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� <br /> APPLICATION �OR CONSTRUCTIO.. PERMIT ' ""'� <br /> � �,�<«��� � <br /> ,,.,c,�„p-.�,� � <br /> cnr oF <br /> everett <br /> BUILDING DFPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK-PLEASE PRINT <br /> �(r(r��� i i DEMOLITION i i COMBINATION _ _� i BUILDING _X MECHANICAL PLUMBING i i SIGN <br /> � owra-n M�Kennncss cnv tm ruont r�i y. <br /> ;,�ao3 c✓ c'-nl.ao .�n aY ,7S'� - ab'7/ � 'r�, �" . <br /> ID � _�e l u� -- — �-- - --- -- -- <br /> C y IfN.1N1 M�N AODIIE55 f.IIY rn� w�ir <br /> n��i:,K ' �, <br /> � 's�,� <br /> .�.amecta+oEs�er+ea u�x�oon[ss r.rtr ziv r�Kxie ! �iw,g�,;: <br /> ��� intcrface linglnccring 82Q-1542 � :a <br /> ��Q fWEMICONtOAGIOfl MMt�ll[1fIf55 CIIV tIP — PIqNE _IICENSf� — '� �'i , <br /> 1� f 4 .'�d <br /> j F �x <br /> � u�c�uNkuconrn�cton Menennness cnr nr r�ror�c ua:r�se. � a <br /> 4�P� <br /> �Qy� _Holaduv-ParJLe,�tu:.St1S�1CttLlfviuu�._Sui[�_G041,_ S�uLL1�,�A�8104_ZY'L-11bIlJ1QL4lll'i7Z4N(L— °� ��`' � <br /> PiIM19M�tONiH�CtOR M�RADORE55 C�tY tiP ���OME Uf.ENSU ��� 13r�� <br /> ��g -- ,' <br /> ;t a:t� i <br /> �]r �] ciessawonK <br /> ryr�„q �LNEW I I ADDITION I I ALTEFATIOh I 1 REPAIR I I DEMOLITION I I WOODSTOVE/FFiPL INSERT I 1 BUILDIN6 RELOCATION ��.t�" <br /> �y IENQITIMPROVEMCNIORIMERqN11EMW[IWrtY /C COf1UQf'F115ON�NUPIIOIIENO , �Es� F � <br /> � 33Y' Miche]]e Challender ur Anmm�rfe Petrlch ; <br /> Hy� CUNIP�CI PRILE OF WORN'.�tl _ _ . <br /> �(SLNOE WORN ANO SOUMiE�OOt�fiC INVp V[� I <br /> g�� --- z9z-� �ha __ _ ,< �y��# <br /> � _]rs a IIYAc - s„ <br /> r anoroseouseoreunn�Na I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS i�'� <br /> ['11 Crew Sl�e 1[er APPUCATION AND KNOW THE SAME i0 BE TRUE AND CORRECT.ALL � <br /> �v� PROVISIONS OF LAWS ANO ORDINANCES GOVERNING THIS 1YPE OF �i���� <br /> y lt4�l0ESCPiPtIONOfPNOPCRiV�5110N'l10[lOWO0�i1�C11FIX111COPlES� }. <br /> WOFK WILL BE COMPLETED WITH WHETHER SPECIFIEG HEREIN OR :,,o,;rY <br /> ior o�ocx a --- NOL THE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE � � <br /> AUTHORITV TO VIO�A7E OR CANCEL THE PROVISIONS OF ANY <br /> Si,C ��i',Lil���y _ OTIIER 57ATE OR LOCAL LAW REGULATING CONS7FUCTION OR THG <br /> - PEflFORMANCE OF CONSTRUCTION. THAi I AM AUTNORIZED BY THE <br /> OWNER Of TIIIS PF70PERT1' TO PERFOFM THE WORH fOR Wf11CN <br /> APPLICATION IS MADE AND I COMPLV WI1H THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 296 200 WAC � <br /> sn�r:�nrni-<sr,rx�in�cranoneun�un¢euecerv� ne�e 4/U/91 <br /> X '�.C�1�9 S1.A�.r._. <br /> rnaecreooncss - -- -- '-- . _ IIOI.AUAY-PARKS� TNC. 1101_ADPI379N0 -----_. . <br /> 300� W. Cuslno Road� Cverel[ '�� �03 �' L' �Prur.errtsurrxusn+rss��ceNser�oer�oeusn�¢ss�+Aue <br /> PLUMBING MECHANII:AL , , <br /> \ NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT fEE � <br /> �C�, WATER CLOSEi(TOII ET) ____ ___ A� _NHNDLG UNIfS-hl P. � <br /> ' _ �__ .- _ - .. <br /> ! BATHTUB __ _. _ __ - ' - __= F�RCED AIR SVSTEGS--B.T.U. M E.A. �_ <br /> 1 !I LAVATORV(WASH BASIN) � UNIT HEATERS--B TU M _I _ <br /> !! SHOWER �- CLOTHES ORYERS ! <br /> ��� �� �_ KITCHEN SINK 8 DISP ; VENTII ATION FAN_ � <br /> I _�—_ _ _�'T_ <br /> I _ DISHWASHER RANGE HOOD_ _ _ <br /> � UIINDRY TRAV ' �WATFJi HEATGR _____ <br /> � ( - _ _ . _ .__.- �- � . �_. WOOU SIOVC _ __ — � . <br /> CLOIHES WASHER _ _ —i— <br /> URINAI � MfTM fIRFPIA('C6CIIIMNEV <br /> �� FlfiFf I AC[WSFRT <br /> DflINHING FOUNTAIN _ ---� <br /> � <br /> -- � . . HEAT PUMP ' <br /> ', FLOOR DRAIN �._ <br /> _ ._—_ ___-.___..___..___ . .«_ <br /> :' BACKFLOWPREVENTERS ; GASPIPING _ � <br /> I ' _ HOOF�RAINS--RAWI.EADERS ___i �Z _ E%HAUST FAN I— <br /> 1� SINK(SERVICE-BAR,ETC� <br /> , _ _—_-__ - '__- _ ____ <br /> _ '-_-_'. __ __ . .. � <br /> �. . . _"—''_ <br /> '__- _-_'— ___.. _ . .__ ' . _ _.. . � <br /> ' ' _.. . . ; ___ . . _ .. .___ __'__ 7_ <br /> _ _— -_ � <br /> I r SUDTOTAL f /GO '- ' <br />� SUB TOTAL S � __- —— - �--- <br /> - -___._.._ <br /> ___ .. _ . ... - ____ <br /> -- ;--- PEPMIT S /S -� <br /> PF.RMIT S _ .___ ___.___________-- —�--- <br /> . __.. __-..'.-_ ___-. . TOTALFEE S //�' -. <br /> TOT�I.FEE S <br /> �� n�artsnnncn neensuoecK sinescmn�.. i��eunnr.nw��nin� irF ner.tirn�a . <br /> u,�lrp�i --��- - -���run� vuernsnc � FEES VALUATION FEE II <br /> ' � VES( � � NO Ilull UWG ' <br /> _ _—_ . .__._ . .._1 .. _ ._ . _ . �II <br /> IYPEq[ONSI�iIUW�lIf IxIM�ICON51�CIIP� ���r wi i nv,i�r . . . -.- . -... <br /> °a°r PIIIldiflNt� <br /> . _ . . .__' _______ . — <br /> SITEOFBIW AOO�StORI[6 B�SfM[NI <br /> AIfC11AWCAI _ //S L_- <br /> IIVES IiNO .. . . . .— "_ ._. -_ . . — - <br /> OCCIIP�NGYl0�0 fIRE5VP11NIfRSRC00 IIENi11111411�1Nk1 OIIILq. . .___—__ ,__ __ � I <br /> _ —� <br /> IIVES � : NO � ' <br /> ------.._..--- . __. <br /> sinn uuuuwr,swacu�nce ' <br /> . . . - ------- --�-- �- <br /> NFASONfOR6�RINqERS . . ..- ..--�-�-�—' -�"'---'"� � � <br /> $IAiI:I.N6HGY SIIIiC1�Ali(il�. � <br /> .—. .-_ _..__�.— . .. li <br /> . _._ . __ . _"__ "__" '____ "-_____ ...____ /S �� <br /> u �n;enaur.cer rur+s�rr�u. CITYOFEVERETT punur,wonns I <br /> LOCALSALES <br /> TAX CDpE IS 3105 IOTAL I <br />