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.., <br /> APPLICATIrON FOR CONSTRUC.�ION PERMIT everett <br /> �E���� , TO BE COMPLETED IN INK—PLEASE PFINT � <br /> CITY OF <br /> everett L_HEATING SYSTEM: U GAS IJ ELECTRIC U _� <br /> BUILDING DEPARTMENT --- <br /> 259-D810 <br /> [ 1 DEMOLITION COMBINATION X BUILDING ' MECHANICAL PLUMBING � SIGW <br /> OVMER �G'f/L Me1L�DDnE55 Gitv 11P PIKWE <br /> Ti,�r�iv 9i9e. C.15���'_�L_4i�'E77-1�223—3'��-1lzz3 <br /> 1EN��� M�II.�OU�F55 GfY 7�� �110NF <br /> COAIC&Pr •ztX� 2Bi� CbLhY Av�.". L-`L'GU'��i y'��1' Z5� - 693�? _ <br /> �RCNRECTd10ESi0NF.R M��I�OD�E55 cirr rm rnone <br /> 5�6 t — — <br /> OENEMLCONT8IICTOR M�R��DRESS CIIY 71P P110NE LICENSE� <br /> OW N�'/C� <br /> ME�IC�ICONfF�CIOA M�LL�DORF54 CIIY l�P P���E UCENSE� <br /> ,ula - <br /> PIUMBINOCONTR�ft00 MMLMIOfIF55 C��Y lln �IIONE IICENSE� <br /> CU9S OF wUNK . <br /> �NEW I I ADDITION ' � AlT ATION ' � REPAIR ' UEMOLIiION '� ' WOODSTOVE/FRPL INSEHT i '� BUILDINO RELOCATION <br /> +�.�:� �c»iur,�rrnscmnNurric»�erm <br /> CONiRACfPRICEOfWOftY� ja� I3 7GP-O _'___'""_"_____------ <br /> DEBCRIBE M'OOM�NO S(%U�E IOOf�CF INVIXVED /�/��p/X� <br /> Z�r l�/�(L ��I��N)/�2 tf(�L1yy� __ ________— <br /> p{qPO5EDU4 oveuwowa I HEqEAv CERTIfV 1HAT 1 HnVE READ AND EXAMINED THIS <br /> �r __ APPLICA�ION AND KNOW iHE SAME TO BE iRUE AND CORRECL AlL <br /> �eu�u, ecmnt�cvor rnorKnir isirovm nr�owon nnncui�wmcorirsi PROVISIONS OP LAWS AND OROINANCES GOVEIININO iHIS TVPE OF <br /> WOF7K WILL BE COMPLETEU Wlill WI1EiliEH SPECIFIED HERF.IN OR <br /> �pr pux:K oF NOT. TIIE GRANTINCi OF A PERMIT DOES NOT PRESUME TO OIVE <br /> � ', AU7HORITV TO VIOLATE OR CANCEL 1HE PROVISIONS OF ANV <br /> .ICC C1�Ga� ___. O7HER S1ATE OR LOCAL lAW qEOULAi1N0 CONSTFIUCTION OR THE <br /> PEiiFORMANCF.OP CONSTRUC710N.THAT I AM AUTHORIZED BV THE <br /> OWNEfI OF 1111S PROPERTV 70 PERFORM THE WORN FOR WHICH <br /> ___— APPLICATION IS MADE AND I COIAPLV WITH tHE STATE <br /> CONTRACTORS LAW 1A27 RCW AND 296.200 WAC, <br /> s�n�mtuneorcaanncwnoneuu�ameo�aeN� nnie <br /> X �� <br /> PROJECTIID�NE63 � ��p�.M�H��N2f.5511CF�0_Nl]PU51/�N7ESSM�ME�� <br /> 9��l E. .rLM uQ �. .3� .{�/ .��A ` ZG3 <br /> PLUMlINO v MECHANICAL <br /> Np, TYPE OF FIl(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(1011ET) NC—NHNDLQ UNITS—H.P. � <br /> BATHTUB _ FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> IAVATORV(WASH BASM) i UNIT HF.ATE(75—B.TU. M _T <br /> SHOWER ' CIOTHESURVERS _ ! _._ <br /> HITCHEN SINK 6 DISP i VENTILAiION�AN ___ _�_ <br /> r— RAN6E IIOOD <br /> DISHWASHER � <br /> IAUNDRV THAY � WATER HEATER ' <br /> ---'— WOOD STOVE � <br /> CLOTHES WASfiER -- <br /> URINAL ' ME7AL HREPLACE 8 CHIMNEV ' <br /> DRINKINO FOUNTAIN � FIREPLACE INSEIif _T_ <br /> FLOOR ORAIN � HEAT PUMP ___ _ <br /> BACKFLOW PREVENTERS ; CAS PIPING __T_ <br /> ROOF DRAINS—F7AINLEADERS r— — <br /> � EXHAUSTPAN � <br /> _.__ — _—_—___— <br /> SINK(SERVICE—BAR,ETC.) i -- ' <br /> _T _—___ i <br /> __ ��� <br /> _� i <br /> --_J— � <br /> i � <br /> ___T– --— 1 <br /> SUB TOTAI. E ___ 5UB TOTAL S ' <br /> PEfiMIT S � ___ PERMIT S � <br /> TOTALFEE S TOTALFEE S ' <br /> FOR OFFICE USE ONLY: <br /> i1qNT6F.ifl�Gk OE�f15E11f�CM S�OFSCiPM.K� �IANC��Ff.NNIiMflf11 ffE �ECEIPTNO <br /> Z,� _� g 0 a s� � Ya. qs- ' 3 8 s 5� <br /> use zone io�enrn vncnNi snF FEES VALUATION FEE <br /> r <br /> _ � ���„pez No _ �������N� 3�„� (�3;ov <br /> — --- --- <br /> lYRO�GOMISqIOW�RII IYMIMr.nN$I�CIIUI M�in�+x�� w�alMni�Yalrvn[ � -- . .. . .- ... . ' <br /> i <br /> ',"'""� � PI UMAINO <br /> �_ _ A-iJ. M-� - -- - --- - - _-- --- --�� <br /> BREOFAl00 N(�IIISIUIIIIS IIn51MIN1 MfC11�NIf.�L � <br /> 60 $�_--�--- --/���— nnuinor+ni rinNc��tck 1 <br /> oecuvnwcrio�u nnesrnNkiensncon neimauunnu��rv ___ <br /> �S ------- � <br /> � onn;n ; <br /> NAE�SOh°ORSPIIINNLk115 --_–�--_ _.__ _... "–_ _ . . .. .__..-- " ---r— <br /> tiUIFffU11f11NC51111C11�RGF __ _ _ G ��j <br /> �HUKenr -- rinNsnimnnvenn. CITYOFEVERETT runiicwonks ' <br /> �j� LOCAL SALES <br /> I `� q�� I TAX CODE IS 3105 rou� � � ��j <br />