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t <br /> Af�PLICATIO�i FOR CONSTRUCTi':�N PERMIT eVErett <br /> ��E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> citv or <br /> everett �HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ � <br /> BUILDING DEPARTMENT , <br /> 259•8810 <br /> I DEMOLITION I i COMBINATION i i BUILDIN(3 D4 MECIIANICR� r I PLUMBINf3 '7 SIQ�� <br /> pyqEq M�IL�D011E55 CIIY IIP P110NE <br /> GPG LTD /P91�__LS'�.n•r i1 vl N.E. I✓.�(,:�,'dc 9ta 9.L Yt9-/f� _ <br /> IF.N�NT M�II ADORE55 CITY IIP VMOME <br /> MICIf1IECTpiOESIbNEN MAR�D011E55 CIIY 21P PIqNE � <br /> 6ENERQCONIR�CIOR AUIll10URE55 CITY 21P FIqNE IIGENSE� <br /> MECHI�NIGILCONfP�CTOf1 M�RAOONESS Cliv 21P VIqNE IICEN9E� <br /> �,.��«:/.•t�s ir�sr tYN �re s A'S„>" 9a�2. s9s-irrr c..f�., r uyT.� <br /> I4UMBMOCONTfU OR M�RAOOIIE85 Cllv StP PWw1E LICENBE� <br /> CLASS OF WORI( I <br /> � �( NEW I I ADDITION I I ALTERAiIOM I I AEPAIR I I DEMOLITION � WWDSTOVEIFRPL INSERT ❑ BUILDINO HELOCATION <br /> .,{� CON7�LiPER90N/J/DPlldlE/q. <br /> I <br /> CONTIUGI PRICE O�VIdiK � <br /> OESCPIBE VN11N�NO Bd/�RE FOOMOE INV0.VED <br /> vraroseouseoFauwo�o I HEREBV CERTIfV THAT I HAVE REAU AND E%AMINED THIS � <br /> APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECL ALL <br /> LEMl0E6CRIPf10NO�PRMENIY�5110W110ELOWOBl1TT�CNiWRCOPffS� PROVISIONSOFLAWSANDORDINAHCESaOVERNINOTHISTVPEOF <br /> . WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot eior,K or IlOT. THE OI7ANTINO OF A PERMIT DOE3 NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RE�ULATINO CONSTRUCTION OR THE <br /> . — PERFC�iMANCE OF CONSTFUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNE�i OF THIS PHOPERTY TO PERFORM THE WORK FOR WHICH <br /> APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRAC10R3 LAW 1827 PCW AND 298200 WAC. <br /> BN3H�TURE 7F CONTMCTOR 01��UTIIOPREU�OENt o�re <br /> X . <br /> PIIOJECTAOOOE89 p /JII • : <br /> �y�o w c�.;,,, ,r,� �; �curracirrauswess EN 1WDBUBN1E98NMIE <br /> PLUMBINQ MECHANICAL <br /> � NO. TYPE OF FIKTURE OR REM FEE 1lO. TYPE OF'EOUIPMENT FEE <br /> WATER CIOSET(TOIL[T) � !VC—NHNDLO UNITS—H.P. � <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M F�. ' _ <br /> lAVA10RV(WASH BASIN) i UNIT HEATERS—B.T.U. M i <br /> T <br /> SHOWER ' CLOTHESORYEHS _ � <br /> KITCHEN SINK 6 DISP ; VENTI�ATION FAN ___�_ <br /> DISHWASHER � RAN6E HOOD � � <br /> UUNDRV TRAV � WATER HF.ATER �_ � <br /> CLOTHES WASHER � WOOD STOVE � <br /> UFlINAL ' METAL FIREP� CE 8 CHIMNEV J ;(/f� � <br /> DRINKIN6 FOUNTAIN � —� FIREPLACE INSERT i ' <br /> FLOOR Df1AIN � HEAT PUMP - � � <br /> BACKFLOW PREVENTERS ; dA5 PIPINQ ' <br /> ROOF DRAINS—RAINLEA�ERS � E%HAUST FAN _ � <br /> SINH(SFRVICE—BAR,ETC.) ; � . <br /> � <br /> � T <br /> � 1 <br /> ' 1 <br /> � 1 <br /> � 1 I <br /> SUBTOTAL S ' SUBTOiAL S ' <br /> i <br /> PERMIT S � PERMIT i _� <br /> TOTAL FEE S ' TOTAL FEE 3 ' -- <br /> FOR OFFICE USE ONLY: ' <br /> iIl01�T8ETBl�CN RE�BBETBI�Gk 610E6ETPACN PlN1CNECl(N'�MBlR FEE NECEpT1q. I <br /> use zoe'c LO7�PEl1 v�eu�T srte FEES VIILUATION FEE � <br /> � I <br /> Buaoiru3 � I <br /> IYP[O�Gd11!/iLIOWMIf tYRpCdI51ACIWl ��wrtr M�a������t rLUMBINO i .. <br /> BITE OL BI.00 NO 0(6TIXIIE9 B�SEMENT MECNANICAL /U 1 II <br /> OCCUP�n^.V10�0 FlRE 6PNMCLENS RF00 NEqNf IMAIf�TqN ADOITION�I PUN CHFCN � <br /> "_�— <br /> � <br /> OTHE11 � <br /> RE�SON fOf1 Sf'RIM'�ERS I <br /> SUTE AUILDIN(3 SURCHARdE � <br /> — � — � <br /> x��e�eer rt�wserrnovEnnr CITYOFEVERETT pueucwonKs ; <br /> LOCAL SALES , <br /> TAX CODE IS 3105 TOTAL Z�]('j ; — <br />