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APPLICATIVN FOR CONSTRUCI �aN PERMIT <br /> �������.,, <br /> �, .,:.., � <br /> �everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK–PLEASE PRINT <br /> 259 8810 <br /> DEMOLITION COMBIWATION BUILDING MECHANICAL _ PLUMBING _ 51GN <br /> ------ -- <br /> _ -- <br /> --_ — h IiF r��Gvf <br /> ��y���q MML MIDRFtiS ,p <br /> � � ro �5� ..-� C.�/U �11 � _ '- ' �'_�..,o`�� Z_� �n�H �„l— ��} sZ� <br /> r��;���r ` / uen eoun s uir rir vr�o�+r <br /> � � ___ �✓'(] /�Uy„�e /�.;� IJ ,��; s r /�u��.�P,iJ h'�-� P�� --.. <br /> N Ci*v � nr r��or�r <br /> nqoa�2tOROFS� G11 I M�iL��ORE55 �� <br /> � �(� --5��.1.�..,.. Z211 IZ I �C�t' S�" 11e ��u.���e �Z �'i7l Z _ <br /> Hptl GI N[Mt CON LR�C cy1 M�IL�ODRE 5 f /^J Ii,// � -��1'1P P��O1NF LIGENSE/ <br /> O Od 0 �l �� 1 f . �,`...�,. �l�M�`� \' I �� l.�iD% yj G /�v � f�ICr.f� �...�� S��nJ 3 ��i �� 'CC�41r3 <br /> � H � _ _ � <br /> y � � MI cunNiC�l CONtMC16R— M�I��DORE55 CILY l�� �'HONE IIGCNSF� 4 Z7('y� � <br /> Il <br /> 61 <br /> y F(�I �`uluwr�GCUNiR�C1JR MMLAODRE55 LiiY li� ��roHE UCENSE/ <br /> M �1 _—____ <br /> M , fU55pf W�RK <br /> ~ NEW ADDITION AITERATION REPAIF �EMOLI710N WOOOSTOVE�FRPLINSERT BUILDINGRELOCATIGN <br /> H <br /> M tl'NANilA1PPOVEM[NLOPINiERiORREMODElON1V l� f,0r�'`��iFCGSON�N�PNONENO e �� <br /> � y ��/ �1GiJ ��G9��J^w� I��.L_Z <br /> � y f.CNIR�CiVRICEOfWOPN: � OO %f� <br /> � G OISCRiBEWORn�ND50WREffqUBiNVIXVfO —_--- <br /> � � F�..-.� �,�.s � tl�� I7c'K�� F <br /> y rnnrnscousec�emioiNc � I HERFBY CEPTIFV ?HAT I HAVE READ AND EXAMINED THIS <br /> f,��n� APFI ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � PROVISIONS OF LAWS AND OHDINANCES GOVERNING THIS TYPE OF <br /> i 1��Q flE SCPiPi�ON W PROPFfrtY S��OWN BELOW OH�TT�LH f WR COP�ESi <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN Oq <br /> i rv e�oCK a — NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTNORITV TO VIOLATE OR CANCEL THE NROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING(.ONSTRUCTION OR THE <br /> -- PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORI2ED BV iHE <br /> nWNER OF THIS PROPERTV TO PEFFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATF <br /> CONTRACTORS LAW 1827 RCW AND 29620G WAC. <br /> siceerun[orca++nnaoAon�un�oniree�eeNr o�r[ � <br /> X 5,�' ��'ay 5 }`' <br /> �-;il - rC 1 0 <br /> rvaec/rrooaess _ - <br /> Ztl �� �Q G ia0 - �I� �PPIICNTSCItV9i15MC55l� .NXNO �NDflU5�IH51lAIAE <br /> �C� PLUMBINO MECHANICAL <br /> N0. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> i • WATER CLOSET(TOIIET) ArC-NHNDLG UNITS-H.P _ <br /> BATHTUB FORCFD AIR SVSTEMS- B.TL. M EA. _ <br /> !__' LAVATORV(WASH BASIN) UNIT HEATERS-�B.T.U. N <br /> � SHOWER CLOTNES DFlVERS <br /> HITCHEN SINK 6 DISP VENTILATION FAN _ <br /> � DISH WASHEF RANGE HOOD <br /> � <br /> I ' LAUNORVTRAV WATER HEATER __ <br /> Iw CLOTHESWASHER WOODS70VE _ <br /> URINAL METAL FIREPIACE 6(.H�MNEV _ <br /> DRINKING FOUNTAIN FIFEPLACEINSERT _ <br /> =1=' FLOOR DRAIN HEAT PUMP � _. <br /> BACKFLOW PREVENTCRS GAS PIPING <br /> --�' <br /> R(�F DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK ISERVICE-BAR,ETC.) _—.— - <br /> r - <br /> o� . —_ _ — ----" <br /> �� SUB 10TAL S SUB TOTAL E <br /> I �1�' PERMIT _E --"�- TORALIFEE S <br /> � TOTALFEE S <br /> FN1N115Et0ACrc RF�RSEIB�CN SIUES[19�CM �'y?�fl �ti1W��i � ��f /}-' RECFIPIN� <br /> ► / -- ,�'3 u�.`,1��� � `'' ' ' � <br /> f•`�� 1 <br /> usr ror+e tot enee v�c��+t sirc FEES VIILUATION FEE <br /> � N VES NO BUILUING ��) _ <br /> i.r�M mxs�e•mwea�t tvn or toxsi�eNu «conx. xn a ext ixe uxns — <br /> , ��.� /` ; PLUMBING <br /> 591 Of BIDG HO Of SIORIES BASEMENI MECNANICAL <br /> � I VES �NO --- _— _-- _ ; _. <br /> ;x,CUPANC lW0 FRESPRNxLE11SPE0'D HExH�lliMt�lq11 OTHER _ <br /> YES xNO � STAiEBWL01NG5l1flCH�RGE _ � :�1� <br /> _1s1 <br /> nr�sor�ron srn vmens <br /> S7ATEENERGVSURCNARGF. _ <br /> .rrnr.nnonecr er vunsnPrnov�onY CITYOFEVERETT ruSucwOnKs �-- <br /> �� /�'� �LOCAlSALES T� <br /> �..�/0 TAl(COOE IS 3105 rotai <br />