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!�,y, ji�';� <br /> APPLICATIGW FOR CONSTRUCT��:�N PERMIT <br /> „b EM,�m,,, everett <br /> �,T�� e <br /> everett <br /> BUILDING DEP/1RTMENT <br /> 259•8810 TO BE COMPLETEO IN INK—PLEASE PRINT <br /> I I DEMOLITION I I COMBINATION I I BUILDINO yelMECHANICAL I IPLUMBINO I:1 SION � <br /> OVRIEII M�RADDOFfiS CIfY 21P PIqNF � <br /> � 1�� . /i ii1� �r,0 _1E��//Sl/�/x"-'-°� Al2-• ��10 _Ji.�bn.�v.v l�a k)R . 9Ro�i �/B7-le� y, <br /> 1EN�Nf M�ILAIXNIES9 CIIY 21P P110NE <br /> �IICIIIIF.CIOIII�F11fINP0 M�lM10pf99-- — CIIY 71P MqNE ''' <br /> C� �'G . L�.r���d� �S�//.5'�N2^'p/��r� �.�eF. �No �I.LYD�NU�I/6 �0�2 NB � -.Z��G,9. <br /> OENEMLLpAO/�CT011 Y�IL�UDf1E9S C1IY SIP PIqNE IILENSE� <br /> p(La�y�-� (��;,��. 1/.L••SL .S�. .il.�Nfn�,��lP ��4ti��yG)n Sda3�+ i1��-qyzb Bas�z� ia��-kL <br /> MECII/WIC�ICONIR�Ciql MAILM1Df1E5S GIY ZIP PIqNE LICENSE/ � <br /> rwraenaconrn�cron M�ILI1pd1E53 CIIY =IP PIqNE IICEN9E/ ' <br /> - cussorwonK . <br /> I I NEW I I ADDITION I I ALTERAiION I I fiEPAlfi I I DEMOLITION I I WOODS?OVE/FRPLINSEHT I I BUILDINO RELOCATION <br /> 7ENI1N1 MIPf10VEYENf Of11NTEf1101111EM00El pllY CONT�CT PEI150N NID PIpNE NO . <br /> coriTn�ctrR�ceorwonK: /,q,2R.�g��zkF_ H3.2 • 9 �2� ' <br /> a[acnree wonK�wo sw�ne roouoe�va�eo �• 2 ,rq, �- * . <br /> r seouseaaul�$�rs 6 c.�y ._ (,CO7' _ � <br /> F I HEFlEBV CERTIFV THAT I HAVE REAO AND E%AMINED THIS <br /> , �--� APPLICATION AND KNOW THE SAME TO BE TqUE AND CORRECL ALL <br /> LE011LOElCRIPTqNOF PIqPERTY�&qW118ELOW 01111TTACNFW�C01'IFS� PROVISION9 0F LAW3 AND ORDINANCES aOVERNINO THIS TVPE OF <br /> WORN WILL BE COMPLETED WITH WHETHER BPECIFIEO HEREIN OH <br /> �ot aiocK or NOT. THE OAANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVIBIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REOULATINQ CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROP RTY TO PERFORM TNE WORK FOR WNICH <br /> APPLICATION IS MA E AND � COMPLV WITH THE STATE <br /> CONiRACTORS LAW 18.27 ACW AND 298200 WAC. <br /> B�ON�fUf1EOFCONIMCT011011AUT1q11RED�bENT d1TE <br /> � i � L� �� � �O�t.L -lY� <br /> ' PIIO,IEGTMq1E89 � �`,� <br /> A �PPLILNlTBCITYBU91NE63 EN6ENO�NOBUSME89NM1E <br /> PLUMBINO MECHANIC�L <br /> NO. TYPE OF fIKTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> . _ WATER CIOSET(TOILET) NC—A�HNDl6 UNITS—H.P. , <br /> BATHTUB ; FOHCED AIR SVSTEMS—B.T.U. M E.A. � <br /> UVATORY(WASH BA31N) �— UN17 HEATEIiS--B.T.U. M ' <br /> �— — � <br /> 6HOWER � � CLOTHES DIiYERS � <br /> KITCHEN SINK 8 DISP �_�p VENTILATION FAN ' <br /> DISHWASHER � RANOE HOOD r �� <br /> LAIMDRVTRAV � WATER HEATER � �� <br /> CLOTHES WASHER r WOODSTOVE i I <br /> ,URINAL � METAL FIREPVICE 8 CHIMNEV ; <br /> DRINNINO FOUNTAIN �— FIREPLACE INSERT ' � <br /> FLOOR DRAIN —�— � <br /> HEAT PUMP �— <br /> BACH�LOW PREVENiEfl3 ; 6A5 PIPINO � . <br /> ROOF DRAIN3—iiAINLEADERS �— b EXHAUST FAN i �, <br /> 81NK(SERVICE—BAR,ET0.) i ' '., <br /> —�— — � <br /> — � — ' � <br /> ' � I <br /> � — � <br /> � i i <br /> ' —�— � <br /> SUO TOTAL S ; SUB TOTAL S /�G'? l I <br /> PERMIT S �— PERMIT f � � i <br /> iOIALI"EE S ' TOTALFEE S �� I <br /> fIqNIBE1BACN REQ16E7BhCN BIOEBEIB�CN PLI1NC11ECNNUM9ER FEE RECEPIIp. I <br /> I <br /> useror� �o�enE� WC�NISiIE FEE9 VALUATION FEE ! <br /> I I YES I I NO —�— I <br /> BUILDINO <br /> IYI'FIXCONSI/UIOMAMF IYPEOfCONSI�CIU�1 ��^'�r xownvnl�naun�� � i <br /> �� � PWMOINd � I <br /> L�� � <br /> 912EOfBLbO NOOf8fq11E8 B�SEMF.Nf --T— I, <br /> MECHAN�C�L �= I <br /> I 1 YES I 1 NO <br /> GCCUPANCYlOAO i1PEBPON1tLE04PF.00 IIFq11IlNAITMION OiHER i <br /> I I YES I I NO 6iATE8UIL01NO5URCHAII�E � <br /> f1E�5011IdI 6PfIMMLE115 �— <br /> STATEENEROYSURCHAAQE � <br /> err�a��ror+�ccer n�Nserrirovtnrr CITYOFEVERETT ruei.icwor+Ks � <br /> LOCALSALES ' <br /> TAK CODE IS 3105 roT�� �! <br />