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APPLICATI(aN FOR C�JNSTRUCTION RERMIT <br /> �•��•«,�� <br /> mm�o�p,nmi � <br /> Gliv Of <br /> everett <br /> � BUILDING DEPARTMENT TO BE COMPLETED W iNK—PLEASE PRINT -- <br /> �� 259-8810 — --- — ------- <br /> fs' DEMOLITION i I COMBINATION i � BUILDIN�3 I MECHANICAL i p�UMBING 1 SIGN <br /> p 5tl � uaaRnn��c�5— — ci�v �n r�ariF <br /> owrrt n <br /> �y(��' 'E�,o��.— ��IoSoo ak $�,�C Surc lya�_ f�u_��9h�f�l� •rot _ <br /> y �Mert�nn,iks —._- _—��rv �� mar�e <br /> f~'!Z � imem ---- — <br /> 1S C] — ___'_ _-- — <br /> ��� �i1G111ELtORDFSK'i�iFtl MARIpD0E5C CIfV lIC PIIONF <br /> � __ —__ _�_�__� ._ — -- <br /> OI:Nf11Alf.�lID�Q00 M�IL��O�E55 CIiV IIP PIqNE UCENSf.1 <br /> ��o �'f.v.����LP/ - --- — <br /> �-] a qfCN�NiL�LLpIfP�CiOfl M�R�DDf1E39 CI1Y ZIP PNOIIE LICEHSF.� <br /> C� <br /> vLUMPMOCd1IDeCf0� M�R�OD�f55 Gi'/ IiP PIKNlE IiCEN5E1 <br /> ��°g _ <br /> 9yt:L�550�WO�K <br /> t"H y I I NEW I 1 ADDITION I. 1 AI.1 ERATION 1 J REPAIR � DEMOLITION I I INOODSTOVE/FRPL INSERT L7 BUIL�INO RELOCATION <br /> CyyH renuirn�onavcueuronwrenronneu�ueia+�r cc»+��crr�nsa.nNor�ror+era <br /> n�(/� GO'1tP�C1 Pf11GF OF W011N: <br /> � UFSCO WOfIM�VD ��E IOoI�nE INVOlVEO <br /> �- � 1 -1'�� _ <br /> 0 y rrrovns[ouseoreusoiryp I HEREBV CERTIFY THAT 1 HAVE P'cA0 AND E%AMINED THIS <br /> � APPLICATION�N�KNOW THE SAME TU BE tRUE AND CORHECT.AlL <br /> ieaeii»scmrr arrnoremrlsnowNoe�rnvonnrua�rouncor�sl PROVISIUNSOFIAWS/.NDQRDIN�NCESGOVERNING7HISTYPEOF <br /> WORK WRL BE COMPLETED WI1H N'HE7HER SPEGFIED HEREIN OR <br /> i�T Ai�� or NOT. iHE GRANTIN4 OF A PERMIT �OES NOT PRESUME �f0 GIVE <br /> AUTf10RITV TO VIOLATE OR CAN�EL THF PROVISIONS OF ANV <br /> �g�— OTHER STATE OR LOCAL LAW REGULATINCi CONSTRUCiION OR THE <br /> ��� PERFORMANCE OF CONSTRUCTION.TNAT I AM AU i HOR12F0 BY TNE <br /> OWNER OF TIiIS PROPFfiTV TO PERFORM THE\YORK FOR WIiICH <br /> APPLICATIUN IS MADE AND I COMPLV WITH THE STATE <br /> — CONTRACTORS V.W 18.27 RCW AND 296200 WAC. <br /> SIONAIUREOPCp1�f.AG10110P�U1110111IEUA0[NI D�1E <br /> � , � p <br /> PROJEGI�fOPE3 � ��PLICR�SCITYOUSINCSSU NO�NDBUS�IESSNME <br /> / � <br /> / �y� PLU BINO M H NICAI <br /> � ryp, TYPE OF FI%TURE OR ITEM FEE NO. TVPE F EOUIPMENT FEE <br /> J i WATER CLOSET(TOILET) ! NC—MiNOLG UNITS—H P. 1 <br /> 1 � BATHTUB — � — FORCEO A�R SYSTEMS—B T U M E A _i_ <br /> , <br /> --� UNIi HEATERS—B.T.U. M � <br /> �� LAVATORV(WASH BIISIN) -----�— <br /> SHOWEfi ' CLOTHES Df1VERS <br /> � VENIILATION FAN � <br /> I KITCHEN SINK 8 OISP ' ---� <br /> � OISHWASHER _ ;_ RANGE HOOD <br /> � LAUNDRVTRAV ' WATEfiI{EATEfi _ <br /> ( ` _ __ <br /> ' CLOTHES WASHER ---r WOOD S10VF� __ <br /> � METAL fIREPLACE 8 CIIIMNEV : <br /> URINAL — — � -- ----- ' <br /> DRINKING FOUNTAIN i fIREPLACE INSERi __ � <br /> �---r— <br /> FLOOR DR�IN � _ NEAT PUMP ' <br /> '. �I_ BACHFLOW PFEVENTERS i GAS PIPING .�_ <br /> �I --� —'— [XHAUST FAN ' — <br /> i ROOFDRAINS—RAINLEADERS __� <br /> SINK�SERVICE—BAR,ETC.) _,T _— — <br /> --:— <br /> -- � <br /> i � _ __ __—_ <br /> i <br /> ���I _ --- _—�— <br /> — , <br /> � SUBTOTAL f __� <br /> sun Torn� S ' <br /> I ,_� _ PERMiT f �_ _ _ PERMIT S —j_ <br /> � �`� TOTAL FEE f TOIAL F[E f ' <br /> � rnansEtnea rur�o�ecnr�m�irn r[e n[eemruo <br /> ne�nseio�r,K sines[mnex <br /> use ta+e wt enen V�CRII SrtF. FEE9 VALUATION FEE �_ <br /> I I YES I I NO _ pUilDM6 __ ;____ <br /> nnnccesuuoweniF nrrorcoxs��cnui ����•••• �^��•^+��wnw��. . -----�----- -- ---- � <br /> r.nnr pLUlA01N(1 �_ <br /> — — ' <br /> SVC W PtW NO orstomEs MsfMFNt M[(;�1nNlCnl _ <br /> I I VES I I NO — ---- ; <br /> OCCIIP�NGYLO�D PRES��NMLEnSREOD NEiO�IIUMit�IiON OIIIER _ <br /> I.I VFS I I NO SI4iE0UILU1NO5URC11AqGE � <br /> —_ —__'_—_ — —_ i-- <br /> nrnsor�ronsrnrtrcirns <br /> SIAIE[NEfI(iV SURCIIMOF. <br /> —_ " — — i <br /> nnvicen��ec� r.r rur+serrnavennr CIiYOFEVERETT runucwonKs <br /> LOCALSALES <br /> TAK CODE IS�105 Tot�� <br />