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APPLICATION FOR CONSTRUCTION PERMIT "�'''�" <br /> �hp���a�M,� TO BE COMPLETED IN INK-PLEASE PRINT � <br /> citv or <br /> everett _- -- _ _ _--- -- ------� <br /> � HEATING SYSTEM: U GAS U ELEGTRIC U ._._. - __ ___ <br /> BUILDING DEPARTMENT — ---" -- - <br /> 259-8810 <br /> � � i I DEMOLITION ! I COMBINATION BUILOING _'MECHANICAL __PLUMBING SIGN <br /> owurn unK enonrss a�r r�r rianc <br /> a�� ���>�"Csi—��l- �.c�� 13��X�)uZ,lk�tvc��� q�Z`�` — J.»-1,�1�'_-- <br /> � y iFN�NI MAR�GI>OE55 CIIY ]�� ���E <br /> �.•� �j -�-- _-'—_-_--_—_ <br /> H H nncwrec�c�oesnnen Mniinooncss cnr nr vrar�r <br /> �a� Qa __.f�__— - -- VxC�urh. <br /> f.FNrnM.cONiMc�On Y�K�oonEss citr iir r�qNF IICFHSEr <br /> �y � YY��� In.tt�.±-• � ' �� C�.�' � ��L L� � • .�('AiC Y�0 ����)b �S.SJZ.�7� I51JT <br /> �yp uruuHkucnr+�iur,�o� Mnn.�oonrss cnv nr rrar+r i¢rr�sE� <br /> H C ����-�'Ct��J�-J C�9 ( k Y\C <br /> riuunrc�ocartnecton unneooness cnv nr rria�e uc[NSFr <br /> �°it�a � �,UY�ws— ' j��r�.��1,)���. _ �.Ucri� <br /> G�-�1• a •sorwonK <br /> 7 y� I NEW I I AOD�TION i I ALTERATION i I FIEPAIf1 ' DEMOLI110N I I WOODSTOVE/FRPL INSEFlT ! I BUILDINO REIOCATION <br /> �y coHter,�rcnsrn�e�i i ruor�c�ro <br /> H cc�tnnc�rnke rn wa�rc _� -- — <br /> y I <br /> H o[scnrec w<mK�r+n 5ai�nr rrornaE iNvavro <br /> nt�� (�. �� -e��clir� _�c,_<< 1-�l.n_,�{.o� <br /> �i� PIqP05[OUSEOfOURDINU , - I HEREBY CERTIPV fHAi I HAVE REAO AND F%AMINED THIS <br /> y �n �h�p� ��`�J� AAPLICATION AND KNOW iHE SAME i0 BE TRUE AND CORRECT.ALL <br /> �\L�Q�'l r r �1 C�. <br /> �y i[asi ocscnirt��nore isr�vm nrlinvon�nec��awncorrts Pi70VISIONS OF LAWS AND ORDINANCES GOVERNING THIS 7VPE OF <br /> WORN WILL BE COMPLETED WIiH WHETHER SPEGFIED HFREIN OR <br /> io� nioa or _-_ NOT. THf: GRANIING Of A PEFiM1T DOES NOT 'f1ESUME 10 OIVE <br /> AUTHORITV TO VIOUTE OR CANCEL THE PROVISIONS OF ANV <br /> O1HEfi ST�1E Ofl LOCAI LAW FiEGULATING CONSiRUCTION OR TNE <br /> -- - PF.fIFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER UF THIS PROPER7V 10 PERfOfiM 111E WOPK FOR WIIICH <br /> APPLICA710N IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTOFlS LAW 1827 RCW AND Y96200 WAC, <br /> �`��� �� s�cN�runEaca+rn�cionon�u��ronREo�a[N� o�re <br /> -�1--:T-- `-rl'1�('��9 �,R v ..� C dl� ��/:.l.c �_c•/ r n)-i <br /> X ._Q ' fi . ' ,. <br /> rnoiFc»oonnss -- 1-� �l� I �---�L�.�x./1��--- - <br /> �.- -___._ <br /> �PPIM.�NI5C�1Yfl115M(:SIICtN5f110�NO0U5ME5fiNA [. <br /> \Csil�� C Q <br /> PLIIMBIN6 MECHANICAL <br /> C�� NO. TYPE OF FI%TURE OR ITEM -- -_ PEE N0. TYPE OF EOUIPMENT - FEE <br /> WATER CLOSET(TOILET� �___ NC-NHNDLO UNI7S-H.P. <br /> I BATHTUO ' FORCED AIR SYSTEMS--B?.U. M E.A. _ _ <br /> j — ; UNIT HEATERS-D.iU. M ' � <br /> LAVAIORY�WASH BASIN) __ —T- <br /> C� _ SHOWER _ ___�- �- CLOTHESDRVERS � _ <br /> VENTILATION fAN � <br /> KITCHEN SINK 6 UISP _1 -�— <br /> � _ DISFIWA;IIEfI �—� _ � RANG[f100D _____ <br /> I LAUNDRV TFAY ____�_ _ W�T[fi HE�TER __ _ <br /> I ,� — CLO111E5 WASHER _ -- _— _W�U STOVE - — _ __T_ <br /> 1 MEi�L FlREPLNCE 6 CHIMNEV ; <br /> `�' URINAL - - <br /> OFINKING fOUNTAIN FI(iEPLACE INSERT _T__, <br /> FLOOR DRAIN _J HEAT PUMP : <br /> BACKFLOWPREVENTERS i GASPIPING � <br /> T <br /> ' ROOF Df1AIN5-�AWIEAUERS _ _ _ _ E%HAUST PAN_ __ _ <br /> __ — _` ; <br /> � SINK(SERVICE-BAR,ETG) _____-- , <br /> — _____.__-_� -- - <br /> i <br /> _ __ __ _._ . . T <br /> I � '+ _ �_1 — — — —T <br /> �� <br /> L � <br /> � SUB TOTAL S 1 SUB TO1�L E ___L_ <br /> PERMIT f <br /> --�- � PERMIT S_ <br /> �I� - - - --- ---�--- IOTALFEF S <br /> 701ALFEE E <br /> FOR OFFICE USE ONLY: <br /> � fRONIGf�P�GN I1FA11qFIB�CM 9UFSE�PACN PU��OIFf,M11111A0f11 I[f �Ef.FPtNp <br /> us[z<»rt io�e�rze vnce�n sn[ FEES VALUR710N FEE <br /> __ ._'_. _ pU1LDIN'1 ' <br /> ___ � <br /> IYM Or[OHIS�UMLUIII Irl'[d CUH51�LIV�I rcnwx � w rv iwni � n n -- -- - - ... ---".. .. --"" �- '--. . ...- <br /> aam PIUM[1MC__- ____-' <br /> __-____ -___ .-'_' '�'— <br /> Si1E0IBlIX1 NOM5101UE9 P�SEMEN� MCGIUNICRI. ' <br /> . ._____"_"-'_---- _ '___ _"_ -_ '____ —-'—�— <br /> IX,CUr�NLYLO�n finESPnrIXIEnSPFO� ��[ia1�11iMJ�110N ADIIIIIDNALPUNCIIECN -_ __ <br /> onirn <br /> � <br /> - - <br /> ------ - - - --- ----..-,---� <br /> ncesoN roq srnw•i e ns ----"�--- <br /> SiN[OU�LOMQ SUf1C11A11OF <br /> ___ —._-- <br /> ___._.-___ ._.-." __---___ _ - � <br /> nne�E n� I r�uiserrnw[nnv I CITY OF EVEBETT ruouc wonKs <br /> �uca�sn�Es <br /> rax cooE is a�os TOT�� <br />