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� APPLICATI�r�I FOR CONSTRUC'�.1ON PERMIT everett <br /> � M�.E�sroree� TO Bc COMPLETED IN INK—PLEASE PRINT � <br /> cinoF Y5:�20 e c �Ik r ,�� <br /> , everett $'� -���- <br /> � BUILDING DEPARTMENT HEATING SYSTEM: ❑GAS O ELECTRIC U <br /> 259-BB10 <br /> 17 DEMOLITION i i COMBINATION � � BUILDING I i MECMANICAL }�LUMBING I I SIGN <br /> pyMEq o M�IL�DORE55 fJ � CITv IIP /1pNE <br /> `�- /JaG�� /.QOe� 37a7 M��N2� S[a�Le �1.�:. /ry /Z `! - L Lo� <br /> rewwr MennooaE55 / CITY Ilf P110NE <br /> � IIPCNITECT0110ESIONEN MMI�DORE55 C1Tv 21P PNONE <br /> . 6ENERALGOrITR�CTOR M�y ADDPE 5 '/ CITY IIP P1qRE UCENSE/ <br /> wh�rLf S�.�c�.,_.-� �S,r��r �a �..r �76y ��.7`2� �U/.�. 9i/o9 35�L )1t3 <br /> � MECN�NIG CONTR�CTOR AUII ADUOESS CITY ZIP / PHONE LICENSE/ <br /> PIUMBI1qCONTRACTOR MMlA00BE55 / CITv 71P P1qNE UCENSEI / <br /> � s4 r.0 4 S U-G.v� ��l/h�'f'�S�i 3-/f 4� <br /> ClA98OF NdiN <br /> I�' NEW I I ADDITION I I ALtERATION I I REPAIR I I DEMOLITION � � WOOOSTOVEiFRPL INSERT I i BUILDINO RELOCATION <br /> eow r,r rensoN u+o r�ar�e No <br /> � CONfMtT PNICE OF WORK �,�;s�.�� 3�/Z 79�3 <br /> OEBCRIBE Y/ONK AND BO11�11E FOOUOE I VOIVED , ' <br /> ! G � 4 1 f/} <br /> - PROP09EOUBEOFBUILDtt10 I NEREBV CERiIFV THAT 1 HAVE READ ANU EXAMINEO THIS I � <br /> ' � �'�L APPLICATION AND NNOW THE SAME TO BE TRUE AND COHRECT.ALL <br /> �-`-� PROVISIONS OF LAWS AND OHDINANCES OOVERNINO THIS TVPE OF <br /> LENI DEBCR�PTqN OG PR01'ERTV�S��OWN BEIOW OR�Ti�GN!W 11 COl'IE51 - <br /> WORH WILL BE COMPLETED WITH WHETHER SPECIFIED NEREIN OR <br /> wr__ e�ocK __ o� NOT. THE ORAN?INO OF A PERMIT DOES NOT PRESUME TO OIVE "� <br /> • AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> • OTHER STATE OR LOCAL LAW fiEOULATINd CONSTRUCtION OR THE , <br /> , — P�RFOAMANCE OF CONSTRUCTION. THAT I AM AUTHOHIZED BV THE <br /> OWNER OF THIS PHOPERTV TO PERFOHM THE WORK WH WHICH <br /> � — APPLICATION IS MADE AND 1 COMPLV WITH THE STATE <br /> � CONTRACTOPS LAW 18.27 RCW AND 288200 WAC. <br /> SqNANf1E O�CdITRACfOR OR�U7HOPREO�OENT O�TE <br /> ,� /z 7f �. <br /> X <br /> PR01EC7�OD�JRE89 . <br /> DO p , �`'^ �PP��ANISCIIYPUSINFSSLICEN .\NOBUSnIE95N�ME � <br /> � iii �,� <br /> � PLUMlINQ MECM�NICAL <br /> � N0. TYPE OF FIXTURE OA ITEM .'E NO. TYPE OF EOUIPMENT FEE � <br /> WATER CLOSET(TOILET) AIC-NHNDLO UNITS-H.P. � ����� <br /> y <br /> BATHTUB FORCED AIFi SYSTEMS-B.T.U. M E.A. � . �. <br /> UIVATORV(WASH BASIN) � UNIT HEATERS-B.T.U. M _� s <br /> SHOWER CIOTHES DRVERS � � <br /> NITCHEN SINN 8 DISP VENTILATION FAN ; '�, <br /> ��� DISHWASHER � RANOE HOOD � I ' <br /> ' LAUNDRY TRAV ; WATER HEATER ' � � <br /> CLOTHES WASHER � WOOD SiOVE � , <br /> , URINAL ' METAL FIREPLACE 8 CHIMNEV � ' '�, <br /> + DRINNINO FOUNTAIN � FIREPUICE INSERT �_ � '�, <br /> FLOOR DRAIN � HEAT PUMP � I ' <br /> �' BACKFLOW PREVENTERS ; OAS PIPING ' I �, <br /> ! POOF DRAINS-RAINLEAUERS � E%HAUST FAN � � �. <br /> • SINK(SERVIC[-BAR,ETC.) ; 'I <br /> , a � _ � I <br /> � i <br /> � , <br /> � � <br /> � i <br /> ' SUB TOTAL S O I SUB TOTAL S <br /> i PERMIT S /O � PERMIT S � <br /> — "--�- <br /> TOTAL FEE E TOTAL FEE S ' <br /> FOR OFFICE USE ONLY: <br /> FRONTBETBACR OFAlI6E1B�CR SIOESElO�Ck PI�NCNECNNUMpER fEE PECEIP�Iq ' <br /> usEiawe iarnne� WC�NT6tlE FEE9 VAWATION FE�_ � <br /> OUILDINO i <br /> iYPFqCONf61iLLOWAII[ I1 FOiCUMSI�CIWL arurrxcr MopVM��iNalnil6 — � <br /> a"'u• PLUMBIN6 �� �� <br /> 812EOFBL00. NO.OFSTdi1E3 BASEMENT MECNANIC�L � <br /> � <br /> OGCUP�NCYLWD ROE6PRNKlER811E0'D HEIOIITUMII�TION ADDITIONALPUNCHECN � �, <br /> � <br /> O�HEH ' <br /> RE�80NFqR8PRINNIERS � <br /> S7�TE BUILDINO SURCH�PGE i <br /> INTAI(EBY PL�N5�7PROVEDBY CITYOFEYEflEiT PUBIICWORNS � <br /> LOCAL SALES � <br /> TAX CODE IS 3105 TOTAL » �,.. <br />