAFGE , <br /> — —_— <br /> MIMEBY PlANS�PPROVEDOY CIlYOFEVERE7T PUBUCWORKS . <br /> �� IOCAI SALES f� �� <br /> iA%COUE IS 3105 TOTAL —17 , <br />