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APPLICATIO.. FOR CONSTRUCT► �N PERMIT ''`°'°'' <br /> TO BE COMPLETEO IN INK—PLEASE PRMT � <br /> �everett _ _ _ ___ ' �n __ _ <br /> � HEA7ING SVSTFM: J GAS J ELECTRIC 'J �1�J�rQ- ______ I <br /> 6UILDING DEPl;RTMENT �---- --��-- "�- <br /> 259 8810 <br /> DEMOi.ITION COMBINATION X BUILDING_ _ MECHANICAL PLUMBING ___SIGN <br /> _ _ --- --- -- <br /> ...'____ _ .. _ _.._— c.in Tv r��oNE <br /> �1WI�III A�I �fI)11':ti <br /> o���' s,�.��,��s �=.,.��T�_�1—_����y�---- <br /> .�,.�, ,.,.,�.�,���,� - ��r. r�� �,��� <br /> ��� .2y3�_ __�,�/{�,�_ -- ---- - - - - <br /> � nn�.�wrr.ror�oi_ra�ni Mmnorn�rss c,irv nv an�[ <br /> A � --__- '_ -_ <br /> NI�iPILONiHRCID�I—��-- 1AAilApflNftiS G1Y �� ��— Ii�' 1'M/NIE337-/�fjllCElISE/ <br /> _ _ _ __—'-- <br /> �� � Svro.fi!��_�_l_�i.��'/�,r_/_�5��7 �3J�I/rY.T.E_ Gd�� /�P/� �� G c .S.�bilEeQ��,z.lA <br /> MI�nAWGA.CONIRAC10f1 MAR�O�Rf55 Gi1V I�P ���ONF IIGENSEI <br /> P .�y� °lUMOiNGCCNLPALTOB M�II ADDfI(55 . . _— GtV ---- I�P ���ONE UGENS[/ <br /> � <br /> ��i CLe$$p�WUNK ��� � <br /> w _aCN_W ADDITION ALTEFATI�.�N flEPAIR DEMOLITION WOODSTOVEiFRPLINSERT BUILD�NGRELOCAiION <br /> � -- <br /> / /J f,oNTALt rLn5/0N�e�no�nN�ONE MNo � �('� <br /> Q� ir c.�r�rn�cin�icfo�vroarc O .j�fO����d � 7, �/,0 ly/_Y67�71[J/v_�� ��//"J�/�✓1� — <br /> UESCHIPE WORN RN[1501I�RE i00UGf INVOLVCO p/�O � / C � /T��/�j 4� <br /> ..� /f C .J.��3�' {7� � �'�'N�L�aii ovT� ,f. �.) <br /> �H ?�.. � _G��� __ —Z----- - <br /> v orosious�orourtowc I HEREBV CERTIFV THAT I Hf,VE READ AND EXAMINED THIS <br /> w H ��- � ��s C��s __ __ _ APPLICATION.4ND KNUW THE SAME TO BE TRUE AND COFRECT. ALL <br /> (�+L�-i--- " PFOVISIONS Of LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �� l[G�lOE�CRiPLUN0iPR0�'fRiv�S��OWNH(IOWORAI1�CHf[NIHCOw!'n <br /> WORK WILL BE COMPLETED WITH WMETHER SPECIfIED HERE�N OR <br /> i.or I�y_ ti:^��K S� _ nr ���_ ___- NOT. THE GRANTING OF A PERMIT DOES NOT PHESUME TO GIVE <br /> �� — AUTHORITV TO VIOLATE OR CANf,EL THE PROVISIONS OF ANV <br /> OTHER STA7E OR LOCAL LAW REGUL.4TING CONSTRUCTION OR THE <br /> PEFfORMANCE UF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br /> � ' ' OWNEF OF 7HIS PROPERTV TO PEPFORM THE WORK F0�7�WHICH <br /> _-- APPLICATION IS MAUE AND I COMPLV WITH THE STATE <br /> CONTRACTOfIS LAW tB.27 r7CW AND 256 200 WAC. <br /> — SIGN�iU��! OFGU1liN�1:lORORAUI��ONIZCO�GMt OAI! /O, //V I�� <br /> � 5�.+'b �ili4'��- _�����------ X �� S.vmiyG.�%J'� c � <br /> nROJECIA�OR(I55 '� --��C . .. L� � ___—"—'__'_. . <br /> �PPUG��USiN SS 1 i�FHSF NO AN�BlISMf Sti III.M( <br /> PLUMBING MECHANICAL <br /> ' � NO. TVPE OF FIXiURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � C�� WATERCLOSET�IOILET� _ ___ _ A�C-A�NN�LGUNITS-HP ___ <br /> �� �ATH7UB FORC[D AiR SYSTEMS--B T U. M E A _ <br /> � ' LAVATORVIWASNBASIN� _ UNITHFATERS-BiU_ M _ _ __ <br /> I - � CLOTH[5 DRVERS <br /> � SHOK'ER _ ___ - - - <br /> I � HITCHEN SINK 6 DISP _ _ VENTILATION FAN _ __. <br /> "� qANGE NOOD <br /> DISHWFSHER __ - -- <br /> ;.AVNPRV TRAV _ WATER HEAiER _ _ _ <br /> � ClO7NGS W�SHER _ _ _ ___ �''��D STOVE _ _ <br /> � ME1AL FIREPLACE 8 GHIMNEV <br /> � � —__- _- ' <br /> I _' _ UF INAL hIREPLACE INSERT � <br /> �� DRINK!DG FOONTAIN __ ----r--�-- <br /> � FL(iOR DRAIN ' HEAT PUMP <br /> BACHFLONlPFEVENTERS GASPIPING _ __ <br /> '�i' — � - _ - - _ _ E%HAUST F4N _ .. <br /> ROOF DRAINS-RAWLEADERS <br /> � � — � <br /> SINK ISERVICE-,BAR,[7C _ <br /> � ��ne�c �a��,—na --T---- - <br /> !I�t — --- -- — - �--_ ----- <br /> SUB TOTAL 5 _ _� �__ __ _ SUB TOTAL _$ ___ <br /> _ . ._.__ . ___.__ ' <br /> . _ _____...___._._- PhHMII S PEFMIT S . <br /> __ . _ . _.-.___ _ -r.._ <br /> , I�_ ._- _._ ._-_. .__-_ _ ._-_ TOTALFE�__-;. --_ �__ . ._-__. _._ TOTALFEE S ' <br /> r�� <br /> � FOR OFFICL USE ONLY: <br /> V111)11�SI ill�i M I�I Ali`.f IIIAf M � `.�II11 �I IIfAi x I�I�f I�fI:M 1111�1111 Il fl f J 11{l:l I1�1 N�7 <br /> 20' � � , • /U� �,��5,�ln 7G•. u" ,i �3�3 <br /> -__ _ - ---- __ 5_ , <br /> �r�� P�ur �oi uu n - - �-� � � ver.�Ht s�n FF.ES VALUATION FEE <br /> R-L 6,� � �,�,,:„��,� $���i�, % l L�'G <br /> --- - - <br /> - <br /> �ril!`I1.11NIS?Ill)NAIIII I { Ill�r�'.I P..I.L. % Y r , . .. . _. . � � ' <br /> � � �... . . . .. <br /> PlLllr�lll(fli . � ����.. <br /> �-N- _ ___ �_„� r��_ -------- --_ Y <br /> s�ll ur n1Uf NO o!SloHil e 0/.".EMFNI MGGMANIGRL ' <br /> [��� ___. <br /> —_1 <br /> J-,� 5f--" —� �J- - �--� AUOITIONAI.PUNC116CN <br /> IiIP�YIOFU fIRESPONFlEN511EOf> ��lI�i111UMilAlviN . � <br /> g N> j /S ' _����r�, — ; <br /> +In�;nHiOp9nfuNhilnS �--"'� � � <br /> '.1411�OUILDINO SURU�AH��I . ��.��l <br /> .——_.. ___ _. .. . . <br /> ��.i�,.rn:� � r ri�rvinnr � � CITYOFEVEflETT ruoiicwORns ' (% �( �l� <br /> - �� LOCRL SALES ' <br /> , �4. TAX COGF IS 3105 TOT�� /� ��, JC� - _ � <br /> --- _- ---- _�� <br />