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�f\1 ��1 <br /> APPLICATIONi"FOR CONSTRUCTItiN PERMIT eJLP1 � <br /> �E���� TO BE COMPLETED IN INK—PLEASE PRINT • <br /> everett ` '' <br /> � HEATING SYSTEM. _GAS ❑ELECTRIC ❑ .� <br /> BUILDING DEPARTMENT � <br /> 259-B810 <br /> I DEMO!/l�TiUN � COMBINATION / i BUILDING �MECHANICAL � PLUMBING ' I SIGN <br /> �NME , 1.���- 1� MAI�`'UCr- l-II� � I�L��C./L 1���� ��I C.�CS`fCl.--1-LL� � �U l �� /W�IJ <br /> �!:� <br /> TEN�NT / MAILA URESS Qi1 21P PNpNE <br /> �FCHIIECT OH UESIGNEfi MAIL ADDNE55 GITV 2�P PHONE <br /> GEN[FAl CONTP R MRIL ADDRE55 CIIY Zro PNONE LICENSE I <br /> MECNRNIC�1lGONTRR V��II��OUfii'3S"•�� ••` • ITV 21P �NON �ICENSEf <br /> �2�5492 —355�7730—742•2944 ��1 ���ive'7lr;����. ��' j���l <br /> r�uMorc+oconinncion cnr �m � rHor�c LICENSE� <br /> Lwr�@, wij��nF��g9e91 <br /> cuss or woaK <br /> ! I NEW I � ADDITION ERATION � ' FEPAIR ' I DEMOLITION � � WOODSTOVE/FRPLINSEFT ! i BWLDINC+RELOCATION <br /> � //� -��� CCMlIAC71`(ti50NANDP�IONENO <br /> CONTRACT PRICE Of ORN 1./,� <br /> DE �BE WOAK A S URqE f00jAG[INVIX� (1 I� <br /> �V <br /> rno�cousEor�U�IDIN��� / I HEREBY CERTIFV THAi I HAVE READ AND EXAMIdED THIS <br /> ���v Q APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEO�L DESLRIOTqN Of PROPERLv ISIIOWN9ELOW 01iRiT�CH FW(1 COPIES� PROVISIOIJS OP LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLE7ED WITli WHETHER SPECIFIEO HEFEIN OH <br /> �oT nu�ce __ or NOT. 7HE GRAN7ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOFiITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O7HER STA7E OR LOCAL LAW REGUL�7ING CONSTRUCTION OR THE <br /> PERfORMANCE Of CONSTRUCTION.THAT I AM AUTIIOAIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLI�AT�ON IS MADE AND 1 COMPIV WITH THE STATE <br /> CONTRACTORS LAW 1827 PCW AND 296.200 WAC. <br /> sicnniune or ecr+mncion on nun+onaeo ncer+T oare <br /> r <br /> anaecr�ooness y --. x�_��`L) "'��- --��.J�� ` l��l'l�"�� <br /> ' ("�_/� l � � '/\/'� `l� I.QC � nrmnr.nr�is.nrnu.n�rssi�r�senonrmnuswessunMe <br /> L� l <- <br /> PLUMBINO MECHANICAL <br /> A.i. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—hHNULG UNITS--H.P. _�_ <br /> BATH7�UB ' FO(iCED AIR SYSlEMS—B.T.U. M E.A. <br /> IAVATORY(WASH BASM) i UNIT HEA7GRS—O.T.U. M ; <br /> —•— — —� <br /> SHOWER CLO7HES DfiVEf7S <br /> KITCHEN SINK 8 DISP V[IJTILA110N F/�N <br /> DISHWASHER � �7AfJGE fi00D <br /> LAUNDRVTRAV ; WATERIiE�7ER <br /> CLOTfiES WASHER —� WOOD S70VE <br /> URINAI ' MElAL FIREPLACE 8 CHIh7�lEY <br /> DRINKINC FOUNTAW FIREPLACE INSERT ; <br /> �T <br /> FLOOR ORAW � HEAT PUMP <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> ROOF DRAINS—RAINLEADERS ; EXl1AUST�A—IJ �7� <br /> SINK(SERVICE—BAR.ETC.) ; _ �1J� L,1(��J � <br /> —U <br /> — — � <br /> ---!-- — —T— <br /> i_ <br /> SUD TOTAL $ ; SUB TUTAL $ � <br /> PEf�MII. $ ---���—— PERMIT $ —/���_ <br /> -- -- --- TOIAL�EE $ -----— — —�---- TOTAL FEE $ yJ <br /> FOR OFFICE USE ONLY: <br /> ffiONT5EIA�GH I11.Al16fIHnf,K SIUESF.IO�CK � PlANC11fGNN1:ElUff1 IEF. �EGEIPTNO , <br /> usezovE ioinn[n V4CRNISIIE FEES VALUATION FEE <br /> f3UILDING <br /> IYPFalCONISALLOWABtE lYl'EOfCUNSi.RCIWI aa�MN[v NOOrUv�uinicinins -- <br /> c"p� PWMOING <br /> SIdEOFBIIXI. NO.IX'S10(1IF.5 BASEMENI MF.CHAIJICAI. � � ! <br /> � <br /> a;curnncriunu lu�[sritNk�N�snl.uu nEicruuMnMioN �UUItIUN�LPU�NCH@GK ; <br /> � <br /> O711ER ' <br /> ___—_ � <br /> n�nsorvronsrnn�a.ens ------ — —T— <br /> SIA(E OUILDINO SURCHARGF. i <br /> —_— _ ____._—�_ _____ — . <br /> wmne nv rinr�snrnnnvr .��v CITY OF EVERETT rueuc wonKs � <br /> LOCALSALES � <br /> TAX CO�E IS 3105 iorn� J�I � <br />