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i <br /> �Ja.� cc� <br /> ��w <br /> APPLICAT14�1 FOR C�DNST'RI�a.T��ON PERMIT <br /> ����«« <br /> ma r�e,p.�� e <br /> � � cirv or <br /> everett <br /> ypc BUILDING DEPARTMENT <br /> Q 1–� 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION D�COMBINATION JCBUILDING MECHANICAI PLUMBING SIGN <br /> H�� —---arr —-- :ir �r�nric -- <br /> owqcn M�annonFss <br /> LYt-F E d�ItNk_�o 8��(c_�' ��v_E►?s'__9�'o?Q3 �3�-33a/r <br /> ��� iEN�Ni M�II ApDf1f55 Ulv I�P PNONC <br /> !A — <br /> ARGnrtECTOPDESiGNEN M�ii�ODRE55 aiv DP rnO�iE <br /> :/S''� yy � �a< ^4 <, 3��-�yvy <br /> O1'�v ���'�� /����C ����.' fllV � •�ll" � � CII(1NF IICF �E� <br /> Gfll[R�ICONTRWI9R M�R�DO�iF55 <br /> �€�g �_.c.t��-- — — �urNr sp i�d c.c_ <br /> �Y (� RIFOUNiGlWN1RAC10R MMI�UDfiE55 C�T� l�� PNpNE LICENSE• <br /> �y� f'W1APiNGCONiR�CiU� M�IL�OORESS CRV 21P i'��ONC IIGENSE� <br /> T <br /> H H _— — — <br /> y LUSSOrWORN <br /> n�y D� NEW ADDITION _ ALTERATION REPAIR DEMOIITION WOOOSTOVE:FRPL INSERT BUILDING RELOCATION <br /> 1[N�NT�MPROVEMENTORINiCl11�RREMODELONIv L-_' s �� LONUCTCERtiON�N�PHONENO (� �/'� <br /> F]� CONiRACTVRICEfXWORv: ��'��� r cL �L--_-�' ���N/l_ .=�c�1 �.�3�� _ <br /> �y �lSCRiBEWORK�ND50W�E�W1eG_MVO�VFD /���ZS(+f /- <br /> �U1 S/NGIE -�4.117 Ll-y—JC�i.S1ACN�'l� — <br /> rnoroseouseaeunowc I HEREBV CERTIFV THA1 I HAVE READ AND EXAMINED THIS <br /> S—` k� APPLICATION AND KNOW THE SAMF !O BE TRUE AND CORRECT.ALL <br /> J� PROVISIONS OF LAW3 AND ORDINANCES GOVERNING THIS TYPE OF <br /> irceuoe5ceivtwr+orrnorEmvis�oeiHn[uowon�rucNvouecories yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioi� e�oce �� _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PFOVISIONS OF ANV <br /> /)�E.—ar, /�y �0��.���r.�L OTHER STAT[OR IOCAL lAW FiEGULATING CONSTRUCTION OR THE <br /> �j �7 / PERFORMANCE OF CONSTRUC110N.THAT I AM AUTHORIZED BV TNE <br /> OWNER OF THIS PROPERTV TJ PERFORM THF WORK fOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTOFS LAW 1027 RCW AND 296200 WACy <br /> siC.NntunEOr�oNrasclonoR�utl�o'a�TEOAGF.Nt nniE /�5��0 <br /> �� � ��--�L_-- -- �.���' /3��vK �r' ��o�� <br /> Xa kC� ,v/��t3/��,/hvk PR��'RtIFJS' <br /> rnaEcreooaFss _ - . _G-_J�GIL�-_---______.{_—_ <br /> '�1 _ • �/ AP r' I�tiGivFlUSryE5511fd15C ����O�SiNf55�U6�E <br /> 3 C• � s rl <br /> '_' PLUMBIN6 MECMANICAL <br /> NO. TYPE OF FI%TUHE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> � � NATFRCLOSET�TOILE7) __ __ _ _/U `_ AC--AFiNUIGUNITS-HP _ <br /> ' ' BATHII IB _ �D _; ____ � FORCE�AIR SVSTEMS-8 T U_ M F:A ' _ <br /> 1 ' _� LAVATORV(WASH BASIN) �O�_ _ UNIT NEATERS-B iL. M_ <br /> � SHOWER � C�OTHES DRVERS _ <br /> '�' � KITCHEN SINK 6 DISP VENTILAIION FAN — _ <br /> DISHWASHER � _ AANGE HOOD <br /> , ' LAUNDF7VTRAV _ � WA7ER HFATER _ <br /> � CLOTHES WASHER 5 _ _S100D STOVE <br /> �' URINAL 61FTAL FIREPLACE d CHIMNEV — <br /> � DRINNING FOUNTAM __ ��REPUCE INSERT <br /> 1 FLOORDRAIN _ HFA=PUMP _ <br /> � GAS PIPING � <br /> BACKFLOW PREVENTERS __ -- ---� <br /> �' ROUF DRAINS-AAINLEADERS E%HAUST FAN — <br /> ' _ SINK(SERVICE-BAR,ETC.) — <br /> , �_� �.r ,(i Gr, � <br /> f�1 -- _--•- — —�-. <br /> ' SUB TOTAL S S� � _ _ SUd TOiAL E ��-__ <br /> � PERMIT S <br /> -- PERMIT E __._----- ---�--- <br /> • TOiAL FEE 8 � � ~— TOiAL FEE E Gc - <br /> ranrns�rnerK nennseioe� smEs�re�c� ri.Hr��t�wm�n�F�En i�� 79S .G �v necFmn�o <br /> 7o S �•F�' _ � as�ra .� � 5�� 7vo <br /> usr ia+e int enr'N1� veurrt srt[ FEES VALUATION FEE T <br /> �� rl��.� __ �ES N� [�w�oiNG __.. ____ S�� S9� __ Y S 9 '�C. . <br /> nri nr coast uiow�au irvi or caan eauu � �vc. + ni. .,n�,�— � <br /> _ rt� ✓- ,✓ /�3 ,I::,, -- r�uMoiNc __�S- �o�, <br /> U —_ --- _ <br /> �,vf 0�BIDG Ho Or S�oRiCS n�5[ueH� MCGMANIGAL <br /> I' / vES ✓NU ----i�-1! -- - —�-- Gd ?�. <br /> ,�9� S+ SlP --- -- onien �-4��L C� �3J <br /> U(:f,UPANCYlO�� F�RESPRNvtFP:nfOD �IFIG��IUMrt�lR1N _ _ — <br /> ,� VE$ �� _ _ STATEBUIl01NG5UFCMARGE _,__ _ _ /f �� <br /> ��F�5(NI FOR SPRMKlENS <br /> SiAik FNERGVSl1RC11ARGf <br /> •.r�•iicn��.nanr,r, m vur+s�rrarnroa. CITYUFEVERETT PUni.iGwonns �OC�'� <br /> ��� LOCAL SALES _ .� ; <br /> p �� TAR COOE IS 3105 rou� ��s . - <br /> �"��' C�..C_. . <br />