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w � <br /> A c APPLIC�►T101. FOR CQNSTRIJCTI..N PERMIT everett <br /> ��E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv oF � <br /> everett HEATING SYSTEM: ❑GAS ❑ELECTRIC U_ ._� <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> UEMOLITION COMBINATION � BUILDING MECHANICAL PLUMBING SIGN <br /> OVMf:R M�II�DDflF.SS CITV [�� P�E <br /> "i Hc� (jaEl�6 (:o � (�.o. �cx 3'707� M�S oF -76 .SFnrrLLr. �✓/� 9p/2y sYz-rP7p <br /> IEN�NT AIAII���HE55 CITY � IIP PMOHE <br /> Sf}r�� /f'S �,'^'N,te. <br /> AqCNRECT 00 DESIONER MAR�UURf 55 CITY ZIP PINAIE <br /> Tlk,r /#-vs ri.� Gv. �ao �w /6 � st. K��;�N, w.�. y,�i�'s' 26 6 - PAeo �¢✓ST�c 7377N� <br /> (7ENER�LLONTR�CIOR '�I1�00RE55 CITV 21P P�E LIGENSE/ � <br /> if�-ME � i�^:iG •/a .�-. <br /> MECN�NICQCONTR�CTOf� M�iL�DDNE55 GTV 21P PH01�E LICENSE� <br /> PLIIMB�N6 CpITR�CTOR M�IL�DURESS dTY 21P PIIONE LICENSE{ <br /> ClASS OF M'ORK <br /> ���K NEW '�� � AD�ITION � ALTERATION � REPAIR DEMOLITION WOODSTOVC/FRPL INSERT �,.! BUILDINQ RELOCATION <br /> CONTACT PERSON�ND PHOnNE NO p <br /> CONTRALtVPICEOFWdiK ON �l T (!O �! <br /> DESCRIB�YIORk ANO SIXURE FOOT�OE INVOIVED <br /> anoro���� �e I HEREBV CERTIFV THAT � HAVE REAO AND EXAMINED THIS <br /> a�/�,C N�Fr nS$CM��� APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> LEML�ESCRIPTKXI OI PROI'ERr'I�SNOWN BEIOW OR�TTALH FWR LOPIES� PROVISIONS OF LAWS AND ORDINAN;ES GOVERNINO THIS TVPE OF <br /> WORK WILI BE COMPL6TED WITH WHETHEH SPECIFIED HEREIN OR <br /> �pT e�ocK ov NOT. THE GRANTIN6 OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> OTHER STATE OH LOCAL LAW REOULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br /> VWNEH OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLI�ATION IS MADE AND I COMPLV WITH THE STATE <br /> f,ONTPACTORS LAW 1827 RCW AND 296.200 WAC. <br /> SIONATUNE OF CONTR�CiOP ON�OTHd112ED AaENT DQE <br /> PROJECTADORE55 /^�. ���—T/�� 2��/� <br /> ')OO W� ��I/S/NO R.D . �O�ZL �PP���NiSCITVBU51NES5 ENSENO �NDBIISINE55N�ME <br /> PLUMBIN(i MECMIINICAL <br /> N0, TYPE 0.'•FURURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/G—NHNDLQ UNITS—H.P. � <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATOHV(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 6 DISP � VENTILATION FAN � <br /> DISHWASHER � RANGE HOOD <br /> LAUNORV TRAY ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE � <br /> URINAL ' METAL FINEPLAC 6 CHiMNEY <br /> DRINKING FOUNTA�N I FIREPUICE INS T I � <br /> FLOOR DRAIN � HEAT PUMP ' <br /> BACKFIOW PREV TERS ; GAS PIPIN <br /> ROOF DRAIN AINLEADEPS EXHAUS FAN <br /> SINK(SERVI —BAR,ETC.) <br /> � <br /> � <br /> SUB TOTAL S SUB TOiAL S _ <br /> PERMIT S PERMIT S <br /> TOTALFEE S TOTALFEE E <br /> FOR OFFICE USE ONLY: — <br /> FRONT 5ETB�CR RE�R 6ETBAGN SIOE SETB�CR PUN C7NECIc NUMBE/R FEE REGEIVi NU <br /> J-���b <br /> USFIONE LGf�PEA V�CANi51TE FEES VAlUAT10N FET_ <br /> BUILOINO ,�j �iJ(�(� y[� ' �� <br /> TYMOfGONIS�LLOWMIF ivPEOfLON511iLIWl o[N�� NOUbM[�i�NGWrs <br /> / _ �,_ _ PLUMBINO � <br /> i <br /> S�TEoiBIDo No oisTo �F.S B�SEM NT MECMANICAL ' <br /> 0' �'�� �n� � � �'�� � � <br /> OCCUPA GV LO�D iIRE PPNItIENS NEO'D NEIOHT�IMITATION ADOITION/1L PUN CMECN `� ' � �J� � <br /> � <br /> �,��0 � � O1HER i <br /> PEASON FON 6PRINNlERS —�— I <br /> (, ��' � ST�TE BUILDINO Sl1FLHARGE � <br /> i <br /> INi�1cE Bv PL�NS�PPROVEO Bv CITY OF EVEREIT PUBLIC WORNS �� <br /> LOCAL SALES <br /> TIUf CODE IS 3105 tor�� ��y ; � <br />