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APPLICATILN FOR CONSTRUCI .ON PERMIT <br /> �����«•<< <br /> ,..�.�...,...., e <br /> CI I V UI <br /> eve�ett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> � 2 9 8810 <br /> n� �DEMOLITION COMBINATION BU�LDING MECHANICAL PLUMBING__ SIGN , <br /> — --- -- — ---- <br /> - _ --—-- — <br /> — <br /> ��cn n�nn ennm,ti cttr : • � ,.�n <br /> C � S.2C.� I�_�c.L-- _ — __ __.. ._ .—_ . ..__ ___— —__ <br /> ��� lf'N�NrtEC1(npF51fNEP MLI AppRESS CTY ZIP VPONf <br /> � <br /> fFNFR�LCONiMCiON M�iIAf�D�F t fdlv 21F �110NE. UGENSE� <br /> H �'� x���D�__�1�'O.t��._1 f��✓�9_k,.t1l_c__Y�9_—��/'6/5�, CPCLT I 66 Cnl — <br /> ��i MI c:nANiG�I CONiq�f.iOR MNl nU0�11 5': Orv ZN PIIONF IICENSF� -- <br /> H C — <br /> ��"� riuuniNator�rn�cron u�ani�i,ni,;5� r.iir riv n�r�c i.icFHsc� <br /> � �8 _ <br /> Q� C] <br /> •:i�SSOf WORK <br /> H NEW ADDITION � ALTERATION REPAIR XDEMOIITION WOODSTOVE/FRPLINSERT . BUILDINGRF.LOCATION <br /> � H y i[N�NIIMPROVFMENiORINiERIORI1ElAODFIONLV CONULIPERSON�NOPMONENO <br /> O N ca+in.cT rnicE or wonK: _ - <br /> � �y �rsrninEvronK�r�o�u�nE�mrnr.E��+voivro <br /> �t�i��'/ •�f'/—'r'Z�D fI�--.L� <br /> � �q rn��sEOFamio�- � ,J� I HEREBV CEFTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �HO N � _ APPLICATION AND NNOW THE SAME TO BE TRUE AN�CORflECT. ALL <br /> H PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TVPE OF <br /> i�an�oesc mri rnorenrvis��wr�ociowonenar.��rnuncuric,� <br /> WOAK WILL BE COMPLETED WITH WHETHEfi SPEC�FIED HEREIN OR <br /> �oi e�ocn __ �' . — NOT. THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> IIIp � �� �� � T� 1 AUTHORITV TO VIOiATE OR CANCEL iHE PROVISIONS OF ANV <br /> ���tC7 `i � DI'UCF�N DC! /N_J.Jor is. O1HER STATE OR LOCAL L4W REGULATIIIG CONSTR�ICTION OR THE <br /> �--+ PERFORMANCE OF CONSTRUCTION. THAI'I AM AUTHORIZED BV TNE <br /> OWNER OF THIS PROPEFTV TO PERFOflM THE WORK FOR WHICH <br /> __�il !�a d j�X� E�� � �� � �C!_�—_ qppLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> CONTf,AC10RS I AW 1827 RCW AND 295 20]WAC. <br /> sarmmntnrcnNnunononeun�onir[one[rv� nnie <br /> -- --- X y�,..;, d. � u-- -a-d,, 4Cr__ <br /> �no�[ct�ooa�ss <br /> , �,,. � �vl5u en*s or.nusun s� ir,[ o ne�o BusiNu�s vaut <br /> l`ll/ � <br /> / ���, PLUMBINO MECHANICAL <br /> f � N0. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � ���� WATER CLOSET ITOIL[TI __ _ _ A C—A�IINDLG UNIiS—HP _ _ <br /> �� � I BATHTUB__ __ _ — ____ -- -FORCED AIR SVSTEMS=B.LU— M E_A — <br /> � LAVATORV(WASH BASIN) UNIi HEATERS=B T.0 M <br /> i ��� SHOWER __ _ __ CLOTHESDFVERS_ _ <br /> �i KIICHEN SINK 8 DISP ___ _ VENTILATIJN FAN <br /> ,I � DISHWASHEfi RANGE HOOD <br /> LAUNDRVTRAV WATFR HEATER <br /> i �� CLOTRLS WASHER _ — WOOD STOVE_ _ <br /> �I URINA: � METAL FlR[PLACE 6 CHIMNEV <br /> DRINKING FOUNTAIN RFEPLACE INSERT <br /> �, FLOOR DRAIN FiEAT PUMP _ <br /> � BACKFLOWPREVENTERS GASPIPING _ <br /> i �, � _ ROOF ORAINS—RAINLEADERS _ EXHAUST FAN _ <br /> SINK�SERVICE—BAR,ET0.) _ _____— — <br /> �� ��� —..__-- -- ____ _— <br /> �I SUB 70TAL E _ SUB TOTAL E __ _ <br /> PERMIT S PERMIT E _ <br /> �I� TOTALFEE 5 — � � ����...� � ��� � WTAI�EE E <br /> rne�u*se*e�cre ne�nsereecK sin[setnecK ��inr�i.�nrhr+u4i�n� ii� nccemrNo <br /> usezur+e iorenu veceq�siie FEES VALUATION FEE <br /> VES N� A�IILOINf <br /> fVtt Of CONSI AII�N'eBl[ tlPf 01 LOH51�CIUAI xc..:r�v.. yn rv re...•, •,-:�� -.-- . .. .- — --'- - - <br /> car.:r _.._._... <br /> PWMAING <br /> '_ __ --. _ . _ .._ _ _-__"'—_'_�— <br /> SiZEOf BIOG NO Of S10RIE5 6�5[MFNi MfCMANICAI. ' <br /> VES NO . ._-".-�,�-.... <br /> _______.__— , <br /> OLCUP�NCYLO�D riqESPPNKIFP>REO'D I�b,�rtUAlrt�noN n'���� _ _ _ _ _ ���..' .�L_J. <br /> veS No sinn nui�owcsunc��nr+��,� <br /> nE�soHvoasvniNn�ens _--". . . ._ ��� <br /> Sinil INffiGV SURCIIN..:IF <br /> _"_.__._ _ _ . __- . .____. _-__ . . __—_. ___._ . —_ ' <br /> eamiunon n�c t,. r�nr,�.��vaovi�.n. CITY OF EVERETT i�um ic wo�ns <br /> LOCALSALES - <br /> TA%COOE IS 3105 TOTA� ` '' <br />