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� <br /> APPLICATION FOR CONSTRUCTI�JN PERMIT °"'"'" <br /> , � ,,,. ,,, TO BE COMPLETED IN INK-PLEASE PFiINT � <br /> �v ����� � HEATINGSYSTfId� �CAS J[LECTRIC J I <br /> ElUILDMG DEPARTM[NT I .. . . . -- -- - � � - --- � � - I <br /> ,'S9-8610 <br /> �DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> .qYq�/ly'� 'i AI`I i,. �. :+ 1 i.'�11 <br /> /l- ��1 C�rQ lI l�.(�t d >j 7 '> �C�Z 7�''-�i S;�l�• . ��{�c ' :SG� � - �/C•I*� . <br /> ��:.wi i•n.,�.,;„i �� , Tm � ��rn . <br /> � !1 <br /> ni i nill[1 Ot�UI tiiGy�q MMI�O�ilC55 ��� CIIY ]iP PIICMF <br /> y ra r- r' _ ,•', <br /> x � - ��{y j�p YHONE IiLENSE I �'r <br /> `s� ,�dr��;q�i�ONiRAG10R M�M1�DDRE55 <br /> � rk <br /> C �-�+ ' �; <br /> Vf f.�UNICM LONiRApOR M�R AUDRE55 CIiY Z�P ?NONE � UCFNSF� <br /> >H[n ,_ u <br /> N ,.'�. riuuowacc�mnr.roa ranneo[m�ss --- cnv nr m�orrt uCeHse• � <br /> K �C7 N — ----- - — <br /> H�7 . ..... _.._--- �- - �- <br /> � inssorwonK <br /> "'�G H"�C NEW ADDI7ION ALiERA710N REPAIR DEMOLITION WOODSTOVE�FFPL INSERT BWL�ING RELOCATION <br /> V1H -_ __--_"'__-_--._ <br /> y � WN1.1f.IPERSONANDPNON[NO <br /> � z� �.�vtAecr rn� �_ur wn�in��d�,Q��-. / . -.-- — <br /> R J_�.�_-....C_Y'z � <br /> t�d PLCRiNEwOae<Nt�sOUAnrrOpin�Nv�xvrn f <br /> r� <br /> g �F�=— h'S"-5��-.�-�'�`��---- - <br /> H � ��nnvosmuseornwimNr I HERE�V CFRTIFV TNAT I HAVE READ AND E%AMINED THIS <br /> �� n n .r APPLICATION AND NNOW THE SAME TO BE TRUE AND CORf7ECT ALL <br /> ,~�• y� /"��iy�,�.f.C.c. . � �.t1t_«-,��, <br /> ircn�.o[scnivqeoanoorntv�s�wwr�e[�owone�ucr�mror�rs� PROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISiVPEOF <br /> WORK WILL BE COMPLETED WITN WHFTNER SPECIFIED HEREIN OR ` <br /> i �„�y ii>�_ pi.ock or .___- NOT. THE GRANTWG OF A PERM!7 �OES NOT PRESUME TO GIVE � � <br /> I Cy W AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF ANV � , <br /> �"� OTHER STATE OR LOCAL LAW REGULATING CONSiFUCTION OR THE � <br />' O p V� -- <br /> q� PERFORMANCE OF CONSTFiUCTION.iHAT I AM AUTNOFIZED RY THE <br /> ts7 OWNEF OF THIS PROPERTV TO PERFOFiM THE WORh: FOR l4'H!CH I <br />' Oy __ ----- APPLICATION IS MADE AND I COMPLY WITH THE STATE �li <br /> CONTRACTORS LAW 1B 27 RCW AND 296200 WAC. j <br /> - _...- - /� <br /> �,�,:vnruneorcoHrneciononnun�o�uzroec�r�r oeir ` I <br /> __'__t__ ' _-._'_ __ ____ ._ _ .. _. . X ��C/�`���'�K_�(� ____ � �I <br /> rn>o-��nQonni as . - __ . � <br /> � / � / � / �� /Le..� u���ii:ne�r. t.nvousui :,irFr�striouioA.is.irssr�n�. <br /> (p qs <br /> PLUMBING MECHANICAL i <br /> NO. TYPE OF FI%TURE OH ITEM FEE NO. TYPE OF EOUIPMENT FEE { <br /> �� WATER CLOSE7 1TOILEi1 A C-A NNDLG UNI75-HP ( <br /> � � _..�__ 'BATHTUB _.__-__. .. _-_-.S:___ __7_ - ___- — -_— _ <br /> � FORCED A117 5"STEMS-DS U. M E A. ~ � <br /> __ _.__.___-._...___-_ ._--_____�-_- .__.!-- --- — _ __ � <br /> _� �AVATORV(WASH BASIN� _ __ _ UNIi HEA7ER5-B T.U. M I <br /> — —..l�-_. � <br /> SHOWER _ �_ CLOTHESORVERS <br />� I � _ j_ KIiCHEN SINK 6 DISP _ - __ VENTILATION FAN _ _ I <br /> ~ ' � OISNWASHER - RANGE HOOD � <br /> LAUNDRV TRAV _r_ WATER HEATER _ i <br /> '^ �. � _ CLOTHES WASHER - - _ _ _ W�D STOVE �. <br /> �. � URINAL METAL FIREPLACE 6 CHIMNE� I <br /> ORINKING FOUNTAIN FIR[PLACE INSERT ' <br /> FLOOR DRAIN HEA7 PUMP _ <br /> I � � BACKFLOWPREVENTERS _ � GASPIPING __ _ <br /> ROOF DRAIN&-RAINLEADERS EXHAUST FAN __ _ _ _ _ '. <br /> SINK�SERVICE-BAR,ETC.1 _ �' MI �. <br /> ____ _ _ _— -___ _ — v�- �' <br /> �.. � - — � ' <br /> — ' I____ -_....____ -_-__�_____ ---_—--_—-- <br /> _ _.__. -___.. ._--__— -.__T_ .-__-________-_ --T- I <br /> SUB TOTAL 3 �7/p ' (J � <br /> �I� -__ __" '_ -_____SUBTOTAL 5 _' ��_ —_ -_- -_'-__ -_ ��� <br /> PERMIT E _� PERMR $ � II <br /> _ `__ ___ _ ___._ _____.__-_ _ <br /> TOTALFEE S � - TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> -- ---- _ --___ - -- .. <br /> f00N151i��1:Y Rf�fltl111ntX S�UtSETfl�LM i��r�inlCx.huVI�IP 111 NlUiP�NJ <br /> usr�on1 i�n nw e v�ceNr srtE FEES �ALUATION FE <br /> HIn1111NG • <br /> IxP[OfCONIS AiIOWMIF �Mf IM WN51 ACIWi �� +�v w�+ �n .. . .. . -- '- - -- - 10" �- - — <br /> iv i <br /> u�ur niUAll7iNG�'_�_ __ _�� . <br /> SiiE Oi BLUfi NO Of SiOlUES PeSCMEM Mf CIIANICAI <br /> ���D <br /> IX:CUPANCVLU�D fIRC5Pfl11NlEReRCOD MFpI11UMPeln�n �Up1110NALPLANGNI.CN <br /> _... U7111:H ' <br /> ___ � <br /> REASONIONSPf11NxIfI1S . -. . ... . . - - ----- �----- �- � S - <br /> sinrrnuaoiNr,sunu�nnri _ _._ --- - <br /> --- ----. . - -.. _ __ <br /> ���in.� ��, l rur+serm�<��rn��. � CITY OF EVERETT rueucwo�Kti <br /> I LOCAL SALES <br /> �� TAX COOE IS 3105 TOTp� <br />