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APPLICATIOrI FOR COPlSTRUCT�ON PERMIT ''`'''�'" <br /> r,.,•� ,,,,,.,,,,,, TO BE COMPLETED IN INK-PLEASE PRINT � <br /> arv or <br /> everett i H[�iINGSYSIEM JG�S �LLECTRIC J <br /> f3UILDING DEPARTM[NT -- - -- � - � - ' � - � - --- ---� <br /> 259 8810 <br /> DEMOLITION COMBINATION w BUILDING MECHANICAL x PLUMBING SIGN <br /> � � N . .._...._._ . . _ _ .._. .. ._ . ___— .—.---— . <br /> � n�rrn q 4ni. n i��v. �ih y� .n Pnnrif / <br /> �) � � J ` 'e ..__ �S�i✓ —b I C��A <br /> �o � 1_65�u�.—l�ti 1����1 Lll�� .4+.',_cl�vc_�vc�, r i _ ,_ _ <br /> M IIN4NI MAitA[IDRCSS Ci�v ���ONC <br /> � � � Q�+,y n�rta,� i�G�o1 che , .t ��Jf '�-���rF1 t�r'lo� � <br /> n en,u�r[maancsn�Nrn unu�onness cirr rm r�ar�E <br /> O Rf o C�\1-y1�'�( SG`M('i <br /> � �y � c!irtn�L Cp1iR�C10R M��l�DDRF55 CILY TiP �HONE IICCNSE• <br /> N M <br /> � � � _�U�1'lC�f ��1LYlaC <br /> MFfN�N�L�ICONTR�CTON M�¢�DO�E55 CIfY 2�P PNONE IICENSE• <br /> O H <br /> 1'111G01NGGONTR�CiOH MN�pppRE55 CIfV IIP VIqNE IICENSf• <br /> H N �,wv�e� �VY'��C� <br /> N cinssoFwoaK <br /> p,� NEW ADDITION X ALTERATION REPAIR DEMOLITION WOODSTOVE/FR?L INSER7 BUILDING RELOCATION ' <br /> N <br /> pW� troNi�Gt PFRSON AND PIqNE NO <br /> Cy� �=1 iZGWiGG — _ <br /> ��yyy CONiR�Ct PR�CE Of WORx <br /> �d � OlSLRIBEWONN�NOSIXIARElODi�GfINVOlVEO hp�y�q <br /> C t' EI_�5��..�y <br /> N N CuVCYA Pr.CCN T lSr<ti ..teATJK t..��`Atc)w�l\ <br /> O <br /> rnboroseouseocomioirvc I HEREBV CERTIFV iHAT I HAVE READ AND E%AMINED THIS � <br /> `, .:at� r oOrY1 `� �,. APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> iec+i oesenirrror+or caorenrv�srrowN e[�owon e*ucNrouumries PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE COMPLETED WITH WMETHER SPECIFIED HEREIN Ofi <br /> iot BiocK or NOT. tHE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLAiE OR CANCEL THE PRf1VISIONS OF ANV <br /> OTHEP STATE OR LOCAL LAW REGULAiING CONSTqUCTION OR THE <br /> .�p�} . � � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOR12ED BV THE <br /> �M�" OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />;j1�� ' �. -- APPLICAiION IS MADE AND I COMPLV WITH THE STATE <br /> ��r�t`�,'-�. � � CONTRACTOPS LAW 18.D FCW AND 796200 WAC. <br />� S��N�ruf•EfKCONiR,lcionOrleuiHpn�lED�GCNi p�tE <br /> / .. . PRpIEGT�ODRE55 ��LLG'�i� •t=�l����.—_/1 �' -- <br /> � C�" J 2�0/ C'hesn�t �(��L" ��'>UGNiSCrtY[1��9Nf55Uf.(NSENO�NDOUSN(SSNAMC <br /> , PLUMBINO MECHANICAL <br /> 1 � -NO. TYPE OF FI%TURE OR REM — FEE NO.- TVPE OF EOUIPMENT FEE — <br /> �_ � WATER CLOSET(TOILET) — A'C-/vHNDLG UNITS-H.P <br /> , BATHTUB � FORGED AIR SYSTEMS-B.T.U. M E.A. <br /> i <br /> � LAVATORV(WASH BASIN) � � ' UNI�HEATER&-B.T.U. M <br /> � SMOWER CLOTHFSDRVERS <br /> � NITCHEN SINK d DISP VENTILATION FAN <br /> IDISHWASHER FANGE HOOD <br /> _� LAUNORV TRAV WATER HEAiEF <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL ME1AL FIREPLACE 6 CHIMNEV <br /> �RINKING FOUNTAIN FIREPLACEINSERT <br /> �� FLOOR DRAIN HEAT PUMP —T� <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS-HAINLEADERS E%HAUST FAN <br /> � SINK(SERVICE-BAR,ETC.) <br /> =,—I . _--__ <br /> ��1 1 SUB TOTAL S ` '- SUB TOTAL E T <br /> PERMIT 5 PERMI7 E <br /> 10TALFEE S - TOTALFFE E <br /> FOR OFFICE USE ONLY: <br /> FPONiSCiBACN IIF�HS[iB�CN SIpf5Ei0ACF PIANO�FCKNIIMPFR f(F �ECEIPiNO <br /> ZU _ r -- r s �, � .�2 9. �s' S�s 7 z - <br /> uIs,eza+e �oun[e veuHtsn[ PEES VALUATION FEE <br /> S"--'2 ouuoiNa '�'Z�J �/I�_ <br /> ttPEOf[ONISAl10WAA11 IVPF01[ONSIALIWI r.n�nu. xi�Mmviire�;uc¢ -------- — 7 <br /> � �'" PLUMOING — <br /> - 4-N ri- _ /�' <br /> • SrzEorBtDa M. (ssroniEs B�SEUEr+� MECNANICAL `� � <br /> �'— <br /> SG S� J � <br /> occurer�cv io�o rine S�nHK�enS neo'U Neic�rt i.iuner� A��ITIONAL PUN CNECN �; � <br /> l � <br /> N° orMEn <br /> RE�SON ORSPRiNMIEPS — — -�- T <br /> STAiE AUILOING SURf,NRRGE (� ( `�� <br /> --__"___ l'_`—`� <br /> ir�rn�rnr r�nr�,u�rno�ronr CITYOFEVERETT PuouCwonKs - <br /> � LOCALSALES ' <br /> ic�� TAX COOE IS 3105 *aT�� �Q � .� j <br /> ✓ <br />