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1.:`j i� {,�i�i <br /> APPLICATION FOR CONSTRUCTION PERMIT everett <br /> ��,,,E,,,,p,�„ TO BE COMPLETED tN INK—PLEASE PRINT � <br /> CITY OF <br /> everett HEATINGSVSTEM: UC3AS I�ELECTRIC U <br /> BUILDINO DEPARTMENT <br /> 259-8810 � <br /> I I DEMOLITION I I COMBINATION I I BUILDING I I MECHANICAL M PU;MBINO I l SIGN <br /> yMr�i' �PQ�-ZZ� Mntinooness citr zm v�ror� <br /> ����'.5—��—r��C.k�,_/G��9,��A�,:���MR�`18�S�Z ot�l s S'1-P,00 <br /> IFN�NI MI1IL�OUIIF.89 CIIY 71P MNkIE <br /> �fICItl1ECTp10ES1011f:f1 M�Il�01N1E8S CIIY 21P PIbNE <br /> OENEMLCONIIWCI011 W1RM011E58 CtIY 21P �/qNE �ICENSE/ <br /> MECIIM11CAlCON111nCI011 MARADDII[59 CIIY ZIP PIIONE LICEN9E� <br /> 11'I.UMIIMfICp11fIM:i011 M�II�INlllf6] Cllv )11` 1`IItMK. �ICENM1FI V��.f��lC� <br /> r��So�� MFc�r� �.tx�JS�9�"��'jAcdwa wA ��yys (� S3�m <br /> �r.i ss or wwa <br /> NEW I I AD�RION I I ALTERATION I I REPAIf1 I I DEMOLITWN I I WOODSiOVE/Ff1PL INSERT C I BUILDINO RELOCATION <br /> - - — �-------- cc»nncirtns�»iumriKxre��. <br /> comm�cr rn�ce or wom� � i <br /> nescnAe wa�nrm savnnr:roo�nae»+va.vco i <br /> 2°� U�u �-r I <br /> rna�oscnuseaou�nwa I HEREBV CERTIFV THAT I HAVE READ AND E%AMINEU THiS � <br /> MUl-�_��`,� �PPLICA710N AND KNOW tHE 6AME TO BE TRUE ANO CORRECL ALL 'i <br /> IEWlDF6C11MIqNOfP1101`E11�Y�SIqYR10ELUWd1�II/�C11fOU000�lf.,� PAOVISIONSOFLhW3ANDORDINANCE300VERNINOTHISiYPEOF � <br /> WOFiK WILL BE COMPLETED WITH WHETHER BPECIFIED HEFIEIN Oli ' <br /> i°� m°°K °r NOT. THE ORANTINO OF A PEi1MIT bOEB NOT PqESUME TO OIVE ' <br /> AUTIIO�ITV 70 VIOLATE OR CANCEL THE PROVISIONB OF ANV <br /> OTHER 3TA1 E OR LOCAL LAW REOULATINO CONSTRUCTInN OR THE <br /> PEAFOAMANCE OF CONSTRUCiION.THAT I AM AUtHORIZED BY THE <br /> OWNER OF THIS PROPERTY TO PERFOHM THE WORN FOR WHICH <br /> APPIICATION IS MADE AND I COMPLV WITH iHE BTAiE <br /> COHiRACTORS LAW IB27 HCW AND 288.200 WAC. <br /> 6�EOFCplTIUCTOIIq1AU711D111ZEDMENT Dl1 <br /> X � <br /> rnrucr�n�wn�ss <br /> �y/� �✓ �^u � � � �rxie�w ecnrevaiNe iKe SENO�NDBUSINEBBNMIE <br /> PLUMBINO —� MECNANICIIL ' <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � � WATER CIOSET(TOILET) _'f ,_ _ A/C—NHNDLO UNITS—H.P. � <br /> � BAl11TU0 7 f'" ' � FORCED AIR 5`!5(EMS—B.T.U. M E.A. �— <br /> ��' LAVAtORV(WA9H BASIN) s' �� _ UNIT HEATEFiS—B.i.U. M i <br /> SHUNEfI � CLOIIIESDf1VEI1S —�— <br /> K,ITCHEN SINK 6 DISP y�— VENTILATION FAN � ' <br /> � � DIS11W'ASI IEFi r/f' : RAN(3F HOOD �— � <br /> LAUNUqYTqAY �_� WqTER HEATER � � <br /> � s�o � <br /> � CLOTHESWASHER y/J' � � _ WOODSTOVE'� �I <br /> � <br /> Ui11NAL � METAL FIIiEPLACE 6 CHIMNEY i '� <br /> DRINKINO FOUNTAIN --� FIREPLACE INSEf1T ' ! <br /> PLOOR URAIN --� � �, <br /> HEA7 PUMP —i— <br /> BACKFLOW PREVENTEAS ; CiAS PIPIN� ' , <br /> ROOF DRAMS—RAINLEADERS �— E%HAUST FAN —�— �� <br /> SINK(SERVICE—BAR,ETC,) � —i— <br /> � — — � <br /> � <br /> , — —�— I <br /> --�— — ' I <br /> —'—�— —i— i <br /> i � <br /> SUB TOtAL S 3Eo r SUB TO1AL S ' �D �. <br /> PERMIT S —�— PERMIT S � �� <br /> TOTAI FEE S 6d ' — TO7Al FEE { � i <br /> FOR OFFICE USE ONLY: I <br /> f110NI5EIB�CN IIE�R6ETB�CN SIOESEIP�6N Pl�NC11ECkNUM0Ef1 FEE REGEIPfNO. i <br /> use rart ior�ne� vncea�ene FEES VALUATION FEE � <br /> - T I <br /> BUIIDINQ � � <br /> : <br /> IrIIplGdlllAlLllW�l11F IYI'fdtdlSf�Lll'�L — ortinxr Mnmm��inpuxn� i <br /> °M� f'LUMUINO p �r" <br /> SIZE/IF&DO. N[10FBIOqIEB INSEMENI —�_ � <br /> MEGUNICAI �J i � '�, <br /> �DDIfIONAL PLAN CIIECN �_ <br /> xcurnncr�o�o nnE srneeetens neoo IlEqlll LMUUIIdI i <br /> OTHER i <br /> � <br /> IIE�SON idi 8Pf11MtLEf13 --1__ <br /> st�re ouuoiNa sunci�nnoe ; <br /> ia�xear nu�snrr�roveonr CITYOFEVERETT rueucwonks � <br /> IOCAISALES ' i <br /> TIIX COOE IS 3105 iou� 3 �� <br />