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APPLICATIOi FOR CONSTRUCTI�N PERMIT �'�<«'" <br /> ����w„�,��,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> qrr o� <br /> everett HEATING SYSTEM �GAS J ELECTFIC U _ <br /> - <br /> BUILDING DEPARTMENT <br /> � ---- -- — <br /> 259-BB10 <br /> ���" DEMOLITION COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> ----- ---------- --- — � <br /> o .n unn �nnarss ❑�r �r�r cucwe <br /> .0 � � _ I ���Q4 �t ` ly�.l____- --I 1 � CZG Jb"Ci �- �+..� i.. i' � <br /> ifNAN� MAII�D[B�155 bTV � lIF PHONE <br /> H� � iv-�� �- /6 a:... s�- --- <br /> enC�ut((� [y�GNCp"� M�a�nnRF55 cilv Z�o vrqNf. <br /> � 70 ��1�+���LsP_-;��`Y�t�( -�&2Y;t7r f��.s=tr-'��t:Rtll-�BaWc-.�337-354`�.--(�'Rt+�Mtt-rv�/K-3 <br /> O OtNHuI CONIMCIDn ' Heil�ODRE55 Crtv I�P PNONF L�CENSE� <br /> �� � ��61_N��S�—�-�yvivSL 4YcJ5 3�� pP S f t dc � `�b?C¢i 337-3f',c� O(krJH�C 1e4K3 <br /> MfOUNiGA1f.ONiMC10R M�Il�00FE55 ❑tY IIP PNONE IICENSE• <br /> 0 9y ty fyYree�cu t51. sursa n�,rn� 3�1i� r��yf s 4 ._��_ 962crG 25:1-3 LIC` £V -fPbS- ���e7 <br /> PLUMfliNOCONIR�CTON, MNI���RE55 CRY IiP OHONE LiCENSE� <br /> F�tl+ t�vg �'TS—(�1��+�--IC:� A�E D S.YmM�sK 4fs��Yc _ StE 113ry�1'SAJ� �138�_ <br /> o. � «.sso���, <br /> ��..�� ✓NEW ADDITION ALTERATION REPAIii DEMOLITION WOODSTOVEiFRPL INSERT BUILDING FELOCATION <br /> YH /` /_ ,__ p (ONI1LTPiP50N�N�PHp1EN0 <br /> r �� —r v-t_�---��.p�-.�-.��-�.: �/ � //(� <br /> �y (;GN/R�Ci f`R�C WORN s`)1/' t+—/T� :J/ 'Y�� _ _ <br /> O[SLNBE WORK�ND SOU�RE fCOL�OE INVOlVEO <br /> ��� n�4,_�►�� �y�t r�, i�i�� _ <br /> �'! rnovoseousEorewio�Na I HFFEOV CERTIFV THAT I HAVE P.EAD AND ExAMINED THIS <br /> � �y'?� NF�.� APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT.ALL <br /> `" �ec�ioescpTr�Ao�eA v�sN r+eero Of11iiACNid1RCOP1E51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS�VPE OF <br /> WORK WILL BE COMPLETED WITH WHFTHER SPECIFIED HEREIN OR <br /> ior_� nicerc or NOT. THE GRANTING OF A P[RMIT OGES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TH[ PROVISIONS OF ANV <br /> OTHEq STAtE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOflIZED BV THE <br /> OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br /> APFLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> s�nH�ruae rco rn c noneutHOA�2eoeeeNr oa[ � <br /> X "�'�°�-/�� j_���-y � <br /> ,. I <br /> �1`POItCf�DORE55 ����_- ___ �` �x�� -- <br /> ,/ nPPIIC�NT5UtV0U5ME �LEHSENO�N�PUSMESSNRME <br /> 74 /o E" �'As"..�s <br /> PLUMBINO MECHANICAL <br /> (� �� N0. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> C' ' WATER CLOSET(TOILET) - � _ A�r-q-HNDLG UNITS-HP <br /> I ',Z BATHTUB�SIjGu:1�'�_0 /O ; FORC[DAIRSYSTEMS-BTU. ME.A. <br /> 1 1 LAVATOR (WASH BASIN� /D; __ UNIi HEATERS-B T.0 M <br /> I �_ SMOWER — �_ � CLOTHESDRVERS - <br /> � L KITCHEN SINN d DI!iP s� ATION fAN <br /> �ISHWASHER � � RANGE HOOD <br /> � LAUNDRVTRAV WAiER HEATER <br /> ' _ / CLOTHES WASHEF WOODSTOVE <br /> I ��� URINAL METAL FlfiEPLACE 8 CHIMNEV <br /> � ORINKING FOUNTAiN FIREPLACEINSERT <br /> fLOOR DRAIN HEAT PUMP _ _ <br /> BACHFLOW PREVENTERS I GAS PIPING <br /> �1� ROOF DRAINS-RAINLEADERS _ � E%HAUST FAN <br /> � SINN�SERVICE-BAR.ETC.� <br /> — -- r-i�- c( -.-) d1"� <br /> ___ -- <br /> � � _ ---_ —_ _ ._" _ � <br /> _' � <br /> i _ SUB 10TAL b < _ SUB WTAL $ /pV; (JTJ <br /> � PEfiMIT S � PERMIT S Jl <br /> -__ _._ - -__—__. __—_—_ — <br /> � '_ TOTHL FEE S ' TOTAI FEE E G�" . ' ` <br /> � FOR OFFICE USE ONLY: � "� ` ' <br /> --.._..._-- -- -- - ---- __ _ <br /> �� _, <br /> � raoN�sFiBAc•� n[ARSEIb�cr sior`It����✓ rLnNCr�FfkNilun_n qt , '�.J.�J� nfcFiP�Nn <br /> ZO � � J r �'7_��In c�'�3:rJ� _S:j/3,� <br /> u�era+e ioienrn wur�y,�� � FEES VALUATION FEE <br /> �l— 9 '� -- _ ��,�,��N� $�� o�� --- - -� ; ;- , <br /> irvt or cnxis euaw�ei� rvc�rn cnHv uiuu �.: ,.t i �. ,-�.� �. . . --. -____ _._ __.__-__ . � . ,_-__. _ <br /> � PLUMBIN[1 /�/� �(; � <br /> _�11L —7��.il__ � 3 i --- ---- <br /> SiZE Of 91IX'i NO Of SIORIFS B�5[M14i MECM4NICAl � 1 " <br /> 11'10 $�t _ __._ '_ P�� i:. 1 <br /> a�o sf �n �-- ---- NV- — -- <br /> IX:CUPIHLVLO�D tiRESPNNelERSRro❑ un�,aiiMrtA� 4 RDDITIONAIPIANCHEGN �/ �7/ <br /> )R� — _. ._ ___ .._ <br /> �6t�a YEs <br /> �+�/ _.___. OlNER . . . ' <br /> ne�wri onsrimi.irns - ----- �-- <br /> 0 STRTE BUILDM(i SURCNAf�GF / ; i j <br /> _SH�1_ 1���`_��I�.EMIN/.- __- .. _.._____" _ _ . _ . .. ____— " _ <br /> ��ne.Ea. ����Nsecv��ovEna. , CITYOFEVERETT r�inuicwnnrs � <br /> LOCAL SALES `� � �� <br /> ��"� � TAX COOE IS 3105 rorn� <br />