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APPLICATION FOR CO�ISTRUCTION PERMIT <br /> ,.., ,, ..,,.,... <br /> ��,,��«��� <br /> :�,. „� � <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPIETED IN INK—PLEASE PRINT <br /> DEMOUTION COMBINATION �C BUILDING MECHANICAL PLUMBING SIGN <br /> � ,.�.�� - ,�;� ����,�;�•�,� � ��. �,. .. <br /> liA2aLo T/fF 230/ CGoA2 E✓E�tiSr/' 18�__ � '�� 5�� <br /> � � M . _ . .. . ._ . . . <br /> �{1 'I �nr�' MAiI�DUiq.., r. i IHONf . __ __. ____— _ <br /> .! /i � <br /> i0 ia P1 --------. _. . . . . _. ... . ----- - . _ . . __. <br /> p H mi.�inti'ionot i�rn nnnni �i��. . �, . � �rna <br /> t � N � <br /> �y Y' _. --_— . _ -.__ _. . . . .. . . - . . __ — <br /> y 1-� cirrtnnicor+rnniron euintt �r", � ,. :�� irnr�� �r.i . <br /> a � � ��-��4�, T��+1 CbJ3?'Cc%.TiW � /4J.Z/ 1n�N.�,. .►r��. yPz� zsl ���a ,��,� Tt,Z�o� <br /> b N b RI[(;rUN�C�I COM1111M iUR I.IbI PPI,�11". � • . PH�1y1 I�.I 1!'.I • <br /> N �1 <br /> � Q � -- ---- -- <br /> � MU4UMf.CONiRACIOR MRi� PI�f�Pfbti l�iv Ii� PHONF IiGENSF• <br /> O '(+� <br /> Mltl qe550fNYJRN — -�--- � —_ _�_. <br /> Nyp � NEW ADDIiION x ALiERAiION X REPAIR DEMOLITION WOODSTOVE-FRPL INSERT BUILOING REI.00ATION <br /> / M IEN�NIIM�'ROVf1.1ENiORINifRIOROtM01)kIONLY CONUGIP[�SONnNDP��ONENO <br /> rppp N r.ovrn�crvn�c[orwonx: �� �is � __ /1!//{G M�CO 6 SZ_ 7 � Z �--_____ <br /> � O N oEscxmE wonn�r�u sou�nc rcqi�cE iNv�vEo �-/IA�I t-�� — -- — <br /> � Fuu.Javr.a� � sm �n F� �ver.� w�i,,�new . <br /> �{ rAoroseouseornunuwr. I HEREBV CER11Fv THAT I NAVE READ AND E%AMMED TMIS <br /> O y S'F/�'. APPLICATION AND KNOW THF.SAME TO BE TRUE AND COFIRECT ALL <br /> ieouoescniptior�orvnorenrvrsxovmeeiowonerr�cNrouAconies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot e�ceK ov _ . NOT THE GRANTING OF A PERMIT DOES NOT PRESUTAE TO GIVE <br /> AUTHORITV TO VIO�ATE OR CANCF.L THF PROVISIONS OF ANV <br /> OTHEF S7ATE OR LOCAI LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OP CONSTRUCiION. THAT I AM AUTHORIZED BV THF: <br /> OWNER OF 7HIS PROPCRTY 70 PERFORM THE WORH FOR WHICH <br /> — APPLICA�ION IS MA�E AND I COMPLY WITN THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC <br /> SiGNAtIIPI Ot(ON1NAf:�OR OR Al11Mn(ii)FO�OFNI O�It <br /> X <br /> PnoJEC\ADnFF55 ���`_ <br /> — . -- _ . _ _. _..___ --- <br /> ���� ����� APPIIrM1iSCit�pu.Nl�SlrcN5fr�0 pp115MF55Nnlnf <br /> � PLUMBING MECHANICAL <br /> I �� NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A C-A�HNOLG UNITS-�HP. <br /> 1 BATHTUB _ _ _ _ FORCED Alii SVSTEMS -0 TU M EA <br /> I�� LAVATORV IWASH BASINI __ _ ,_ UNIT HEATERS� A T U _M _ <br /> ��I _ SHOWER CLOTNES�RYERS __ <br /> NITCHEN SINK 6 DISP VENTILA710N FAN <br /> DISHWASHER R�NGE HOOD <br /> � LAUNDRV TRAV WATER HEATEH <br /> — ' __ .... .___--_— ___ <br /> � �_� CLOTHES WASHER � WOODSTOVE ; <br /> -.-- _.._ _ . .____.—.-_ ____ <br /> ' URINAL IA[TAL FlqEPLACE 8 CHIMNEV <br /> DRINKING FOUNTAW �FIRLPLACEINSEFT <br /> FLOOR DRAIN HFA7 PUMP <br /> � � <br /> BACKFLOW PREVENTERS GAS PIPING <br /> 1� ROOF DRAINS-RAINLEADERS fNHAUST FAN r <br /> SINK(SERVICE-BAH.FTQ) <br /> i � <br /> —' — —T— _____. _-___ '__'_ <br /> y !1 I — — -- ___._ _— -- - — -- <br /> � __ SUB TOiAI. E ____ , ____ . SUB TOTAL S �____ <br /> __ -_�__- . _ <br /> j ' PEFMIT 5 __ ' _____,____ PERMIT S __ <br /> �� �� TOTALFEE 5 TOiALFEE S <br /> � {RONISEID�CM PE�NSEIPACx SNFS(iA�1:F PUNCRFCkN111A0CP �11 RCf.FlPiNO <br /> use zone ioi ene� vecu�r snr FEES VALUATION FEE <br /> V[S NO Aunuinc �7 q ' <br /> -_._ _..sJ / ' o d <br /> IVVFOfLON51�LLOWABIf IVP(Of[ONSI�LIWI xru>�r�c• mi���oxinar.�vv . . . _ . __. . . _ _ ._._ <br /> cnar <br /> �PIUMIi1NG <br /> Si1EOGBlDO NODF610BiE5 B�SFMENi MECNANICM � � <br /> VES NO _. ._.-- -�----._�_..._ <br /> (N;GOP�HCYLO�D FIqF.SPRNNLER5RF00 HFKNiL1Yli�l10N OTNER <br /> —ti-.__ <br /> . VES NO . STAT[AUIIDING SURCIIARG[ � S U <br /> -_—__- '._. ..__ <br /> I1F�SONfORSPRINMlENS ._._.._" __-__.-_ ---.__. ._. . . ___. —.�__ . <br /> STAiEENER�VSURGH�qGF <br /> — __ - __ " ____ . — -- <br /> nrrrunca ecc ov ri ws nrvnoveoev CITY OF EVERE7T ruouc wonKs <br /> LOCAL SALES <br /> TAJ(f,00E IS 3105 *or�i y 3 � 5"D <br />