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APPLICATION FOR CONSTRUCTION PERMIT everett <br /> ir�F,,,,�,,,,,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cn v or +} <br /> eVerell HEATING SYSTEM: L)GAS U ELECTFIC U _ _--� <br /> BUILDING DEPARTMENT <br /> 259•BB10 <br /> ' i DEMOUTION I I COMBINATION_ ;� BUILDING I i MECHANICAL I I PLUMBING ( 7 SIGN <br /> ownen unnnooness cnr nn mar�e <br /> �tio���� �. P.o. {3c�occ3�o7 Ms–c�r- �s�vrr�, w�• 981z9–zzo� 3vz-rt7p <br /> �enew una nness cnv zm PIIONE <br /> _�A-�MC' A'S OW�,/K'2. <br /> �nc�uiecronoesroNEn uuinounEss cur zm p�pqQ <br /> 550� rNc•� 30l _ 112�' qv�, NE � Q�u.£VUB� ►�/A�•. 9800 827- 2,9So <br /> ceNenu cannnaon uen nooness cnr zm rrwr�e ueesst� <br /> wR1iµT S6Hueqp�T Nq�tgeR Co.� �,o,Bak 3?S�I� 5��7�e.6i wA• dlz�� 342-1gs3 f�✓R�6N1'fY.�19Ge <br /> MECIUNIC�L COIPIlACT0f1 M�IL�DORE55 CIIV ' 71A PllqlE l�CE115f� <br /> PLWAf1iNOCdJIML10f1 A•pry �.�pfIF55 GIY IIP P110N8 IICENiif <br /> Gl 55 OF N'OIiK -- - <br /> � NEW I I ADDIiION I I AL7ERATION I I REPAIf� I I DEMOLITION I I WOODS70VFJFRPLINSEHT I-_1 BUILDWGRELOCATION <br /> CONUCI PEPSON AND PIIONE NO <br /> Lp1IRALT PfiICE OF W011N �N�il 11���'j�aQRs�,1 �u-s s�3 <br /> _Y <br /> OESCPIOE VIOIIN AIlO SW�tlE fOOTAGE INVOIVE�y ti�p/K 6 <br /> fev�vOrFTrs�lS Onr�,y <br /> rnoroseousEor�ounoiNa I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �i 12C�GA�LT I���O�L MF6. APPLICATIOIJ AND KNO'N THE ShML �O BE TRUE AND CORRECT.ALL <br /> i.eae�oesenmrar�ovrnorenrvis��owuoeiowoiunncnrameormsi PROVISIONSOFLAWSANDORDINANCESGOVERNINOTH�STVPEOF <br /> WORK WILL BE COMPLEiED WITH WIiETHER SPECIFIED HEREIN OR <br /> ior BIOCK _ Of NOT. TlIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER S7ATE OR LOCAL LAW REGULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TG PERFORM THE WORK FOR WHICN <br /> — APPLICATION IS MADE ANU I COMPIY WITH THE STATE <br /> CONTRACTORS LAW tB.27 RCW A11n 19G.200'NAC. <br /> _ S�ON�TIIqEOFGbNIMC70ROf1�Ui110BREDA6EN7 OQE <br /> PPQIECTAOOPE55 '.y <br /> — x !�� L�3�9� <br /> OO W. CAS/N Ro � �V« �^'I�� APPLICAN)SCIfYBUSME IIGEN5EN0 ANDBUSINESJNMIE <br /> PLUMBINQ MECHANICAL <br /> NO. TYPE OF FIXTUHE OR ITEM FEE N0. TYPE OF EOUIPMENT �E <br /> WATER CLOSET(TOILET) � NC—AIHNDLO UNITS—H.P. , <br /> BATHTUB FORCED AIH SYSTEMS—B.T.U. M E.A. � <br /> LAVATOFlY(WASH BASIN) —� UNIT HEATERS—B.T.U. M � <br /> SHOWER � CLOTHES DRVERS i <br /> KITCHEN SINK 8 DISP � VENTIUITION FAN ( <br /> DISHWASHEq � RANGE HOOD T— <br /> LAUNDRV TF1AY � <br /> ; WATER HEATER � <br /> CLOTHES WASHER � WOOD STOVE �— <br /> URINAL ' METAL FIREPIACE 8 CHIMNEY � <br /> DRINKING FOUNiAIN i FIFEPLACE INSERT � <br /> FLOOR ORAIN HEAT PUMP i <br />� BACHFLOW PflEVENTERS i GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � , <br /> i <br /> � <br /> —�--- <br /> : <br /> i <br /> � � <br /> 'T <br /> i <br /> _ SUB TOTAL = ; SUB TOTAL S ' <br /> _ PEFMIT S � PERMIT S � <br /> TOTALFEE S ' TOTALFEE S � <br /> FOR OFFICE USE UNLY: <br /> FIIONISETB�CN RENISEIBACR SIDESE704GN MANCHECNNUMBER FEE IIECEIPTNO. <br /> a � ��3. � -,� <br /> USE20NE iornnen vecnertsnE FEES VALUATION FEE <br /> BUILDIN6 ' <br /> � <br /> �vMOftONIS�ILOWMLF iYPfOfGONSt.iICN�L occuruKr Nop�rhtuir;yyitx <br /> �� PIUMBINO i <br /> i <br /> 5¢E oF BtDo. No.oF 57oR�E5 BASEIAENT MECNANICIIL T_ <br /> i <br /> � <br /> OCCIIPMlCYLO�D FlOESPRNNLERSfiE00 IIEIGIIILIMItA710N ADDITIONALPLANCNECK � <br /> r <br /> OTNER ' <br /> � <br /> nc�sor�ron svniNKi ens � <br /> — _�_ <br /> STATE BUILOING SURCHARGE � <br /> nnaenr r�u�serrnovroar CITYOFEVERETT PUBUCWOfiNS ' <br /> LOCALSALES ' <br /> iAX CODE IS 3105 TOTAL ; <br />