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APPLICAI rON FOR CONSTRlJ�T10N PERMIT everett <br /> rr�,.r�n�q���� TO BE COMPLETED.N INK—FLEASE PRINT � <br /> arv oF <br /> everett HEATING SYSTEM: U GAS ❑ELECTRIC ❑ . <br /> BUILDING DEPARTMENT I <br /> 259-8810 <br /> DEMOUTION ! � COMBINATION�BUILDING ! I MECHANICAL I I pLUMBING (1 SIGN <br /> owrien Mei��oonEss uir iiv mror+e � <br /> !(?c��-''�1��Y �{lcZ ,�/��5' �i��z�r�iC C���"��c/fl �i'Fr?� i 33`�a3�SU <br /> IfNANT M�R�DDfiESS CIIV ZIP PN011E � <br /> ��GNIf[GI F. IGNER_ M�R����E55 CItY 21P PIIOHE <br /> (i9���vi9� /ln.S�'�/�c�-c�; �L`'_`�<<i�a/v/�, <cf? /`�f?��7 7S'3�/s�33r <br /> arn����/9�/L ynn nno��� �r cn �� zm � �� r�ar+e �� i, IIGENSF ��� <br /> .� b T ��ld?%l <br /> M[ '1IM11C�1Cp11RAClOf1 M�ILACUf�[SS CIIY ZIP pIqNE IICEN5E1 , <br /> PIUMOMOCpJIP�C10{I �A�ILADDOESS CIIY 21P VIIONE IILEN5E1 �i <br /> •� <br /> CI�SS OF W011N ' <br /> �NEW i I ADDITION I I ALTENA710N I � REPA-R�-�;�pI I DEMOLITION I I WpODSTOVE/FqPL I�ISERT ❑ BUILDING HELOCATION I <br /> //�/������/J[pU0 � A�5011�NDPIqNE1 IS� <br /> L/ ' 3� S <br /> CONIN�CT PPICE OF WORN ff�// � � �NN/5 f��� I <br /> DESCNIBE PoORR AN �RE F U6E INVOLVEO� �' <br /> � �- ,�' � / ..1 S� <br /> nnovos useo ew�owa 1 HEREBV CERTIFV THAT I HA\IE READ AND EXAMINED THIS <br /> �J�'L� � L� ���� APPLICATION AND KNOW THE SAME TO BE TflUE AND CORRECL ALL <br /> iea�i oescnirrar�oF iwemr seiowen ucn Foua cori s� :t� PROVISIONS OF LAWS AND ORDINIWCES GOVEHNING THIS TYPE OP <br /> ior� � ov . I oI'�UL�G�I WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> "�'� eiocK N07. THE GRANTING OF A PERMI'f DOES NOT PHESUME TO GIVE <br /> �( U(C�J^) �{��'! �r�/�� �` �/ �� AU7HORITV TO VIOLATE OH CANCEL THE PROVISION6 OF ANV <br /> ] �D OTHER STATE OR IOCAL LAW RE6UlA11N�CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUC710N.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PFiOPEflTV TO PERFOFM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTHACTORS LAW 18.27 RCW AND 298.200 WAC. <br /> SION�TUPEOFGd1TP�CTOpOH�UTHORIZE0�7ENT OATE <br /> PR0.1EC1�DDR�SS r/J ��-' ��• ' / � <br /> n^`)(�( J'���� � �PPLICANBCI7YBUSMESSLICENSENO.�NDBUSINEbSN <br /> � / / A <br /> PLUMBINO MECHANiCAL <br /> NO. TVPE OF FIXIURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOIIET) � /V�NHNDLG UNITS—H.P. i <br /> DATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> I.AVATORV(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP � VENTILATION FAN ; <br /> �T <br /> �� DISHWASHER � FANCE HOOD � <br /> ' IAUNDRV 7RAV � WATEF HEAIER ' <br /> �� CLOiHES WA^uHER i WAOD STOVE � <br /> UR�NAL ' METAL FIREPL•ACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � � <br /> BACKFLOW PREVENTERS i GAS PIPIN6 ' <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN � <br /> uINK(SERVICE—BAR,EiC.) ; ' <br /> — --T � <br /> I 1 <br /> 1 <br /> 1 1 <br /> .— <br /> 1 1 <br /> SUB TOTAL E ; SUB TOL4L S ' <br /> PERMIT S � PERMIT S i <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> 1'110Ni SEI�; RE�fI5�0�GK SID[Sf 10n,N PLANnCIIECN�FR� FEE �G `/ �J�/�� <br /> S r � � <br /> USFIONE lOI�IIE� v�c��asne FEES VALWTIC�N FEE <br /> R`Z. n BI�ILDINp ��fb0(�j ' <br /> IYPFO�CONIS�I.IOW�Btf IrMOCONS1liGIVAL acurwrr o-iaonruwcume -- -- i <br /> GRP1P PIUMBING � <br /> �-d� �! M_1– —� <br /> SIZE W 0100 NO OF SfONlfS BASEMtNI MECHANICAL 1 <br /> i <br /> 28B Sf 1 u — — �— <br /> (xcur�r�crioeo rm¢5vnnn�ensnFon eeiorrtuenun� ADDI710NALPUNCNECK ; <br /> ._� NU __'� . O7HEN <br /> i <br /> i <br /> RE�SONi f15P01NN1E115 - -- <br /> STATE BUILDIN6 SUFI'IARGE �Q <br /> wieKeov rur+serrnweoor CITYOFEVEREIT pua��cwOnKs 'p <br /> r �y�OCAI SALES _ _ ' <br /> I y � y�i8 TAl( CODE IS;+105 Tor�i C J <br />