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i <br /> /�JCJE c. <br /> APPLICATIOw FOR CONSTRUCTI�N PERMIT <br /> evrroR <br /> nM r�„y„�,�„ � <br /> � H cirvor <br /> ';1 everett <br /> p y BUILDING DEPARTMENT <br /> O �i 259-8810 TO BE COMPLETED IN INK—PLEASE PHINT <br /> ��� DEMOLITION �'CCOMBINATION 1�DUILDING _MECHANICAL _ PLUMBING _ SIGN <br /> �_� nwNen MAiuoonFss r,rtr nr rv�onF <br /> �I-,� ��E_Bl-r��"�1�LdC�Ca�aG,/, c_�LRET_T-9_����—�`_�3�� <br /> �[r+nra Muieoonrss cnr e�r vuoNe <br /> y � <br /> ARCIIRECI011DES�GNER ���L��DRF55 Li1V IiP PIqNC <br /> �� ��PJ.1� 5 ����Y�1�1�G���l�� :_�F�T q�'�?��1-n���— <br /> � GENEfIQCONTR�CiOR M�ILADORE55 LI�Y )il` PIqNf I�LENE1 <br /> ��g E'wA1F� --- d�RNKBP/in/.L <br /> �� Q MECNANiCALCON�IUCTOR M�II��[1RE55 Cliv li� P��ONE UCENSF• <br /> py� FLU�AB�NOCONLRAGLOR M�LL�ODRF.55 CiiY IiP PNONE I.ICF.NSE� <br /> �� � z <br /> � <br /> '„� CIASSOfWONN <br /> C)�U1 � NEW ADDITION ALTERATION REPAIR DEMOIITION WOODSTOVErFRP:INSEfii Bl11LDING REIOCAiIGN <br /> � iEN�Ni�MVROVENEN*OR iNLFRNR PfMODEI ONLv CnNiPC11'CI150N eN�Pr�ONE NO <br /> I <br /> � CONTR�GiPRILF.Of WORM:��C <br /> y DESCR18E WORM�NO SOWf1F[OOiRGF INVOLVE� , ��y F t <br /> �VEyv Si,J� . ri3�i.4r �Prs�� ct — <br /> rnovoseouseaeui�owc I HEREOV CERTIFV THAT I NAVE READ AND EXAMINED THIS <br /> �Q _ APPLICATION AND KNOW TI1E SAME TO BE TRUE AND CORRECi.ALL <br /> Ll PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> IE�i�L0E5CRiPtIONOiPPOPERTYIS��OWNNf.IOWORQT�CNiWACOPiE51 yyORN WILL BE COMPLETED WITN WHETHER SPECIFIED HEREIN OR <br /> iar� e�p�K or _— NOT. THE GRANTING OF A PERMIi DOES NOT PRESUMF. TO GIVE <br /> AU7HORITV TO VIOLATE OR CANCEL THE PRGVISIONS OF ANV <br /> iJ�L����y, � �(� ��CC / OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> �� �� �, � PERFORMANLE OF CONSTRUCTION THAT I AM AUTNOFIZED BV THE <br /> ' OWNF.R OF THIS PROPERTV TO PERFORM iHE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STAiE <br /> - CONTRACTORS LAW 1827 FCW AND 296?00 WAC r� <br /> s�r.netuneo cor�in�c�oannnun�nmteoecENi DeiE /�,��/D <br /> � — — �/G��LFfNK l-3�lIvLL <br /> X N1c N�k�✓hvk F'Ro/isR77� <br /> rnacc��ooaess . _���1r_ ��� --- <br /> " �,�/ �, C S�.</0 d +��� �ns:,�vnus�r�rssiic�Hsi o�Nnxus��iessr�nMr <br /> PLUMBINO MECHANICAL <br /> 1�' NO. iYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAiER CLOSET(TOILET� /p � A�C-A HNDLG UNITS--H.P _ <br /> ' ' BATHTUB /O __ _ __ FORCFD AIR SYSTEMS--B T.U. _`A EA. __ <br /> '_' 7 LAVATORV(WASH BASIN) /D UNIT HEATE(1S-3.T-U. M_ �_ <br /> �R SHOWER � CLOTHESORVERS <br /> � 1 NITCHEN SINN 6 DISP f � VENTILATION PAN__ <br /> I I / DISHWASHER �� � � RANGE HOOD _ <br /> 1 ' LAUNDRV TRAV J WA1ER H[AT[R _ _ <br /> � � � WOOD STOVE <br /> CLOTHES WASHER <br /> ' URINAL ME7AL FIHEPLACE 8 CHIMNEV <br /> DRINKING FOUNiAIN FIREPLACE INSERT <br /> � FIOOR DRAIN HEATPUMP _ <br /> OACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS-RAINLEADEFS [XHAUST fAN <br /> '1 _ SINK�SERVICE-BAR,ETC.) —- _ <br /> .,-w�I' i�Z,eie J'r L o <br /> � _ <br /> '_1 = _—--_ ---�— <br /> � - <br /> Sl1B TOTAL $ y SUB TOTAL S !e� ' <br /> ' PERMIT E _ _ _ �'ERMIT E <br /> � TOTAL FEF S ' TOTAL FEE S (s'o �- <br /> (RpNiS CN AE�ASEiO�f.� SiflfSEiB�GK PIANOIFCFIIUMPfR �<< /L <br /> Pf Cfi�t HO <br /> `�p/ Zp �C ' y'a :)s-G f i �/13 <br /> 115E iornnu � veceN snE FEES VALUATION �FEE <br /> .� ��QO VES NO �UILUING _ ���3' __�'S� <br /> , ilCClr>1N.v N�1 M IMili A���:r.�f � <br /> IVVE M L�NS1�IIOWABIf lvl'[O�foN51 1LI0sl �3�n <br /> v, ,(/ G,' .✓ /� _J I PLUMBING YS��O<' <br /> /' NO Of SiORES B�SEMENi <br /> /� o � n�� <br /> 9ZE Of BIDG � MECIIANICAL —"—'__ _ _ <br /> ��t 3� SF �Sy 5 / _vE5 ✓FJO ; <br /> o1r�rR <br /> OCCIIPANCYlOAO fIPEGPRNFIFBSRl� D ��flf�RlilAlt4iKH� _ _. _ — — <br /> I <br /> i�� VES �O _�$_ __ S7ATE BUILDING SURCHARGE '� ;S� <br /> ..____ _---_---T <br /> ❑E�SONPORSCPMMlERS <br /> SiAiF.EN[RGYSURCNARGf <br /> -. _._ "'.—"_ � . <br /> nr�iicnno�inr.rPr ri�r�s �rrtomnnr CITYUFEVEflE1T �UOiiCwonKs c�0 ;�7 ' <br /> /Il LOCAL SALES i ,ti' ) y�o <br /> n b � TAR COOE IS 3105 Tou� <br />