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APPLICATI�.N FOR CONSTRUC7 iON PERMIT <br /> everett <br /> �E.� e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8(i10 TO BE COMPLETED IN INK—PLEASE PRINT <br /> � DEMOLITON � . COMBINI1T10N �"; 9U�LDING . :MECH�NICAL :-.PLUMBING � SIGN <br /> a ��4• E s� Cm 2v P�qHF <br /> �e�,�eg � u ),1��.��� �9io 3,er�a�v F�r� �e�� a�-��3-09� <br /> 1[MI.MI MM.��piE55 CT 21! �E <br /> ♦RCNIf[CTpIpCSqNER M�4I.DJF1:55 �m � n"�� <br /> GENERpI.LCLNtP�CTpI Y14�OOPC55 LIiY K PMd1E I�LEHSE• r <br /> G/7fI����u�r.wonEss �1l/)/� A� �I/�U��� p� YR��L,�Z�n1 <br /> nwe�xc:co.nw.noa �•�iwou[ss cm zm o� �ccr1s[� <br /> Sf77����f�' G��AJL <br /> uAss o.v.on+ <br /> � NEW ADDITION �ALTERATION -� REP!•IR i �. DEMOLITION I . WOODSTOVE/FRPLINSERT J BUILDINCeRELOCATION <br /> iFN�Mi IMPFOVf4EH1 OR IMERNM REM�[L ONLV CGNf�CI PENSON�ND P11?h 1q <br /> LpRR�Cl M14F R N�11M: <br /> otSGnree wpa•r�o sau+nE rx,.o[.rvavco y�r -f P M J 1 <br /> � � <br /> rnpro�ous[pxua n�a � - I HEREBY CEPTIFV THAT I HAVE READ AND E%RMINED TMIS <br /> �e�� c r��4/p �A�� APPUCATION ANJ KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �ceko[sceimpNarrnortmv nm�mee w�*ncerwncor si PPO�'ISIONSOPUWSAN�ORDINANCESGOVERNINGTHISiYFEOF <br /> WORK':ALL BE COMPLFTED WITH WHETMER SPECIFIED MEREIN OR <br /> iot eiou a NOT.THE GRANtIN�OF.0 PERMIT WE$NOT PRESUME 10 GWE <br /> AUTH0111TY TO VIOLATE OR CANCEL THE !'ROVISIONS OF ANV <br /> O'HF?STATE OH LOCAL LAW REGULATING CONSTPUCTION OR iNE <br /> PE.^.FOFMANCE OF CONSTRUCTION.THRT 1 AM AUTMOR2ED BV TNE <br /> OWNEP OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLV WITH THE STRTE <br /> CONTFRCTORS LAW 1827 RCW AND 296200 WAL. <br /> 6GN�lUaFO�CAMiF1LT0110RMIlH/DlPREO�GfNi G��E <br /> YROIE<1�6DM55 �� �i.�}�YNF f �D�.iI� <br /> �� _ �iw�y}'yrMnusiviss�ir,tHscHa�vo&Isw[ssrv�M[ I <br /> ��ys��p MECNANIC�L <br /> �Ip. TYGEOFFl%TUNEORITEM FEE NO. TYFEOFEOUIVMENT FEE <br /> WATER CLOSET(TOII[T� 0.�C—A�HN�LG UNR�HP. <br /> BATHTUB FOflCEDA1R5Y5TEMS—BTU. M E.A. � <br /> LAVATORV IWASH BASIN) UNIT MEATER$—B T.U. M <br /> SHOWER CLOTNESORVEHS <br /> NITCHEN SINK b�ISP YENTILATION FAN _ <br /> �iSHWASHER RANGE HOOD <br /> LPUNDRY TRAV WATEP HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 6 CHIMNEV <br /> DRINKING FOUNTAIN fIREPLACE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOf DRAMS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAR.ETCJ <br /> SUBTOTAL S SUB TOTAL 3 <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE E <br /> !PrylI6I'iB.1CK �E�RSETB�LN SIpESEiB�LN / RI.NLNECnMWBER �EE AfCENIIq <br /> ao �o � <br /> use¢ m.enc� veuwrsrtc FEES VALUIITON FEE <br /> ' - VE$ NO 9UIL�INO <br /> lYq Of LMjI�LIbMMI! 1Y14 P WNSI,KTWI y M n1�iAtih�6 <br /> jv %V , 'J I PIUMBIN(3 �n �(y) <br /> _� ..,�r <br /> SiROfe�W NOM OR�ES R/.SfMFM MECH�NIf.�L � <br /> 6 � uYES NO <br /> OLCV1'�MCVIO�D i1PE6PRM4EAy5RE00 MEqNiLIMIJGiqN OTIIER <br /> N��� �1 VES y�NO �� STATEBNLDINGSURCN�RGE <br /> RFI.SONfONS�RMMI[RS <br /> STATEF.HCRGYSURCHAROF <br /> •rmw�*u��ccev ni.rvs�roroveoer CITYOFFVEIIETT aue�itwonKs <br /> LOG1L S�LES <br /> � T1Uf C'JDF.IS J105 *oT��. <br />