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. -�. . <br /> � APPLICATI�, r;FOR CONS1rRUC'► .ON PERMIT everett <br /> m.e„,�,,,o TG�E COMPLETED IN INK-�PLEASE PRINT � <br /> GTV OF <br /> everett HEATING SYSTEM: �GAS O ELECTRIC ❑ I <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> 1 DEMOLITION COMBINATION BUILDINO MECHANICAL ; i PLUMBINO 1 SIGN <br /> ONMER MMLAUORE59 CItV zlP p�E <br /> �He cas,v�,�g G,,,enH,� ,Na eo � e �r ;�lo� 9�lS ,235c/ <br /> TE�J�NT M�IL�OONE55 CITV � 21P P�E <br /> $A�t rzcati,oc�G v �n�c :s 15 'v �'.�s,.✓� Fr0 �v�,P./> >.PZ�y �.Sf �l� � <br /> �RCNITECT OR OESIONER MAIL�ODRESS LITY zlP p�ql�E <br /> OW� � �i .�r-n��.t��w � <br /> OENER1LLfANiMCTOR IMILhWRE55 /'� � i.rrt - CZIP PNONE IICENfiE� <br /> C�a+ Ca nis reue r�c..i �3'�ed,��r s ,�v�'eEn 58zc 3 2 s�-s�o s- QQiuco s+�oy�K 3 <br /> MECHANIG1LGp/TRACTOR M�ILADUflESS CITY 21P PNONE LICENSE/ <br /> Nn�zaNfl,eAr��vq '�ist St. Si� GY.vNt�fi•D !✓n. 51(0� 7 �ys-3y.3c <br /> PIUMBINOCONTR�CTOR ILADDNE55 ��������✓ ZIP PHOHE LICENSE� <br /> I�e4 < /ctC'LASS �Cu�wO�n�' •Zv2C�Q1!" 54�'7� 3S_�3 ' 3Sho2. <br /> cuss a wonK - <br /> `.7 NEW �. ADDITION I � ALTERATION �J REPAIR L; DEMOUTION f 1 WOpOSTOVE/FRPL INSERT G BUILDINO RELOCATION <br /> J CONTACi PENSON ApND PHONE NO. 7'/ <br /> CONTMCT PRILE OF MIORR � 1/ FQ/ `^ �7 Y S ' ���J <br /> OE6CRIBEWpiNAND6IXI�HEFO0U0EINVOLVED aS��f(���5 <br /> 3�/0� s� TB/11f1i1r7 /Ih/�2e�v�ZJhi?nrT �T l9eo �.v - i . _ �,e ,�,k <br /> PIIOPO6EDUSEOFBUILOINO I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �v Q — O FF/f�2 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEOAL OESCRIPTqN OF PRq�ERTY�SHOWN BELOW 011 ATTACN FWRCOPIEB) PROVISIONS OF LAWS AND ORDINANCES OOVERNINO THIS TVPE OF <br /> WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK oF _, NOT. THE ORANTIN6 OF A PERMIT DOE3 NOT PRESUME TO OIVE <br /> i � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> S�� /T OTHER STATE OR LOCAL LAW REQULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.TMAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERtV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLV WITH TNE STATE <br /> � CONTRACTORS UW iB27 RC1y AND 298.200 WAC. <br /> 61ON�TURE fANi ORAUT/qRREDAOENT U�TE <br /> X /�/'"..�i�zln�.�" <br /> P E� a Gk'Ii� conrsTerrc•,-.��/s��ti,c•�1s �d23aS� °:;; <br /> � Su � 11PPLICANTBCITYBUSMESSLICENSEN0.11NDBUSMEBSNMIE ;+�� <br /> iLIIM/INO MECMANICAL . 'r.�-,� <br /> N0. TYiE Of flXTU11E OR ITEM fEE NO. TYPE OF EOUIPMENT FEE � '. " <br /> WATER CLOSET(TOILET) � A/C—IVHNDLO UNITS—H.P. , ,`�,?;� <br /> BATHTUB ' FORCED AIR SYSTEMS—B,LU. M E.A. � ''„� <br /> UVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M ' "� <br /> SHOWER � � <br /> CLOTHES DRVERS T— <br /> KITCIiEN SINK.{DISP ; VENTILATION FAN � <br /> DISHWASHEfl � RAN6E HOOD � <br /> UUNDRV TRAV ; WATEH HEATER � <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' IAETAL FIREPWCE 8 CHIMNEV � <br /> DRINKINO FOUNTAIN � FIREPUCE INSERT ; <br /> FLOOR UHAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS ; QAS PIPINO � <br /> flOOF DRAINS—RAINLEADERS � EXHAUST FAN , <br /> SINK(SERVICE�Aq,ETC.) ; , <br /> _ ; <br /> � � <br /> � � <br /> SUB TOTAL 1 ; SUB TOTAL S ' <br /> PERMIT = PERMIT S i <br /> TOTALFEE S ' TOTALFEE S � � <br /> FOp OFFICE USE ONLY: <br /> FRONT6E1BApK RE�RSETBACk 61DESETB�CK P�ANCMECkNUMBER FE HEGEIPTNO. <br /> � l4snNCr a ��(05 5 53ia <br /> USEIONE LOTAREA V�CANT6RE FEEB VALUATION FEE <br /> � �� BUILDINO ' <br /> i � <br /> MfOiLONiSALLOWABLF TYiFO�tONST.ACN�i occ�mticti iprcu.�iiwqw�n � <br /> �� <br /> d�d� / PLUMBINa � <br /> SRE OF BlDO .�� NO.GF�TORIES &15EMEN7 MECHANICAL i <br /> t3 NQ,o S � , <br /> OCCU ANCYLOAO FIRE SPRNKLERS REOD IIEqNT IIM:T�TqN ADDITIONAL PUN CHECK � <br /> ��� OTHER � <br /> RE�Bd/FOR SPRINklEFS � <br /> STATE BUILDINO SURCHAROE ; � <br /> INT�KE BY PlANS APPROVED BV CITY OF EYEflETT PUBUC WORNS � <br /> �'� LOCIIL SALES <br /> TAX CODE IS 3105 ror�� e� � � sp / <br /> 1� <br />