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APPLICATIC `I FOR CONSTRUC7 .JN PERMIT <br /> nN�f„�.p.M•n PVPfoII <br /> ��r���� e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259 8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> H DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING SIGN <br /> 'if owr�en ueii�onnrss crtv - __. _ nr <br /> _—___ _ <br /> .—_.. rnnrit - _'—__ . <br /> �9ut�....,, r.,c�,.�'�1�t2��,r.�n��z,7� �3�� 9s<3c 549�'� <br /> p � 1 _ -- <br /> Q [n�H� ueii eo�ness crtr y 1m rr�oNe <br /> ��� �OCNiTF.CTORDESqN[R MAll�0�RE35 fpv Im P��ONf - <br /> n <br /> � GENENQCONTR�CtOR M�iL�DD11F55 CITV �/ jIP �� PMONf � 11CFNSC� <br /> � � f ` <br /> ��� M LN�N Kl CONt1iAl; O AIAI ��(1� GITY IIP �IqNC _�� l�'� `��� <br /> �3;! PIUMPINOCONiMC10R MAR,1pDRF5S �IIV ZI� PIION( IICENSE � <br /> �yry�("�� �y.y <br /> rl[tJ(J GUSS Ot WORN — <br /> �'n� n xNEW ADDIiION ALTERATION REPAIR DEMOLITION WOODSiOVE/FRPLINSERT BUILDINCaRELOCATION <br /> y� LFNANIIYPqOVEMENiORINIERiORf1ElAODELONIV GONTACTPEPSUN�NOPMONENO <br /> H C(k11R�CTPRiCEOfW011N: _ <br /> �� DfSCR�BEYro11N�N0 UAnEfOOintiEINVOIVED <br /> H � <br /> ����y rnoros[ouse7 flWLDI���� I HEPEBV CERTIFV THAT I HAVE FEAD AND EXAMINED THIS <br /> �`� APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> y icauoEscnvrroriovrnooEntr�srwvmeewwonaacHrouacooie5i PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> iot BiaK � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PENFOHMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE ` <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLI ATION IS MADE AND I COMPLV WITH TNE STATE <br /> CONT RCTORS LAW 1827 RCW AND 29G200 WAC. <br /> SIGNA� �p(CONIRACtORORAUtnORII[D�fFNi OAi! <br /> PfiQIECi�pORE55 �� � <br /> — Il ��r AP 1`fiv tiu�C�,til��:fN';fNOANflBUSMESSN�ME <br /> PLUAIBIN4 MEC ANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENi FEE <br /> (� \ WATER CLOSET�TOILET� --- — <br /> � A�C-�A HNDLG UNITS-N P <br /> ; i BATHTUB � � � PORCED AIR SVSTEMS-B.iL. M F A ' <br /> � I I _ L4VATORV(WASFI BASIN) -- UNIT HEA7ERS--B-T_U_ M __ —L <br /> 1 f SHOWER CLOTHES DRVERS <br /> ��� KITCHENSINK6DISP VENTILATIONFAN <br /> I DISHWASHER --r __ RANGE HOOD __ __ _ <br /> LAUNORV TRAV WATER hiEATER <br /> ICLOTNES WASHEF _ _ �_ WOODS70VE <br /> I �� URINAL —� METAL FIREPLACE 8 CHIMNEV ___ <br /> = OtiINKING fOUNTAIN FIREPLACE INSERT <br /> FLOOR DqAM FIEAT PUMP _....-- <br /> BACHFLOW PREVENTERS GAS PIPING � <br /> '� ROOF DRAINS-RAMLEADERS _E%HAUST FAN _ _ <br /> . '_� SINH(SERVICE-AAR.ETC.1_ _ <br /> � �..��1 --- - __ _ -- -- ;- <br /> li _ SUB TOTAL S ; SUA TOTAL E ' <br /> PERMIT S r— --� -- ------ ---- <br /> I . — .._ _. _—_-_- ___-._. _. PERMIT_-- § _ <br /> TOTAL FEE E 70TAL FEE $ <br /> ���� rnoNtsereArK nrenselaer,« sNeStrencn �� rinr�rP�cKNun�n�r+ r�� �tftmrNo�� <br /> l <br /> �- usr za�e �ot�n[e wcurt srte FEES VALUATION FEE <br /> VES NO �un UiN� '_' <br /> rvrforcONsr�tlpWsalF irPFp[oNSr,lciuu "���-^��' N,m��i„�+�„M" ' <br /> . . . ___ _ . __. _ . _. i <br /> t.no�� <br /> PIUMOWG <br /> —_— __ —._'-- "--__. . _ __ __ ' __ <br /> 5¢EOiBLOG NOOftitdi�ES B�SEMENI MfCHANICA� ' <br /> VES NO —_. _—_ _..__-____ ' <br /> - _�_. <br /> nrNP�Ncvla�o nnEsrnNqEpsncoo N•��GNtIiMrtATioN OTHF.R <br /> VES NO --- .___ _ . _ -_ _____ _.. . <br /> ----- - - . .. srnie nwiuiNc sunc��au,r <br /> ufAS(NI{ORSGRINMIERS ___ _____ <br /> __ . ____"i_.. . <br /> SiATF ENEHGY SURCHFIifI ' <br /> � _--_""" ._—.. .._.__—___ ..—� <br /> _.__.' "_ —. '____. .. . . <br /> nrriwerror��ccer rinH;erv�r�ovt.unr CITYOFEVERETT � <br /> rut3uc wonKs <br /> LOCALSALES <br /> TAX COUE IS 3105 TOTAL <br />