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��:;a I <br /> APPLICATI�ii�l FOR CONSTRUCTION PERMIT � <br /> Ilin Evrrpmnn everett <br /> ��T�o� e <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE CO�APLETED IN INK—PLEASE PRINT <br /> I I DEMOUTION ❑ COMBINATION f I BUILDING ' f 1 MECHANICAL I.I PLUMBINO Cl SIGN <br /> OWNER M�ttA�DRESS CIiY Z�1' PIIONE �[/I �/t1 . <br /> C 7J^ Kir <br /> ���i e �'_ $. K►�.� 6o rJ 1 X I I Iv.u1. 2 w!°� ��4 �SII 77 S�G .�,Z9e3 <br /> iEN�NT M�IL�OURE55 CIIY 21P PIH]NE <br /> �� N 7 z 2 n/ v�CiL6D� �i.y�� �P z�� <br /> �ncNirecr oesar+en M�K�ooncss cin zir vr�or�e TlTQ�uD �So� <br /> '-f��rn�., �„-.-IonM.��r- c�. o.aay. �ztwt 1�3��.C1 c.�Y1. !S'oi 2 yQs-a►�,'_ <br /> 6ENER�IC(kITR�C1011 tt/WD9E83 CITY IIP P1qNE IICEN5E1 <br /> MF.CN�NICU CONTPACiOR M�IL�UORESS Cl/Y ZIP P1qNE LICENSE/ �I <br /> IRUMflIN6LONlMCidl M�II�ODRESS CITV 7m P11(MIE LICEN9E� I� <br /> CUSB Or WOIIN <br /> Y� NEW I 1 ADDITION (. 1 ALTERATION I.I REPAIR I I DEMOLIiION I I WOODSTOVE/FRPL INSERT I_7 BUILDINO RELOCATION I <br /> iEN/JIT IMGROVEMEN70R MlER�EMODEI ONLV CONI�CT PEfISON ANO VIIONE NO �'� <br /> CONiPACTPRICEOFN9Rlt: 0��� � ��5���, . <br /> DESCRIPE WOfiR�ND 6IXN1RE f00T11GE pINVOLVEO <br /> O d� <br /> vnacos�pyseoreutimra I HEREBV CEHTIFY THAT I HAVE READ AND EXAMINED THIS - <br /> � � APPLICATION AND KNOW THE SAME TO BE THUE AND CORRECT.ALL <br /> ICOAIOF.SCRIPTIONOFPROPERTY�5N01'MBEIOWOR�TUCNFWRCOPIES� PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTYPEOF � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or eiocK or NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER 51'A7E OR LOCAL LAW REQULATINO CONS�RUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAi I AM AUTHORIZED BY THF. <br /> � OWNEFi OF THIS PROPEHT� TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLV WITH THE STAT[ <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> saw�runeorcornnecronoanmrromzeoeaeNr oae <br /> P110.IEGT�DORE88 � , i � "lf� I��1V <br /> i �PPI.IC�NT6 CITY BUSINESB LICENSE NO ANO BUSME6S NMIE <br /> PLUMBINO MECHANICAL <br /> NO. TYPE OF flXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CIOSET(TOILET) � A/C—NHNOLO UNI7S—H.P. i <br /> BAiHTUB ; FORCED AIR SYSTEAIS—B.T.U. M E.A. � <br /> LAVATORV(WASH BASIN) i UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRVERS � <br /> KI7CHEN SINK 8 OISP ; VENTILATION FAN ' <br /> DISHWASHFR � RANGE HOOD i <br /> LAUNDRVTRAY ; WATER HEATEH � <br /> CLOTHES WASHER � WOOD STOVE i <br /> URINAL ' METAL FIREPUICE 6 CHIMNEY Q� <br /> DRINKIN6 FOUNIAIN � FIREPLACE INSEHT ' <br /> � <br /> � FLOOF DRAIN � HEA7 PUMP i <br /> BACKFLOW PREVENTERS ; OAS PIPINO ' <br /> ROOF DRAINS—FAINLEAOERS � EXHAUST FAN � <br /> SINK(SERVICE—BAq,ETC.) ' ; <br /> � ; <br /> —.— <br /> � � <br /> � , <br /> i i. <br /> SUB TOTAI S i SUB TOTAL = S' OU <br /> PERMIT S � P[FlMIT S i <br /> TO7ALFEE S TOTALFEE : ' — <br /> iRONT6[TB�CN REARBEiB�CN 610EBEiB�CH PUNCHECNNIIMBFR iEE RECEIPiNO. <br /> use za+e LOT AREA v�eurt sire FF.ES VALUAT�ON FEE <br /> ❑ YES f ] NO BUilowr, ; <br /> mcacoNsr.uiowui[ mcacarsr�ciuu «nr.ec. �oav«'����a��ro — � <br /> . oaour � <br /> PLUMBINQ � <br /> i <br /> 61TE OF BlDO. fq.OF BTq11E9 BASEMENT � � <br /> MECHANIG�L � <br /> I.I VES I I NO — —{— <br /> OCCUP�NCVLWO FIPEBPRNI(LERSREO'0 NEqHiLIMIU110N O1HER � <br /> ❑ VES CI NO _ ST�TE BUILbIN(i SURCHAR�E � <br /> RE�90NFOI18PRVAtLER9 — — - T <br /> STAtEENEROYSURCHAROE � <br /> �PPLIC�TION�CC.BY PLANSAPPIIOVEOBY CITY Of EVERETT PUBIIC WORKS ,� � <br /> LOCALSALES ' <br /> TAI(CODE IS 3105 T0�11L ; <br />