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1 <br /> ...., ,.,., /1/l.(l� C � '� <br /> APPLICATIO� FOR CONSTRUCT��N PEpN1iT -" ''°�''�'" � <br /> TO BE COMPLETED IN INK—PLEASE PRINT � � <br /> m,�r„�,n��,��� r <br /> cnv or <br /> everett - __ _ - - � <br /> --- _ __- <br /> �EATWG SYSTEM: J GAS J ELECTRIC J _ __ . - <br /> BUILDING DEPARTMENT — — -- --- — --- — - <br /> 259-8810 <br /> DEMOLITION COMBINATION (�' BUILDING �MECHANICAL �PLUMBING SIGN <br /> ip q • \ MAIL�DDRP55 fi1V !�� �:�P^HUNC � <br /> �� �� W� qNT ���1 �noG�Q_5�- ��F_2�iT Um •�J� �3�- O�-]�- <br /> 1LN��+1 ei��ooncss atv �m r��or�e li <br /> ��� �qCNI1FLLOR�fS�(iN( M�IlAf1�RF55 �-- --�—�—" LIiV — lIP PIIONI' — I <br /> ���! 1'����lF�n^�1. 8Qi^�y[^ntss�� f(.. IV�c'.ii���T�' vr�o'+[ liccNSF.r � <br /> 1� �7.J 9� L.��a��4� Wcc� iasi� <br /> 1"1 MECHANILALGONiH�CTOR M�II�DOPF55 f.itv 21P PIIONf LICENSE� <br /> R�� PLUMUINGLONiHACTON MMl�DU0E55 CI1V AP PIIONE UCENSC� <br /> � <br /> �� ��.550F WOR. <br /> NEW _ AODITION ALTERATION REPA1 � D MOLITION WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> �� CON �Gt PERSON AN o�pNE NO — <br /> � <br /> CONTR�CiPRICEOIWJRN �� C7� _ �'� �11'SE �WTQ£y� �R�i`ol '�3 <br /> p� �E RIBF.WORN SOU��[fOOlAOE 1NVOlVEU <br /> �� i�W ��. lo�� °19� �F _ <br /> rnorosEouscanmiowu I HEREBV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> :--� APPLICATIUN AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ��y�y �eaei :.c�or raoP[mr� H eetowon�necr�rouncories PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS TVPE OF <br /> p�A �pT eiacK 5�� ov ��G}IE.U� LA1'�f WORN WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> 111��� NOT. THE GPANTING OF A PERMIT �OES NOT PRESUME TO GIVE <br /> ,e� �y ,,,� 1 AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> 6 J-��IPRO . CO S r-�R-��-�-. A p�. -�� OTHER STATE OR LOCAL LAW FEGULATING CONSiRUCTION OR THE <br /> � PEFFORMANCE OF CONSTRUCTION.THAT I AM AUTHORI2ED BV THE <br /> �� �- +� r- q OWNER OF THIS PFlOPF.RTV TO PERFORM THE WORK FOR WHICH <br /> 1=L/F'I�.EST _— APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> WNTRACTORS lAW 1827 RCW AND 296.200 WAC <br /> S�GN�(UREOfLONTRACIOROR�UtNOPIZEDAGENT OATE <br /> �-��5 ---- �`iv�l Q ' <br /> � PR 5 APPI�CANi5LI1V0U51N�NO�NpBU5ME55N �E �. <br /> / - PI.UMBINO MECHANICAL <br /> I C�� NO WATER CLOSET�TOILERE OH ITEM FEE L -N0. tYPE OF EOUIPMENt FEE <br /> !vC-NHNDLG UNITS-H.P <br /> , BATHTUB FORCED AIR S`.'STEMS-B?.0 M EA. <br /> 1 i LAVATORV(WASH BASINI _ ��7� UNIT HEAiERS-P 7U M _ __� <br /> SHOWER ' � CLOTHESDRVERS <br /> ' �� KITCHEN SINK 6 DISP VENTIIATION FAN <br /> �1 � DISHWASHER —���q�j_ ApNGEHOOD <br /> I — — <br /> LAUNDRV TRAV WATEF HEATER <br /> —` WOOD STOVE <br /> � CLOTHES WASHER � <br /> i �� _ � � _ METAL FlREPLACE 6 CHIMNEV _ <br /> URINAL <br /> ��' DRINKING FOUNTAIN FINEPLACE INSERT <br /> � _T_ <br /> FLOOR DRAIN T HEAi PJMP <br /> i_ ' <br /> BACKFLOW PREVENTERS uAS PIPING � <br /> — _ ----� <br /> ROOF DRAINS-RA W LEADERS EXHAUS f FAN <br /> '��' SINN�SERVICE-�DAR,ETC.) _ _ _ — <br /> -- — R 3r�_d, <br /> ___ .__ _1 ' n �� � <br /> 'SI_I <br /> SUB fOTAL E �(?;lY� __ SUB TOTAL b ���J <br /> __-___— - <br /> � — --- PERMIT E .J�••�- ���� PERM17 5 � <br /> �'�1 — - --- TOTAL FF E S �_LT � � 70TAL FEE 5 7 i,----- <br /> � FOR OFFICE USE ONLY: <br /> __ <br /> vnoNlsEnucn � r.rnnsrtn>rK snt5 ne�n rtnq�.r����Huu9rn rtr nFrin � . <br /> / ♦ <br /> � <br /> r,.� ' Lo' S ' � ,;� ,�:3 2��1.. 3 `��.-�3 <br /> ___---_ _ -- -- -------- � }- =-- <br /> r:,r •rn�� � ..i�n nr,� vecnNt r,it1. � FEES VALUATION FEE <br /> ' euiioiH ,3bl.a' - 4�85 �4�{� 5�� 1) )�J� <br /> -�z- __ -. <br /> i�iiu�coxis��.iow�4ii nrtrocws;en�ia r „����.�, xa+iµ�.� �.� ___. _._. _._—_. _ _ ._ -___ _-_' <br /> tiVFrpBLM: � �_NOOiSiORR5 BASf3 I {I.UMI'NL _ ____ __3��� i <br /> _ �`h�----. _ ��—— R�_ — — — ---- <br /> MfNI �_ � M[f�IAMCAI __""_.�7_Q� , <br /> .��L2 G -Ju_ __ - -- � - — <br /> �x:CurANcvlo�o 'inEsrnrlKtEnsn[ao ��Ra��� I��Ai�n����. ���� ' :•^���LailCHkCh <br /> ______'"_.__" _____""_ <br /> -N�-- N' -- �,��� <br /> -8'_ <br /> i�insumraasnniNeirn; _'_ _ '_' _-_. .. .___ . - . —' -`�,���-. <br /> SiRiE BJLLDING SURrbq�1G1 ,i <br /> —___. . .. ____.. _ _.. . —+--� <br /> -niin.t iar -r�eHsernnovcoav � �ITY OF EVEflETT rueuC WonKs ? ; [ , <br /> _-��( LOCAL SALES <br /> TAX CODE IS 3105 rore� � , j�l � <br /> � <br />