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APPLICATIO�`FOR CONSTRUCTI�..N PERNlIT �'``'"'`; + <br /> rrx�c�o�s�M��� TO BE COMPLETED IN INK—PLEASE PRINT � I <br /> crtv a � <br /> everett , - - - __ __— <br /> --- - <br /> � Cj� BUILDING DEPARTMENT [ _HEaTING SYS7EM: J GAS �3�LECTRIC J __ _ . - . <br /> y 259-8d70 <br /> � — - <br /> y y y DEMOLITION _ COMBINATION ��LDING _ MECHANICAL_ _ PLUMBING__SIGN I <br /> arv ��� nr�o��r <br /> H�� ow��t.ri ��nn nnnatss _ <br /> , �.-, r �✓ rvT, �.e. v ,� ;5-j- 77r�. <br /> y N <br /> � i_� vyL�'+U c/�lFr C�.:i��-t ,/c / r�i'i�f�_�� F C_ -�— <br /> �y(�� 1CNPN1 M�IL�[1CRfSti fil• Z��' FNONE <br /> � r`� — CiIY ZIP PNONE I <br /> y y enCMi�.ELiOR0E5N:NER M�R����E55 — <br /> � � � I.cF•,t P' 7NNYNs ? �� "' cn�C� .�^i-. t�f'�jrA t��s . y7.x/ � S- P- 1-2 ?{ <br /> cnr zm arar+c iic[r+sE r <br /> 61 NERAL f.ONTRACIDiI MAiL�[lORC55 � <br /> (�"G � � �1�[� r�F.�l./'r.FN �✓'AJ /�o:«,F��<�' J•;,c.� .3S f-77c�� C�ic,vn�rc/sSr1t <br /> O 1-� z •r C.�F%N�F.. (�. ...,- T.�a <br /> ��wy _. ti�� zip P�qNE LICENSE/ <br /> V MF f,N�NIf,AI LONiR�LtO� MAII��DPE55 <br /> �Y � <br /> H PIIIMBINACONT11�C10R M41L�D�fiF55 CI1V )IP PIIOHE IICENSF� <br /> �iy� .Sne,I/f �]7 2Y.- ')�7��_'9[r N.r F,c 'C)11���_ ��i."i- C SS�'!S-f'7 �C�.tls /ti'(. �,�/ _. <br /> HH �-l�il�C�� - <br /> � cussorwonK - - — <br /> y M '�FEW ADDITION ALTERA710N REPAIR D[MOLITION WOODSTOVE�FRPL INSERT BUILDING RELOCATION <br /> C�ly Vl cor+r�c*rt nso�i u+n n�wr+�r+o <br /> �C� �rs/ _ r.� '� ]7(�O <br /> cor�raw.vniceo�wonn !7 t�C�'! _��`f� Ci 'C-���vNnC � 5� <br /> y OESCRi9[WDRLLANO SOUARE fOOiA [INVOLVEO <br /> H O cn .. l :.�-C,. ,. ti'i�Y 9� ��� � ��Ta/ /�'<C ,�f� <br /> S,,�Jf> 4w.� �ir�c� wn�d rC.�•.,L 'i�..:• —s--�- <br /> rno�ros[/ou7seorou��oir�c, I HEREBV CERTIFV THAT I HAVE PEAD AND EXAMINED THIS <br /> /�n� •Jt�� '�i�ti��r.•t✓ APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.AlL <br /> i[cn�uescafvtia+ovvao�f,�r���s'� WN@E��y�Qa4LL�u�rouncoriEsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> �������.. E, �< <� �� Y WORK WILL BE COMPLETED WITH WHETHER SPECIFI[D HEREIN OR <br /> �o�,rJ..1ui✓laG,eiocK 3yG � �'� °�F ` '��� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTNOPITV TO ViOLAiE OR CANCEL THE PROVISIONS OF ANV <br /> N <<' '�i1� �`I`�� ���"� �� ���r�A �T� " PERFORMANCE�OF OCONSTRUCI ON THATG AM AUTHO 12oED BV THE <br /> OWN[R OF THIS PROPER7V TO PERFORM THE WORK FOR WHICH <br /> 1p �/�t+�- ___ APPLICATION IS MAOE AND I COMPLV WITH THE SiATE <br /> � CONTRACTORS LAW 1B.27 RCW AND 296200 WAC <br /> 9GN�i:aEO«OYtR�Cf0110HRU1HOFiZEOAGENi [l�*E ,'(. ' � — `/� <br /> C � — <br /> --- � � , .�� <br /> , , <br /> !9,-a�f3_ -__ X �������/ /Ju✓� __ _ <br /> Pf1U1[Ci AC�RE55 �Ppt�C�NI S CitY BuSiNE SS IJCENSE NO�ND OUSiNFSti IIG4f <br /> " PLUMBIN//XX Cl+�•%Nu% //i �� <br /> MECMANICAL <br /> I�' NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) __.d�]�- A�C-A�HNDLG UNITS-N.P. ' <br /> ' ' BATHTUB _ __ __��Z� ' FORCED AIR S`.'ST[MS-B.T.U. M EA. __�_ <br /> �AVAiORV�WASH BASIN� _d / IINIT NEATER&-B T.U. M <br /> '�I ,� SHOWER CLOTHES DFiVEHS <br /> KITCHEN SINK 8 OISP �;� � - VENTILATION FAN <br /> ' 1 ;,Z DISHWASHER /O ; - HANGE HOOD <br /> LAUNDRVTRAV '1_ WATERHEATER <br /> 1�' CLOTHES WASHER - __ _WOODSTOVE <br /> URINAL ME1AL FIREPLACE 8 CHIMNEV � <br /> �' — — FIREPLACE INSERT � <br /> DRINNING FOUNTAIIJ —'T— <br /> f _ FLOOH ORAIN HEAT PUMP _ <br /> BACKfLOW PREVENTERS GAS°IPING <br /> —T E%HAUSTFAN ' <br /> '� _ ROOF DRAINS-RAINLEADERS , — <br /> SINN ISERVICE-BAR,ETQ) -`-- <br /> 1--' ---- _ ,(�u d i , �;v � <br /> � <br /> f __ SUBTOTAL $ _ �p I - _ __ _ __ SUB70TAL S _ (pC�' -__ <br /> PERMIT 5 _ _ ___ PERAl1T S _ <br /> � � TOTAL FEE 5 ��� ' TOTAL FEE E - <br /> FOR OFFICE USE ONLY: nicnPr�+o <br /> IROMSf1H�GM � I1F�RSEiPACN SlpftiflPACK � f'IANCHLIXNyy�PfR �(�� <br /> D, � a •7JU�c/ 3,.7 �7r� , (-� <br /> � I � 2" �7 -��----" VALUATION FEE <br /> �u a+r �arenre/gC-G veceHrsire FEES <br /> 1�-Z �� �� �UILDING_-_ "-"_-___ '�/ 7��I __L�C��-.- <br /> nRO�LONIS�IIOW�B1[ ivttq[ON51�[lU�l rcmrp�r r�oat�m�u�oex•� -T—'- - ' <br /> � "� � �� PLUMDING _ _ % <br /> s¢eavB�Da NOOFSroniES B�stMrHr MECNANICRL __ /nJ � _ <br /> /�9� sr -„ o _'__' _ '- — <br /> [X:CU^�NCVLOAO �IRESf'�NMLERSREOU IQiG���r1'���A�tAli'`N <br /> AD�I710NRL PUN GNCCK � <br /> _rl✓�- �,�. �) .1�_.__ O7HF:R __— __-" ' <br /> T — <br /> PE�SONfO11SPNINFlFNS --- — / � �'-J <br /> SiAiL AIIILIIINC SURCHARG[ � <br /> __ - J � <br /> .._--_-_. _ . .____'___-_" <br /> -- - ' <br /> iNuvt nv ���sH,ecvnovtonr CITY Of EVEPEI7 PUBLIC WORKS � �-' � � � <br /> �. LOCAL SRLES <br /> iz/zb TAXCOOE15310 roui <br />