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HnM� <br />��H <br />>y(n <br />H�� <br />�H� <br />'� M '+tl <br />(p M <br />�'�p <br />HC7 <br />OM <br />��g <br />n. c� <br />ry� <br />yy <br />H <br />�r,u� <br />i� � <br />HOCy/� <br />� <br />APPLICATlOA FOR CONSTRUCTiI.nl �ERMIT �'��'��" <br />; TO BE COMPLETED IN INK—PLEASE PRINT � <br />everett <br />13UILDING DEPARTMENT <br />";9 8810 <br />DEMOLITION <br />�,EA _ ,,,� <br />TENabi <br />eRCwr.r., u� � <br />HEATING SYSTEM: :] GAS '...1 ELECT RIC_ J__ _ � <br />J <br />COMBINATION BUILDING MECHANICAL PLUMBIIIG SIGN <br />�� IiY lIP P�i d <br />���_0—_�2_'1�'1 �r.1. �� �:: ,�, �. �►'$ � 9 q_ �"r'^� <br />i.npacct G ^ rrtv / ]m c v y,�1 —� � <br />nrif�F��� �="-`�C.�--�i—1 ]� P�����E ����'\ <br />�F��,� ! rss ms <br />RUMBMCaC'ONTRRGTOF MMIA�DRESS CITV ZIP PI�ONE IICENSE� <br />�inss a wonK <br />_ NEW � ADDITION <br />V.T9ACTP EnIWOWV. <br />UI SCPIBE OR P�JO SOUPRE �I <br />Sr_S/� <br />PROPJSEO USC O� rynIVING <br />ALiERhTION <br />wvr�wto <br />... i <br />DEMOLITION WDODSTOVE�PRPL INSERT .. OUILDING RELOCATiON <br />CONTAGT PER60N AND PNONE NO <br />LEAQ DE6CRIPipN UF PROPERTY ISNOWN BELOW OF AiinCN f OU�� COoiE c� <br />�or e�oCK oF <br />� �: �: iit r.—r nooncss <br />TVPE OF FIXTUFE OR ITEM <br />1NATER CLOSET (TOILET� <br />enr�ituo <br />SHOWER <br />KITCHEN SINK 8 <br />DISHINASHER <br />CLOTHES WASHER <br />URINAL <br />BACNfLOW PREVENTERS <br />ROOF DRAlIJS—flAINLEAC <br />SUB TOTAL <br />?ERMIT <br />TOTALFEE <br />FOR OFFICE USE ONLY: <br />RIONr 5[iBACK R[RR SETBRGK <br />us[ 2oN[ <br />1YPE �I CONiS. AILOWABtE <br />SIIE OF BLD(3. <br />DCCUPMlGYLOAD <br />RE�SON iOR SPflMKLEPS <br />INTRNE BY <br />TVPE Oi CON9. <br />NO. OF STOflIES <br />SI�ESETBRCK <br />IX.[UMMI MOdPMIIINGUMii4 <br />4PON <br />BASEMENi <br />CIIY OF EVERCTT <br />LOCALSALES <br />rnx caoe is a�os <br />I HEREB� CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICAiION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF I.AWS AND ORDINANCES fUYERNING THIS NPE OF <br />WORH WIIL BE COMPLETED WITH WHEIHER SPEGFlED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIV[ <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVIS�ONS OF ANV <br />OTHEF STATE OH LOCAL LAW FEGULATING CONSTRUCTItiN �n THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZE� �Y THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAVJ 1027 RCW AND 29 200 WAC. <br />S�GNM1T 1 OF G01:TFP OR Pl MON�2ED RGE DATE <br />n � \ � <br />r.. �,Se 4�.�'Cl.o~�2C _ � ,. , _ �1- <br />r <br />NO. TVFc OF EOUIPh <br />A'C—A�HIJDLG UNITS—N.P <br />FORCED AIR SYSTEMS-8. <br />UNIT HEATERS—B.T.U. M <br />GLOTHES DRVERS <br />VENTILP.TION FAN <br />WATER HEATEH <br />WOOD STOVE <br />METAL FIREPLACE 8 <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />PLAN Cl/ECK NIlMO[R <br />C <br />BUILDING <br />PWMBING <br />MECHhNIGAL <br />FDDITIONAL PLAN CHECN <br />OiHCR <br />STA1E OUILDINu SUFCNARGE <br />PUBIIC WORHS <br />IOTAL <br />M EA. <br />SUB TOTAL $ <br />PEE � I RECEIPiNC <br />FEE <br />7 l� � 50 <br />