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r=- <br /> AP�PLICATIL J FOR CONSTRUC7 .�N PERMIT °`'•'°" <br /> �, � ,,,.,,, TO BE COMPLETED IN INK-PLEASE PRINT � � <br /> an n� <br /> everett I HEATWGSVSTEM JGAS �EL[C7PiC J ] <br /> DUILDING DEPARTMENT --- - � - � --�� � � � �� � - �--- ���------ <br /> 259-8810 <br /> DEMOLITION COMBINATION HUILDING MECHANICAL PLUMBING SIGN <br /> _ - _ _. --- — <br /> x �.w�n n wn nnorii ss i i ;� nHart [ r� <br /> � uf < 1 l (� . �l ! � I�i� �ISA (� � � l! �' J�/iJ ��G � 7� 1� <br /> r�-�-�--h _'F — ' -�--r� -_`-�,]rv --- . ( f ., _ L - i J' � <br /> uv ! ./�� �it.4i i J� � ic I C � /O _�.. ____ _—_—__ <br /> r�H.Hi � � Muienoness- - �i, c�.oH[ <br /> PF,[��(�)j(Of��i �4y���IGL`. INJ�ST(1.IC��I�1(. __ <br /> �P��aiFf,IOROFSGNIR M�iI�DDN55 O�v IiP PIqNE <br /> r: 1�r2�:a.�r�'�� AtoD/(.—fry P�.(�ck l2yr � /JSA4�cn�[v�P:. n7 � 59�= - 1'�_ ". l <br /> i�141�U1LONIDAL1pR--�—� MAiIApDfIL55 U�V I�P PIIONE LIf,ENSEI <br /> �([]'�� -- - 39�titc �-s D�s,E ..csti_-. .. . . ----- ,'�vcn.sM �tl 7�,� k_� . <br /> (`� l9 t vAN�UI fON1fUL�ON Mbl App1165 t'iv l��' P�bNE I�CENSE• <br /> �A r�i " __—_ __'—— <br /> Q �"� �9vNNA,iCpIfRAC10B MNI�pCPf55 :Jtv 7in PIIpN[ UCENSE• <br /> 9Hy <br /> H �� <<�;�:o�wonn — —�- <br /> �C y� �NEW _ ADDITION AITERAtION AEPAIR _DEMOLITI04 WOODSTOVErFRPL ItlSERT BUILDING RELOCATION <br /> O CY,O ,(� �.�r�r�r.i�,rnsoN nHn wariF Ho i <br /> � yH r.ovm.arrnicrorwnr�� oZ} OQ CE.��t�n_t�_ /�$�C 1-t��/JSK/ �.61. -- 3S63 <br /> H pf:�'�9C WOf1N�ND SIXURC fOCUGf� V(%Vf[l / <br /> o �� �'�-D6���� 1 F7'.'. zr'� «�.=��-'u.y� ---- <br /> iwoi�os nuseornunowe I HEREBV CERtIFV THAT I HAVE FEAD AND E%AMINED THIS <br /> %L nC��yyy 76�T�N� LA /j � nr-r-��rs APPLICATION AN�KIJOW THE SAME TO BE TRUE AND CORfiECT ALL <br /> ��� iinu nescnmtror�a rnoneArv�srwwr+eciowone�t�cHrouncomesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �-1 WORK WILL BE COMPLEIED WITH WHE?HER SPEpFIED I�EREIN OR <br /> Z y� i�� B�ce� c� —.-- NOf THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> Cy AUTHORIIV TO VIOI.ATE OR CANCEL THE PPOVISIONS OF ANV <br /> p.� OTHER STATE OR LOCAL LAW RFGULATING CONSTqUCTION OR THE <br /> ty y M PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOAIZED BY THE <br /> �a y OWNER OF iH15 PROPERTV TO PERFORM TME WORK FOR WHICH <br /> �� — APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> t" CONTRACTOtiS LAW 1827 RCW AND 296200 WAC. <br /> �y sir.N�ruaEorcor�rnr,cronox�urNnuv[o�cEr�i n�rF <br /> N � ,�.,t_ <br /> X ��'�a..-�� s/z.,�91 <br /> �•noircreorm[ss . C 4. .:/L� / _ --___ ' _. <br /> � �PPULANi51:PVP1 �6911CFNSCNO �IIf10U5�W55NA4E <br /> �on u- r_ns�No tin. <br /> PLUMBING MECHANICAL <br /> 1� N0. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> { � _WATER CLOSEi 1TOILET) A�C-A�HNDLG UNITS-H P. � _ <br /> � — — <br /> BA7HTUB FOHCED AIR 5`!STEMS-B TU M E A <br /> � a�' LAVATORV IWASH BASINI UNIT HEATERS--B T.0 M <br /> SHOWEH CLOTHES DRVERS <br /> � � NITCHEN SINK 8 DISP VENTILATION FAN <br /> �� ! � DISHWASHER RANGE HOOD <br /> LAUNDHV TRAY WATER HEATER <br /> CLOTHES WA�HER WOOD STOVE <br /> � <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> �� <br /> , DRINKING FOUNTAIN FIqEPLAGE INSERT <br /> � FLOOR ORAIN HEAT PUMP <br /> BACKF�OW PREVEN7ERS GAS PIPING <br /> !'�� ROOF DRAINS-RAINLEADERS E%HAUST FAN <br /> SINK ISERVICE-BAR,ETC.� <br /> � — <br /> � � <br /> - �— <br /> � SUB TOTAL 5 SUB TOTAI 5 <br /> �'� PFRMIT 5 PERMIT 5 <br /> iOTALFEE 5 iOTALFEE E <br /> , , FOR OFFICE USE ONLY: ___ <br /> inorasia�eK ne�nseio�cn siorsFieei.r ri�Hun Krn,Motn rcr nrcnvir�o <br /> �7� � � <br /> �r,�ior�� ior enee V�C�NT S�IE FEES VALURTION FEE <br /> —•— <br /> ___._ OUII�ING - ' � <br /> _ - — �~nz _ __ S Y: ___ <br /> ��II li�f.ON15�UOWABI! IrPf OI C114`.1�L1Ud r1[:n�Y . x,i a lMI..Y, � - --- - - �— - -- ---- <br /> p'�� � .g PIUMOWG ; <br /> -� �� _-- 4i'2. ____._ _-- -- <br /> sVIOIPIDf--- NOMS1pRIf5 flASCME\i�� MEQUNICAI <br /> ��Z sF � - ----- - — � <br /> cxcurer�cr�neG nnrsrnr�ri�m:rnqu Hn,wiiMnniia: �PUNCHFCK ,3�; /p ', <br /> �� _'— _— .___ <br /> — --- Nd -- _ __ ot��E�� ; <br /> �iUtio�OnsVN�Nrliris . . .. . . -_. . . _ . . - ___ _.__—.'—�— <br /> SiRlf OUI�DMG SUItUvlNtll U__(U <br /> ..___. _ _ . . _. <br /> _ .___.__. ._____ __"__I —_ <br /> cner� nr �� �°ur����rwinvii���� CITYOFEVEREn Pu171�CwJNKS ' <br /> LOCALSALES <br /> /� TAX CODE IS 3105 TOTai — �j`? �:o <br />