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- , ' , APPLICATION FOR CONSTRUCTII.�I PERMIT everett <br /> �,,,,E„re,,,�„ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTV OF <br /> eve rett HEATING SYSTEM: GAS U ELECTRIC � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITIOH COMBINATION �BUILDING MECHANICAL PLUMBING SIGN <br /> OWNFR MRiI�DORE55 CItV 21P PHONE <br /> l� l<<, ��� � �lr� �sc�r ��,��,_ y� t=ue,r�/ 4r=o� as�-�c�o 9 <br /> TEN�NT MML���RE55 CI 21P PIqNE <br /> �RCH1IECTOR�ESIGNEN MMLAODRE55 LITV 21P PMONE <br /> GENER/LLCONTP�CiOR MM�Q10RE55 CIiV 21V P1qNE IICENSE� <br /> ' ��/iN ✓ <br /> MECNANIC�L GONTR�CTOR M�II MORESS CiTV 21P PHONE IICENSE� <br /> PWMBMOCONlR�CT(M M�II.ADDRESS CIiY 21V PHONE LIGENSE� <br /> CUSS OF WORN <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE/FPo'L INSERT - �. BUIIDING RELOCATION <br /> CON7�G7 PERSON�NO VIIONE NO <br /> CONTP�LT PRICE OF Wpllt <br /> �qESCRiBE WOPNA Sq1�RE iA6E MVOIVE� <br /> KF � l� �r�N E� <br /> P PoSEDUSEOfBWI I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED TNIS <br /> �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �eau oe RIPTqN PROPERTY�S WNBELON'OR�Ti�CH FWN COPIE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNIN6 THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> �cr BIOCK ov NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE � <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> -I OTHER STATE OR LOCAL UW RE�ULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2E0 BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORI( FOR WHICH �, <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE 'I <br /> CONTRACTORS LAW 18.27 RCW AND 296200 WAC. , <br /> Si6N�TUREOFCONTR�CTOr10H�UTHORI7E��0ENT D�TE i <br /> % ' ��: l �/� <br /> PRpIECT�DDRE55 �S�� ����I .) ��'L��Y �.��� ���� � � <br /> 7 /' � IC�NTSCITVBUSMESSIIGENSENO �N�BU51NE55N�� <br /> PLUMBINO MECMANICAL <br /> NO. TVPE Of FIXTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> . WATER CLOSET(TOILET) NC—A/HNDLG�•'�ITS—H.P. <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> IAVATORV�WASHBASIN) UNITHEATERS—B.TU. M <br /> SHOWER ' CIUTHESDHVERS � <br />� KITCHEN SI�K 6 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> �AUNDRYTRAV ; WATER HEATER ; <br /> CLOiHES WASHER � WOOD STOVE � <br /> UHINAL METAL FIREPLACE E CHIMNEV <br /> DRINKING FOUNTAIN � FIREPLACEINSERT <br /> FLOOR DRAIN HEAT PUMP � <br /> BACKFLOW PREVENTERS GAS PIPING ; <br /> ROOF DRAINS—RAINIEADERS EXHAUST FAN <br /> SINK(SEFVICE—BAR.ETC.) ; <br /> � <br /> _ � <br /> SUB TOTAI S SUB TOTAL S <br /> PERMIT S PEFMIT 3 � <br /> TOTAI.FEE S TOTAL FEE S• ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSEiB�CN BE�RSETB�CN SIOESETB�CN PIANCNEChNUMBEF iEE RI!CEIPTNO <br /> use zaae LOT�RE� VAC�NT SRE FEES VALUATION FEE <br /> BUILDING <br /> ivPE Of LONts �IlOW�9lE IYPF O(CONSI�LiU�! atWurqr NO d pttuiMc uNns — <br /> twnuv p�UMBING <br /> _—T <br /> 6RE OF BIDG NO OF STORIES H�SEMEN� MECMAN�CAL � <br /> � <br /> OCCUP�NCV LO�O FIRE S�RNNLERS RE7D HE�OMT IIMITATION A�DI7IONAL PLAN CHECN <br /> � <br /> OTHER ' <br /> i <br /> RE�SON fOR Sf RIN1cLER5 <br /> � STATE BUILDING SURCHAROE <br /> INi�K!BV PI�NS�^PROVEO PV I CITY OF EVERE7T PUBLIC WORNS � <br /> rn� LOCALSALES <br /> TAK CODE IS 3105 Tf�TAL <br />