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� <br /> APPLICATION FOFt CONSTRUCT�N PERMIT everett <br /> �„�F,�ro,a,,, TO @E COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF } <br /> eVerel� HEATINGSYSTEM: C.IGAS UELECTRIC U � <br /> BUILDING DEPARTMENT <br /> 259-8810 , <br /> i � DEMOLITION i I COMBINATION f• BUILDING I I MECHANICAL l 1 PLUMBING ❑ SIGN <br /> OWJER MUL�D00EG5 CI1Y ]I� PrqNE � <br /> u�:� w. �.r� �y��, ..k,. ,,J� J//(i�_11I�� �ss. ��� .r <br /> ifN�Nl AURAppqF55 CIIY /IP pIqNE <br /> �RCNiIcCTO110ESIGNER MAIL�DOOF.SS GI1Y IIP PIpHF I�i <br /> GFNEBQCOf1IMC10R M�ILADOf1E5S f C�fY ZIP GIqNE t10ENSE• I <br /> O.t�l�[✓ .Yp^"t �S QbU� ��. <br /> MEGII�NICAI.LONIR�CT011 M�IL�ODRESS Clfv iIP PIqNE LIGENSE� � <br /> MUYBk1000NiRnC1U11 MnRApDI1E55 CIIY 21P PIqNE LICENSE/ I <br /> CL�SSOf WO�I( �. <br /> �v NEW I I ADDITION I ! ALTERATION ' ' REPAIR � I DEMOLITION I I WOODSTOVE/FRPL INSERI U BUILDINO RELOCATION <br /> ��/ n� cor�ucT rcnsori uio rr�or+F No <br /> ca�in�c�rn�ce or wonK �X <br /> oc scniec vronK�r�o sou�ne roouce nrvavco — <br /> (�Q� e1 f��r sf�'v_ �-•� 4r� e <br /> rnoroscduseQrnun6wa��� �t�- I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> q�rc Q APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> udei oc rvtror�a rrrorenir�s�rowNee�owon e�uc��roun cavesi PROVISIONS OF LAWS ANU URDINANCES GOVERNINO THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH NHETHER SPECIFIED HEREIN OR <br /> io� eiocK or NOT. TNE GHAMiING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> {��� �7or}wti vr II� /I�rfl.rntir fr��rfi� rf I4S`+��iv/y�- AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> a�e�}�t� nF' S/a{n..� )U To.�iaAL+ 19 NevFl� Rt. l ♦ OTHER STATE OR LOCAL LAW REOULATING CONSTRUCTION OR THE <br /> at ��N nla u�.� ncr��(i{f¢K� PERFOFMANCE OF CONSTNUCTION.THAT I AM AUTHORI2ED BY THE <br /> . � m �����,��� I • OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 4) f.Uows: .4 �L,��.���1 t���r/• APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> 5���`�° ��� ' ��� 5 ~ ���� °" ���`aOy ����r" �" " CONTRACTORSLAW18.27RCWAND298200WAC. <br /> `v��,.te{b. ,��.', /G-«« w.a� Ic s}..1� ti�.,�u a../4 So I'..I <br /> 1 t� 6qNAt�nEOiCONtRACT011OR�U7NONRED/�OENi OUE <br /> f4.-aY'r-te�{-1T.���. � .t< ur �1 O u +���. r • <br /> I�t1i.�:M Ect.��t`h.�t{n SF�•r4L �fat...,(���((S�/J.1f�y�+HsF �( <br /> ���RWECi�D�RES��•i��L9LSi -��+K W . ��r.+— <br /> a� 10 I 4.. ... - .,,.�� i t� .� <br /> �VPIICANI6CITYBU5ME55LICENS NO.�N7EVSM/E88NAME <br /> PLU7ABIN0 MECHANICAL <br /> N0. TYPE OF FORURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> hC.t! WATERCLOSET(TOILET) i � A/�pMNDLOUNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> IAVATORV(WASH BASIN) i UNIT HEATERS—B.T.U. M ' <br /> SHOWER � � <br /> CLOTHES DRVERS i <br /> KITCHEN SINH 6 DISP ; VENTILATION FAN � <br /> � <br /> DISHWASHER RANOE HOOD � <br /> LAUNDRVTRAY WATEH H[ATER � <br /> CLOTHES WASHEF � WOODSTOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV � • <br /> DRINKING FOUNTAIN � Flfi[PLACE INSERT • � � <br /> FLOOH DFAIN HEAT PUMP � <br /> BACKFLOW PREVLNiEFS ; GAS PIPING � <br /> ROOF DRAINS—RAINLEAOERS � E%HAUST FAN � <br /> SINK(SERVICE—BAA,ETC.) ; � <br /> , � <br /> — — , � <br /> — � , - <br /> � , <br /> --�— <br /> � � <br /> SUB TOTAL S ; SUB TOTAL S ' <br /> PERMIT S � PERMIT S � <br /> TOTALFEE S TOTALFEE S � <br /> FOR OFFICE USE ONLV: -�o � <br /> FRp1—�F��G1t fIf�NG�jCN / SIDE�%k Pl� ����^ iEE� � HECEICTNO <br /> CJ �� <br /> ❑5[7plE lOi MF� WGANisnc FEES VALUATON FEE <br /> ���- � -�CJ1,1— l)n BUILDINO � �� '� <br /> IYP[IXLONISAII'JWM11E IYM CONSIA�IWt O[IM�Ncr rmOrp.v�l�moun�6 — <br /> ODO � <br /> "� — /If PLUMBING � <br /> —�_f,! �-u • , <br /> r� � <br /> SVEOf BLDO NO OF SIORIFS BI15fMFN1 , T <br /> MECHANICAL i <br /> —F�O $f J <br /> ADDIiIONAI PLAN CHECK � <br /> OCCUP�NCv O�D ilOE SP11NNlERS tlF.00 BEIGM IIMOAiION � � <br /> 1 <br /> � <br /> No I'i on�Fn � � <br /> RE�SONFJnSnnINk1[n5 - -- _ r._ <br /> ST�IE BUILDING SURCII�ROF. �,� <br /> iHu�rar---- - - ner�serrnoveom CITYOFEVERETT ruAucwonKs 2Q� <br /> �� LOCALSALES <br /> ���, TAX CODE IS 3105 ror�� �2 G � 6,s I, <br />