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APPLICATIO�OR CONSTRUCTI(i�l PERMIT everett ; <br /> ,M Erero�� TO BE COMPLETED IN INK—PLEASE PRIN7 � i <br /> ITV OF <br /> everett HEATING SYSTEM: U GAS ELECTRIC O <br /> 3UILDING DEPARTMENT -- <br /> .'S9-9810 <br /> � DEMOLITION I_I COM9INATION p� BUILDING l7MECHANICAL I IPLUMBING ❑ SION <br /> iy/qQp MML�DIN1E55 CITY 21P PIqNE <br /> �� c_u . PoB 3'7�7 i r�; r��-76�S�n-�tc.E , ��n , 9Fr�v _zu� <br /> fN N M�R� ORE5�5— CIIV ZIP PIIONE <br /> ��16'rIN C.��. , I�o1S - V7�� /�Vl.� . l✓� CJeKEiT; � LJ�}. �8'r-u� ?�0 ._917�- <br /> HICIIIIECI0ROE516NEI1 MAIL�DORE65 CIIY IIP PIIONE <br /> iENERALCd/iq�CTOR M�Il�00RE88 �� QTY IIP PIqNE IICENSE� <br /> r9USt�a ��• . � Ilof� _ 47 _ /�d� . W, �vF2r�-r-� 6✓/+• 98zi,•l 27.T•�l�u-s;_�e-t�iu3 <br /> 'IBCNMlIL�LCONTR�f.TOR M�IL�DDRESS Cltv 21P PIqNE IICENSE� <br /> YUMBINO CONTfl:�.'D11 M�II�OIX1E33 CIIv 21P P110NE IICENSE� <br /> :UBBOF N011N �-- <br /> �G NEW I I ADDITION I J ALTERATION I I REPAIR I I DEMOLITION I�I WOODSTOVE/FRPL INSERT ❑ BUILDINO RELOCATION <br /> GONI�CT PERSON�ND PlldlE NO. <br /> ;d1iR�CTPRIGEOFNqRk �ON/S'A-� �1 /�T�+BeF-sKf <br /> ')E9CRIBEWpINf.ND6d1�PEF007�UEINVOLVEO �G C _ 3 s C3 <br /> CoNyTa,ver�a�✓ T�-h�G62 - � G o SF� <br /> ��noroseauseoFeunona I HEHEBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> C�iv�T�I✓trfo'l T�LA./�R, � j APPLICATION AND KNOW THE SAME TO BE THUE AND COHRECL ALL <br /> '.EOAL DE6GPIPTqN OF PROPERTY�6NOWN BELOW ON�T7�CN FOUP COI'IES� PPOVISIONS OF LAWS AND ORDINANCES OOVERNIN�THIS TYPE OF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEP.EIN OH <br /> �or e�ocK oF NOT. THE ORANTINO OF A PE�MIT DOES NOT PHESUME TO OIVE <br /> AUTHORITV TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANY <br /> OTHGR SiAtE OR LOCAL lAW REOULATINO CONSTRUCT�ON OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUiHORIZEO BY THE <br /> OWIIEH OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> : APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTFiACTORS LAW 10.27 RCW AND 298200 WAC. <br /> S10NQUPEOFCONiIUCiOf10R11UTIqRRE0l10ENT D�TE <br /> ��_ X _`? / _��.,F�'• y/L�'�,� <br /> 1'ROJECTADDhE68 (!�Nyr�t�� '�3 �Pp���7��g�NE55�K;ENSENOANOBUSINE6SNMIE <br /> J o�3 c,J - - - �-�- - <br /> � PLUMBINO MECMANICAL <br /> NO. TYPE OF FlIITURE OR ITEM FEE NU. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � A/C—A/NNDLQ UNITS—H.P. � <br /> � BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. �— <br /> LAVATOHY(WASH BASIN) i UNIT HEATERS—EI.7.U. M __� <br /> �� SHOWER ' CLOTHES DRVEFiS � <br /> KITCHEN SINK 8 DISP i VENTILATION FAN � <br /> DISHWASHER RAN6E HOOD � <br /> LAUNDRYTRAV _ � WATER HEATER _�_ <br /> CLOTHES WASHEH � WOODS70VE __� <br /> URINAL ' METAL FIREPLAGE 8 CHIMNEV � <br /> DRINKINd FOUNTAIN � flfiEPLACE INSERT � <br /> FLOOFi DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; dAS PIPINO __�_ <br /> ROOF DRAINS--RAINLEADERS � EXHAUST FAN � <br /> SINK(SERVICE—BAR,ETC.) ; , � <br /> � <br /> ' T <br /> __J 1 <br /> 1 1 <br /> 1 1 <br /> ' 1 1 <br /> SUB TOTAL E � SUB TOTAL S �_ <br /> PERMIT S � PEHMIT S i <br /> TOTAL FEE S ' TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> f110NT6ETBACN REARBETB�Ck 61UE6ETB�CN PUNC11ECkNUMBEf1 F!! �` - RE E,fPT� <br /> 0 X�- <br /> 119E ZONF. ioT ene� vncnra sire FEE9 VALUIITION FEE <br /> �o euaoiNo lva r5�f�/` GGo ;sa <br /> irPEOftONI6IALawMIE IVPFdCd1St.�C1U�l anr.�cr riawxunau+i�e - � <br /> � _ � � ' N ? � PLUMBINO � <br /> SizE OF ei0a No or 6ron�EB BASEMENt MECNANICAL � <br /> ��VO S � /lI0 --f— <br /> ��pp�y�y�y�PUN CHECN ./� ' <br /> OCCUPIIHLYL0�0 FIREBPNNNLER511EV� HEqNTLIMIG/10H pr-�- ' 7 s� 9 � 3,� <br /> � <br /> 2 2— �/o onien � <br /> � <br /> OE�SON FOII SPfIMKlER9 �— <br /> STATE BUILOIN6 SUf1�N�RGE i� <br /> MT1UfEBY PIANSM'Pf10VEUBY CITYOFEVERETT PU9LICW011K8 � <br /> `.JQ� LOCIIL SALES ; ` <br /> TAX COOE IS 3105 roT�� / 0 9 13 <br />