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� .; <br /> n 1�75 7 ._ ,. . � <br /> APPLICATIO�� FOR CONSTRUCTI� PERMIT e�e'P" ""'" <br /> TO BE COMPLFTED IN INK-PLEASE PRINT I�, � <br /> ..,��.�,p,�� e <br /> ��.��� � <br /> everett � HEATING SVSTEM: U GAS C.1 ELECTRIC fl — � 'r <br /> BUILDING DEPARTMENT -- <br /> 259-8810 <br /> i DEMOLITION i I COMBINATION � ' BUILDING �I �MECHANICAL �LUMBING I I SIGN � <br /> ��W�i�� u�rt eonness � urv nn rr�oe�e . . • <br /> �� p __ _Bne:ng.--_9D_o�Jrt5L_GASfio_Rd; Ey�i1L 9@3Q`f_�1e4-�' '�.� <br /> � nnnr�� ueeennnvss —_—_—__ —cirv zm--._ r�ar+e <br /> r <br /> � . NOBlJWLII_--- ___—-_ '-_ —_— � <br /> �ncr�i�t��on��tsKaHFn u�n�noncss r,nr rm r��one <br /> iv <br /> �� n[NFnRIcoN�N�c1on unR�oonrss u�r Sm r11oNE IiCENSEr . .. 'E'� . <br /> _y1� ��.,,,�,�� �a�b��_ly.��_._.��` +k�4r.o�Ba�S 340•1953 cco� w.:etisti awco <br /> ��� YECII�N�a+in.cron u�ti�oonEss -- _ ���+ nr r� �weNse� . <br /> ru�ortmr.onmecion ranneotm[ss cnr 7ir rrqrie IICEN5E1 <br /> ��� _�tJii�Y 3c�nnch�c_ 1t�� or Po IYI7 -- —�+k1}S4_�0275_—�`!3•'1953 Ccol Wr�.A91.3N14o <br /> ciessd � hw: r <br /> p ' � NEW I i A�DITION � I ALTERATION I I RFPNR � I DEMOLITION I I WOODSTOVE/FRPL INSERT 6�'i BU�LDINO REIOCATION <br /> 'iA - �, ca+t�ctrEnsw�u+nrr�c»�Frro - � <br /> M QO <br /> y` a»nn�cran�cearvrorm __�350.�� <br /> ���y Of5f,f11BEN011NRIDFWAPEFO0fA0E1NVOIVED <br /> . <br /> r`� �pp`y�`, 1'_tl�.,er�4`aswer�o�33Se�_�'ne�i1� <br /> �1' riroroscb'uSEWP11nDMG I HEREBV CERTIFV THAT I HAVE HEAO AND E%AMINED THIS i�-�' <br /> �°y _ _ APPLICAiION ANO KNOW THE SAME TO BE TRUE ANO CORRECT.ALL <br /> ty�0 - - ���'�' C ����-------�-� PROVISIONS OF I.AWS�ND ORDINANCES OOVERNINO TH19 TVPE OF <br /> Q irnnioescmm�nr�nrrnorFnrv�siqvmnnownnn�un�rrHincnrirsi <br /> WOFK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> e,� im niocK or _ . NOT. iHE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> V AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> a OTHER STATE OR LOCAL LAW RFOUTATINO CONSTRUCtION OR iHE <br /> ' ' • - -- PERFORMANCE OF CONSTRUCTION,THAT I AM AUTHORI2E0 BV THE <br /> OWNER OF THiS PROPERTV TO PERFORM THE WORK fOR WHICH <br /> -- APPLICATION IS MADE ANU I COMPLV WITH THE SiATE , <br /> CONTPACTORS LAW 1827 RCW AND 298.200 WAC. <br /> swe�runcacaanecronon�una�aizeoeaENr oae <br /> � rnaect eooness <br /> - G�.�ia�l�� � <br /> -- _ �� O� , � APPIIC�N15CIIVPUFMfSiIICEN5FN011NDlUSINESSN�ME <br /> j��; PWMBINO MECHANICAL <br /> I NO. TYPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> �_ WATEF Cl OSET(TOILET) _ 5 � va _ A/C-A/HNDLG UNI1S-H.P. _r <br /> � BATHTUB ' FORCED AIR SYSTEMS-B.T.U. M E.R. ; � <br /> 1 � LAVATORV(WASH BASIN) _ �°o UNIT HEATERS_-A T.U. M i .. <br /> � ��j SHOWER _ ' _ CLOTHESDRVERS ' � <br /> j� KITCHEN SINK 8 DISP VENTiLATION FAN i <br /> —r— <br /> � i qANGE HOOD � ' ' <br /> DISIiWASHER <br /> ' LAUNDRVTR�V � WA�ER HEATER ' <br /> I �� — --� _ WOODSTOVE_ � <br /> CLOTHES WASHER <br /> �� URINAL METAL FIREPIJ�CE 8 CHIMNEV ; <br /> DRINNINO iOIJNTAIN FlREPLACE INSERT i � , <br /> FLOOq OPaIN ' HEAT PUMP � � � <br /> —�. � <br /> ,_,�' BACNfI JW PREVENTERS , OAS PIPINd ' F <br /> . ` ROOF DRAINS-RAINLEADEHS --��- E%HAUST FAN � <br /> i <br /> SINK�SEHVICE-BAR,ETC.) ' � � <br /> _T— — — i <br /> — � � <br /> --T— <br /> I �1`I -- � � .',� <br /> i � <br /> i <br /> i ? <br /> �� SIIBTOTAL f �O i 00 SUBTOTAL f ' <br /> I �1� _ PERMIT f _ 10 00 PERMIT f � � . <br /> i70TALFEE f 0 � TO7ALFEE f ' <br /> � FOR GFFICE USE ONLW. <br /> TOH1Si.10ICM PE�OSEtO�CN SIOFSf�P+�IN � 1'IANCNF.CKNOMpF11 fEE RECEIPT/q. i <br /> usr i��+r �oi enr� vncnu�su[ FEES VALUIITION FEE �' <br /> i <br />' flUIL01NG � � i <br />� IrPFOttONI5�11UW1111F �NIVLIINSIkIU�: rcne�w. xnnMmiwc�wni -- -- - — i I <br /> r,enm � PLUMBINO � . <br /> SVf Of qIIM NO IX StD11�F5 � O�SPMNI� � <br /> MECHRNICAL � <br /> � <br /> ' '_—_— —� �. <br />� AODITION�IPIANCHFCN � ! � <br /> occureucrioeo rin[trnHKitnsnron u[xurtuun�na� � . <br /> � <br /> i <br /> OTIIER � <br /> IIE�SONfOR5Pf11NMlFPS � "-�--'-'- - � I <br /> srae ew�oiNr,sunc��nncr � <br /> miexenr ruHs�rrmrvrner l CITYOFEVEflETT PUBUCwonKs ' <br /> LOCAL SALES , , <br /> TAX COOE IS 3105 rou� ; � � <br />