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APPLICATI`d1N FOR CONSTRUC`.-�ON n 2 �IA�'� e P <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> �"°E""'°„"° M AY St i'J <br /> CITV OF <br /> everett HEATING SYSTEM: GAS IJ ELECTRIC U �T <br /> BUILDING DEPARTMENT � — <br /> CI—��-�—[V�itE-r <br /> 259-8810 ���a„ permlt Counte� <br /> I i DEMOLITION COMBINATION BUILDING _MECNANICAL ' P�UMBING � SIGN <br /> MnIL�Dont55 i �K1NE <br /> Ee I l v _.�1 �1 i I l ' _ ,�%-�C�� (f�l(�tl��ll(�_��V c ����,�`_��J - /. G; (, <br /> TEN T 1 1/�' <br /> MeneoonFss cnv nr nnorie <br /> ♦RCHItE�\ Y / MML�OOIIF$5 �_— Qlv "__'-- 11P_—_'_— PIIONF <br /> OENER� rq�cton Msnenoness fi�Y vm Rr�w+) - �� I�CEN5E1 <br /> --��-`�01 VAIIEY NATUIIAL GAS, iec. V11_L l,C l\!(�.-(`��3�_�_�_ `ru��l I� <br /> MELIIANM.M��1M���rR„j�92����' 742�2944 �^Y ��� ruor+r i�cer+se i <br /> 2606 MODougUl . _ . . _.._.--_.___---- <br /> .._ __ .__ . .__ _.... ..__. <br /> rwMert+ata+innr.ion-rnf�lluMj���i�I1��R8B1 .. ... �:��v ��r rnor�t UCENSE• <br /> CUSSOf MIOf�N � <br /> ! I NEW � i ADUITION � TE TION _' f1EPAIR __DEMOL1710N ' WOODS70VE/FRPL INSERT BUILDING RELOCATION <br /> __---__ <br /> ✓ awinct rrnsoN nNo rncx�e Nn <br /> f /�) <br /> CONTR�Cf PRICE 0(V/01�1t (� C-� � "' � ' .. <br /> _�'__'__'__.'__—_ _"_'_—___ ___"—"_—"___' .. __ _ __'_ <br /> DESGf119F Wt�N�pP�t��{��!(N1I� �NVt V[I� 1 ��� '� " _-- <br /> �tl ,I t l � � �1— <br /> PRUPOSEDUSEOrBUNI)IN�i � � I HEREAV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> _�_"�' /_______. APPLICATION ANU KNOW 1NE SAME 10 BE?RUE AND CORRECT, ALL <br /> �eaeioescmrTax�wrnurrmr�siawennowonnnnr.u«�mr.�wirsi Pf70VI510N50FLAW5ANDORDINANCES�OVEqNINGTHISTYPEOF <br /> WOIiN WIIL BE COMPLETED WITH WHEThiEN SPECIFIED HEREIN OR <br /> �or mceK or — NOT. 7HF GRANTING OF A PEFMIT DOES NOT PRESUME TO QIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHEiI STATE OR LOCAL LAW REOULATINO CONSTNUCTION OR THE <br /> PERFORMANCE OF CONSiRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNEFl OF THIS PHOPEP7Y TO PERFORM THE WORK FOR WH�CH <br /> APPLICATION IS MADE AND I CUMPLV WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> sKrv�runearcomn�aononnunwnizeo�aeNr oere <br /> � 1 <br /> � 7� X Ft� <<��.� ,y�, , �� � �c�a. <br /> PqOIECt�DORES9`' �����n .. 1 I` ��.+ , / �p+UG�H15(:I1VIf1151 'SSIIf.FN��NDBUSINE55NAME <br /> �_ lv�/ I l <br /> PLUMBtNO MECHANICAL <br /> N0. TYPE OF FUfTURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSE7(TOILET) _ __ NC-NHNULG UNIf 5-�H.P. ; <br /> � � I'ORCEDAIfiSYSTEMS-B.T.U. M E.A. �__ <br /> BATHTUB ___�— -- --- i <br /> LAVATORV(V/ASH BASIN) _ UNIT HEATERS-B.T.U. M ._�_ <br /> _ _ ______ <br /> SHOWEf7 __ . . __ ____�__ ____ CLOifIESDRVERS � <br /> _.-_-__--.__'.__ <br /> --- VEN71LA710N fAN i <br /> HITCHEN SINK 8 DISP _ __ _.___._�__ ___ _-_-------- —---T— <br /> DISHWASHEii RANGE I100U <br /> LAUNDFV TRAV WATER HEATER _ <br /> � __— <br /> CLOTHES WASHER WOOD STOVE <br /> UFINAL ; METAI fIREf'LACE 6 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERt __�_ <br /> FLOOR DRAIN ; HEAT PUMP ' '� <br /> BACKFLOW PREVENTERS i GI1S PIPING _ � <br /> ROOF DHAINS-RAINIEADEHS ---!— ERHAUSi FAN __- <br /> SINh(SERVICE--BAR.ETC.� ___�__ __--- � <br /> � ----- --r— <br /> —_ -- i <br /> — ______ <br /> i'___. _'_ _____.' ' <br /> _ ______ ---r— <br /> ___ ' � <br /> SUB 707AL E ; SUB iOfAL E /f � � <br /> _ ._ _____. . . . . .. ___ .'__._._—___ �. <br /> —___—_'—'_—__ ___.__ . �_ . _ PERMIT S / � i <br /> � ___—'____— —��l�— <br /> ___-__ .PERMIi____s _. . ._-' -__ _.-- _______ .. _. - . -_- IOIALFEE S � � <br /> TOTALFEE E <br /> FOR OFFICE USE ONLY: <br /> --" - --- ----- --- ..___---- nrcFmirx� <br /> FRONi5E1P�CN fIFMISE1qAf.N� SiDfAFIMt1N PINlGIFCMNURIpf❑ fFF <br /> - ------_.___.. _._..---- -_---_ _. - VALUATION FEE <br /> USE TONF im nnre vnrnrn^nr FEES _ <br /> � <br /> -.__.__.—._. ...- __ ._ .. <br /> nUn niNc ' <br /> _' �.�.,��imi�i•��.��r�c � ...__."____'—'_— <br /> IYPfOfCONIS�11fIW�Pl1 IY%Mf11N51Af11��� nn�np'r � <br /> '•"'"" I PIIIAIPII!(7 .. . � <br /> __�_ <br /> 9VE Or 01fNi IIn 1�1 51(1111i^• P�',I MI111 MI I'IIANIPpI ' �'— <br /> � ..S.o_J_— <br /> ------- ---- - ----------- - � nnuinu��ni rinNi�.�acn � <br /> accurnNcrionn rmrsrm�Kirnsnruu nrnxnnr.a�nu�ni . _. __ _..---- , <br /> oinrra ; <br /> .. . _ . . . . . _ . . __._.__"_—T <br /> Rk�50N f(M Sf OINNI f Rti <br /> SI/11F RUII PWl7 51111C114fi(iF <br /> '_ "'_" '__ .. . _ _ _ ' __ _ _ _ . __.. . .. . _ _ .__ '" <br /> INI�MF Pv I iv nr�s ni•rnovi i�n. I CIiY OF EVERET� rum ic.wonks I <br /> LOCAL SALES <br /> TAI(COUE IS 3105 tOT11L '�V ; � <br />