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APPLICATI�ij'� FOR CONSTRUCT r�N PERMIT everett <br />, t��, rne e�cro�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> . CItVOF <br /> everett HEATING SYSTEM: U GAS ❑ELECTRIC U - <br /> fl^ BUILDING DEPARTMENT <br /> ` 259-8810 , <br /> a � DEMOLITION ! � COM8:4ATION I i BUILDING I I MECHANICAL CI PLUMBINCi ❑ SIGN <br /> i''� ' owrrcn unanooness � arR � 98.20� .'�J`2—�•Z8 <br />;'� � � />/1 t E�TE/' /83/R��K� �a� � <br /> ` <br /> IEN�NI M�M1�UDf1E55 CITY 21P PIqNE <br /> �11CIUfECTdiDE510NER M�R�DOfiE55 CIfY ZIP P110NE <br /> ( <br /> � OENEIIAtCONIP�CTOR IMR�D011E55 ' CIIY CIIp1E IILENSE/ <br /> '< < A.D,D C'D.TN� /DS22 52N�-S�T S.E, s�voHa�is/f 33y-9iOz �9v�oco/ IG2 <br /> ( MECIUNICN.GONIMCT011 M�R�UORE55 CIIY TIP iMAME LICENSE I <br /> � ninanmacor�rnncion MTp�D�Rf.59 CIIY ll� 1'IqNf LICEN4E■ <br /> C <br /> � CUSSOFWWIK <br /> F I I NEW f I ADDIiION I.I AUERATION I 1 REPAIR �i DEMOUTION I I WOODSTOVE/FRPL INSERT ❑ BUILDINQ HELOCA110N <br /> e <br /> � CONT�Ci PERSON/�ND PNONE NO <br /> CONTIIACT PRICE Of VARI( � <br /> � OESC119E W011M�N�SWM1E fOpOT110E INVOLVEO <br /> ( ' .S�/'� . <br /> i <br /> � riaroseouseaeutiortm I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> � APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL I <br /> • lE0Al0ESCRIPTIONOFPROPERTY�61qWN9ELlTVOB�iT/�CNiW11Cd'IES� PHOVISIONSOfLAWSANDORDINANCES60VEFNINOTHISTYPEOF <br /> WORN WILL BE COMPLETED WITH WHETHEfi SPECIFIED HEREIN OH <br /> �. �orl1/y f�u �. eiocK �� a /{� � � NOT. THE ORANTINO OF A PERMIT DOES NOT PRESUME TO OIVE ��. <br /> � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY '� <br /> �O EG'GRE7T, A�c o,POINe To THE OTHER STATE OR LOCAI LAW REQULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIOY.THAT I AM AUTHORIZED BY THE <br /> y%f'�REDF RECoROEO /N I�D.0 / O OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> � CONTRACtORS LAW 18.27 RCW AND 298.200 WAC. <br /> �.C/�'T5� Pf1BE �� /N SNO/S'�JAY/S�� BION�NREOiCplTMCTqiq1�UT11diREDl10ENT o�re <br /> CoiCNTY !.f/�4sK/N6ToN � <br /> 1'110JECt IIDOREBS r� C <br /> �I G� U E C� � �PPIIGW BCITY SINE6SlICENSENO./J1D MEBBN�ME <br /> � VLUMSINO MECMANICAL <br /> � NO, TYPE OF FlIfTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) � AI�AMNOLQ UNIiS—H.P. � _ <br /> ' BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> � IAVATORY(WASH BASIN) � UNIT HEAtERS—B.T.U. M i <br /> SHOWER ' CLOTHES ORYERS � <br /> KITCHEN SINK d DISP � VENTIUTION FAN ' <br /> . DISHWASHEH � PANOE HOOD � <br /> � LAUNDflV TRAY i WATER HEAIEH ' <br /> CLOTHES WASHEH � WOODSTOVE � <br /> � URINAL ' METAL FIREPLACE 6 CHIMNEV � <br /> ORINKIN6 FOUNTAIN _ _�_ FIREPLACE INSERT i <br /> � FLOOR DRAIN � HEAT PUMP � � <br /> BACKFLOW PREVENTERS ; OAS PIPINO ' <br /> ROOF DRAINS--RAINLEADERS � EXHAUST FAN � <br /> SINK(SE.iVICE--BAR,ETC.) � � <br /> i i . <br /> i � <br /> i � <br /> i � <br /> � � <br /> SUB TOTAL = � SUB 101AL { ' <br /> PERMIT S � PERMIT { � <br /> TOTALFEE S ' TOTAIFEE S ' <br /> FOR OFF{CE USE ONLY: <br /> fIIONISE�p�C1( 11CARSE7B�Ck 51DESFIMCN 1R�NCIIF.CNNUMBEII fEE PECEIPTNO. <br /> use 7oue io�enee V�CI1NI911E FEES VALUATION FEE . <br /> BUILDIN(1 � <br /> IYM IX CUNI6 111111WAlI F IYPF Oi GONSI�LIU�I acwuc� MI nnr�nlw:un�e � . <br /> �"�"� PWMOINO i ' <br /> FVE OF B100. NO Of ST0111EB B�SEMENt yECH11NICAl. 1 I <br /> i <br /> occuru�cr�o�o vmEsnnrmiensneoo i�b�rtimmerpr� ADDITION�LPIANCHECIf ; �� <br /> — <br /> OTHER ' <br /> fiF.�S(M!FIXI SPRMKlEB9 <br /> 6TATE BUILDIN(i SURCNAROE i <br /> MI�Mf:PV MeNs.vrravEo e. ��Ty OF EYERETT PUBLIC WORNS ; <br /> -- �;gC� . LOCAL SALE8 <br /> ��,,,,_.,�,, TA1(CODE IE�105 rovu ' <br />