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-- -* AP�L.ICAT16Nl FOR COPISTRUCT�ON PERMIT everett <br /> IM E�erpiaen TO BE COMPLETED IN INK—PL[ASE PRINT � <br /> CITV OF <br /> evPrett HEATING SYSTEN• f,]GAS �]ELECTRIC Q?( F�PF -tD7�NYdG2 <br /> BUILDING DEPARTMENT --- <br /> 259-8810 I,� <br /> f.l DEMOLITION Cl COMBINAYION ❑ BUILnIN��"�ECHANICAL p4PWMBING ❑ SIGN <br /> OYMEfl M�II.�OORE65 CIH 21P PA�pl�Q ` <br /> IEN�nT '•MAK�DDRE65 . .�ITY � � ZIP ��6 `Ip12�S `ni.j. �53� ��S <br /> ��� <br /> �RGIIItECI dN bE5�6 ER M�I��DDR S CIfY IIP PIqHf <br /> P.azf�faJ F• 2C-/.a�.li�T 111 �vCR-R�ii_� � w�.��1�1T�J�{. 9£��o';t� (2r`�34��c <br /> OENEF�LCONTP�CTOB MAIIADDRE55 � Clh IIP NONE LICENSEI (y(,�L�3�S`� <br /> .L��q{Jlr-n t�Qc- r'��r�cTionl 'P.o. t�C iS4'' `tilc�c�wWi���wa� 4Q�,�Z AwarlFa�^—,4a� <br /> MECNMIq�L GONf1UCTOR MAR�DDRE55 CI1Y 21P FiqHF LICENSE� <br /> "'�...- <br /> MUMBIl�O�d1�R�CTOR MA0.FDUNE55 diV ZIP P/qNE IICENSE� <br /> CLASS OF WORIf '— --- <br /> 'W NEW I � AODITION I 1 ALTERATION I.I flEPAlii I�I D"cMOLITION l l WOODSTOVE/FHPL INSERT ❑ BUILDINQ RELOCATION <br /> �y CONT�CT pERSVN Ml�%qNE Iq. <br /> CONiR�GT{`RILEOFVKNIN ��1 J ��OO• �� <br /> UESGRRE WORN AND 6W�RE ippTA6E INVOlVFO �--� <br /> Cc�P�E�E F�724�,�PtzinWat�fZ SYsfranA �rc�R I6 ck.irrS <br /> rnw�osevuscaounorro I HEpEBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> J�(.��(.���Zf-�gQ APPLfCAT1UN AND KNOW THE SAME TO BE TRUE AND CORREC?.ALL <br /> lEOQ0E5CRIPfqNGFPBpPERiY�SM1WNBELOWOR�TTACNFW�GU�lE61 PROVIS�ONSOFLAWSANDORDINANCESOOVFRNIN6THISTYPEOF <br /> ioT ni�K � WORK WILL BE COMPLETED WITH WHETH[R SPECIFIED HEAEIN OR <br /> NQi. ThIF. 6RANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> A'1l/1'�LF-I�L� � _ OTHER STATE OR LOCAL LAW RE�ULATIN6 CONSTRUCTION OR THE <br /> PERFCRMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> � OWNER OF THIS PROPERTV TO PEF�FORM THE WORK FOR WHICH <br /> -- APPLICATION IS MADE AND I COMPLV WITH THE STATB <br /> � CONTRACTORS LAW 1827 RCW NU 28fi200 WAC. <br /> SION�TUNE Oi MCT0110R�U ZEO bENT DATE <br /> l 1 X <br /> PROJEPI�fNlR/EI��5 � -1 . / � - <br /> �(7 �. Ua`.�INO �R. AP NTSCIIYBUSINE LICENSENO.N/DBU 9NMIE� <br /> PLUMBINO ECHANfCAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILPi� � A/C-A/HNDLG UNITS-�H.P, i <br /> BATHIUO ; FOHCED AIR 5`!STEMS-B.T.U. M E.A. <br /> L,IVATOfiV(WASH BASIPI) � UNIT HEATERS-B.T.11. M ' <br /> — — — i <br /> SHOWER � CLOTHESORVERS � <br /> K�TCHF�SINK 8 DISP � ; VENTILATION FAN � <br /> DISHWA;.i1ER � HANOEHOOD �— <br /> LAUNDRV TRAY � WATER HE.4TER � <br /> CLOTHF.S WASHER � WOOU STOVE i <br /> URINAL ' METAL FIIiEPLACE 6 CHIMNEV � <br /> Df11NKING FOUNTAIN � FIREPLACE INSERT ' <br /> _ i <br /> FLOUR ORAIN � HEAT PUMP i <br /> BACHFLOW PREVENTERS i (3AS PIPINO � � <br /> ROOF DRAINS-RAINI.EAUERS � EXHAUST FAN � <br /> SINK(SERVICE-BAR,ETC.) ; � <br /> ' i <br /> i � <br /> � — � _ <br /> i � <br /> SUB TOTAI S ; SUB TOTAL S ' <br /> PERMI,- S � PEHM!T S i <br /> TOTAL FEE S ' TOTAL FEE S �— <br /> FOR OFFICE USE ONL1'; � '�� <br /> FRONTSETBACK RE�R6E7BACN bIDE5E7BACR PUNGII N UMBE lEE�n�� RE�EJ1�TJ�Q..�i <br /> � /-� �i <br /> uscza+e LOTARE� V�GANf61TF. FEES VALUATION Fc.E <br /> �� T <br /> DUII.DINO i <br /> fYvf Of CONIS./dIOW�BIF IYR Of CON51 AGIU�L occuw.t� �+I d vMu�xCUMn6 ' <br /> i <br /> '�� ( �� �— ' � °� w �� PLUMBINO ' <br /> !RE OF BlUO NO OF 6100IE5 B EMENT � <br /> V�✓J � ��I MECHANIGAL — i <br /> �! T'f> �i— <br /> OGCUV�NC 10�� FlRE6PPVNlC11SRF09 KEIONiLIMIT�iION �DDI710NAlPUNCHECN �j �� <br /> �i�' Y�i ern�r+-� I�'� �. <br /> RE�SONFOR6PNNNlERS / - <br /> '(�C,�'f��(/�G� STATE BUI�D O SURCHARGE � <br /> INGkE BY PLANS 11PPqOVEp BV � <br /> CITY OF F.VERETf PUPLIC WORKS � <br /> LOCALSALES <br /> IO /2 �JZ �M TAX CODE IS 3105 TOTAL � <br />