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L.1pPLICA7,'�N FOR CONSTRU ION PERMIT <br /> everett <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> fM EreNrosn <br /> CITY OF <br /> everett HEATING SYSTEM•f GAS U ELECTRIC U — <br /> BUILDING DEPARTMi:NT <br /> 259•8810 � � � BUILDING MECHANICAL i �PLUMBINCi I I SICiN <br /> Cl DEMOLIT'JN i I COtlIB,NATION � r�E <br /> uAn r,onness / a'. ����(.�� �.S��Z%�.j� • <br /> y C �,,J/��.��] �+�j7r <br /> � �fb e! V7M tT� �A�__1/;�+c�clTr i�p oHONE <br /> ��T M�R�UU�E55 <br /> �- — P110NE <br /> �RLNITECTORDESIONER M�R�UlN�E55 <br /> CITY 71P <br /> � p�E LICENSE� <br /> OENEMK CONTR�G70R <br /> M�Il�00RE88 C�1I =�P <br /> �' <br /> p�E LICENSE� f <br /> MEGH1WiC�LCdJtR�CTOR �R�UDNE6S ���T�� ^��/ �c'G- '1//J G�l`/ �Jy.JL <br />' (�v�D3���xj as6 OeL�' c�.�a s� ro, <br />� ►qJMlINOCONTP�CTON MAIL�OD11E95 <br /> Lrtv 7�� P�Kv1E 110EN4E1 <br /> I <br />� G'�aeo�wa�K I I DFMOLITION � � WOODS70VE/FRPLINSERT I I BUILD�NQRELOCATICN <br />� Il NEW I I ADDITION I '� ALTERATION ' EPAIR ________ <br /> cor�uci rensoN�r+o rrroNe r+o <br /> GONiR�GT PRICE Of WOAK <br /> ��'i� � <br /> f pEg�qleE WORN AND BIXUHE FOOT�OE INVOLVEO <br /> 1 <br />� ��uspaem�omo I HEREBY CERTIFV 7HAT f MAVE READ AND EXAMINED THIS <br />' p APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br />� ��' PROVISIONS OF LAWS AND ORDINANCES t30VERNINO THIS TVPE OF <br />� lEOILLDE9CPIP71UN0�7ROPEAn'ISNOWNBEIOM�OR�TTACNFWRCOPiE81 yyORH WILL BE COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br /> �oT B��K � NOT. THE aRANTIN6 OF A PERMIT DOES NOT PHESUME TO OIVE <br />' AUTHORItY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REOULAiIN6 CONSTRUCTION OR THE <br />' PERFOHMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> a OWNER OF THIS PROPERTV TO PEHFORM THE WORK FOFi WHICH <br />� APPLICATION IS MADE AND I COMPIV WITM THE 6TATE <br /> j CONTRACTORS LAW 1827 RCW AND 286.200 WAC. <br />�� 810NRTUPE Of CONlP�C10R OR�UTNORREO AOENT D�TE <br />� v <br /> A <br />'! ►pp�T�U E8� /� � .-.C� �pp���NT5C11YBU51NFS SENO�NDBU6IN NMAE <br /> j -Z /S �� .�T <br /> i MECH�NICAL <br />+ ►LUMlINQ TYPE OF EOUIPMENT FEE <br /> pp, TYPE OF fUfTURE OR ITEM FEE NO. <br /> A/C—A/HNDL6 UNITS—H.P. ' <br /> WATER CLOSET(TOILET) ' � <br />� BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT NEAIERS--B.T.U. M ' <br /> � CLOTHES DRVERS � <br /> j SHOWER ' <br />� KITCHEN SINK 6 DISP VENTILA?ION FAN <br />� RANGE HOOD ' <br /> DISHWASHER � ' <br />� UUNDRY TNAY ; WATER HEATER <br />� CLOTHES WA9HER � WOO�STOVE ' <br /> METAL FIREPLACE 8 CHIMNEY ' <br /> UHINl1l ' <br /> FIHEPLACEINSERT ' <br /> �RINHINO FOUNTAIN HEAT PUMP � <br /> FLOOR DRAIN � ' <br /> --' � OAS PIPIN6 <br /> ' BACKFLOW PREVENTERS � <br /> � , EXHAUSTFAN ' <br /> I ROJF pRAINS—RAINLEADERS � <br /> SINK(SERVICE—BAR,ETC.) � ' <br /> i <br /> � <br /> � — <br /> � <br /> � � <br /> — ' i <br /> � <br /> SUBTOTAL S ' SUBTOTAL S ' — <br /> � PERMIT S � <br /> PERMIT S 70TAL FEE S d `� <br /> j TOTAL FEE S <br /> � FOR OFFICE USE ONLY: aeceivrra <br /> i110NtBETB�CR 11E�R6E7B�CR 6iDE5E1B�CN <br /> PL�NCNECMNUMflER iEE <br /> VAr,�Ni 81IE FEE9 VALUATION FEE <br /> UlEZONE Wt�REA � <br /> BUIl01NU <br /> i <br /> IYPf Of CONiS AILOW�BIf IYVE Of GONSI�CIWI ar�r �d���'��'�s PLUMBINO � <br /> !QE OF BLDO <br /> rq pf aroniE9 BrSEMENI MECHRN�C�L � <br /> �D�ITIONAL PUN CIIECN ' <br /> pGGUP�NCYIO�U FIRESPRNNLF115PEU0 ME�ONTUMITMION � <br /> i <br /> __ O1NER _ �_ <br /> � pE�80NiORSPPIKKlERS � <br /> STATE BUILDIN6 SURCHIIROE ' <br /> __ i <br /> MTAKEBY M�NS�PP��EDBY CITYOFEVEHETT PUBLICWORNS � <br /> LOCAL SALES <br /> ; TAK COOE IS 3105 107AL 3 0 �1— <br /> � _ . <br />