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APPLICATt...� FOR CONSTRUC . .JN PERMIT � "'"'" <br /> i„- . � <br /> TO BE COMPLETED IN INK-PLEASE PRINT � <br /> r.nvoi <br /> everett N°ATING SYSTEM: �GAS J ELECTRIC J __ --� <br /> BUILDING DEPARTMENT �- � <br /> e59 8810 <br /> DEMOLITION COMBINATION BUIIDING MECHANICAL PLUM8ING SIGN <br /> � cirr Zin �"'��+E <br /> - 1lAIL AUDRE55 <br /> � � ��" �-r � �nt io,r i l' � /� �� <br /> ^a �/ OA cirv zm arar+e <br /> -,�,.,.r.r unuwoness <br /> N <br /> � � y ..�;��rtCCiOA�E5IGNER MAiLRDDFE55 U1Y ZIP PNDNE — <br /> K ~ � r.j.�:n ONiRACtOP MARADOPE55 GiV ZiP PHON[ LIC[NSE� I <br /> �0 //� /� .� � ��^s1t � 7� ''3i G� y ��rf/HC //GL <br /> � � M +� ��� l CI�V 21P PNONE UGENSE� i <br /> !ALP�AMCAILONiRALiO M�ILADORES$ <br /> O N � PLUM61flGC�NniACIOP MAII�DDBE55 CItV 2iP PMONE UGEMSE� I <br /> M pp p - <br /> � • � CLAOSOFWORK � � <br /> M <br /> � �+ NEW � ADDITION (/ALTEAATION PEPAIR , DEMOLITION WOODSTOVFIFRPL INSERT BUILDING RELOCA I <br /> y CONiPGTPER50NR1 PMONEIJO <br /> .. � � S- O� �' I <br /> oQ N c�rnnacrva¢Eorwonv 5,��.5ZC�u---.-.. � r�' <br /> f] O N �;�--r.iBE WORN�ND SOJAViE F AGE�NY/OIVED �'�� J ��J�/,p..� Loi�� ' i <br /> � � r � d // / l IW �(/1� � ( �, <br /> � y ri�o�� ,eouseo�suarnNc p I HERE�3V CERTIFV THAT I HAVE FEAD AND EXAMINED THIS <br /> �` APPLICATION AND KNOW THE SAME TO BE TRUE AND COFRECT ALL <br /> i!,RLDESCHiPTqNO�PROPERTVISHONMBElOWOlIATiACHfWNLOPIE51 PROVISIONSOFLAWSANDORDINANCESGOVEFNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFlED HEFiEIN OR <br /> •c.r e�ocK or NOT. THE GRANTING OP A PERMIT DOES NOT PRESUME TO GNE i <br /> � AUTHORITV TO VIOLATE OR CANCEL iHE PROVI51^NS OF ANY <br /> ���LA/� O7HER STATE OR LOCAI LAW REGULATING CONSTRUCTi�N OR 7HE <br /> �4'-/ PERFORIdANCE OF CONSTRUCTION.THAT I Ald AUTHORI2ED BV THE <br /> ` OWNER OF ?HIS PROPERTY TO PERFORM iHE VJORH FOR WHICH i <br /> APPLICATION IS MADE AND I C061PLY WITH THE STATE <br /> - CONTFACTORS LAW 1827 RCW AND 296200 WAC. ' <br /> S�GNAtI1PEO�CONiRPG�ORCNAUiNONiZFDFGENi DA1F <br /> PPQIF'CiPCDRFFS qPp�i AN15UiYBUSM[SS���OAND�USIN[SSNPME <br /> d <br /> j, � O <br /> I C� PIUMBING � MECHANICAL i <br /> NO. PE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> FEE <br /> 1 � � WATER CLOSET ITOILET� — S� � — h��—A HNDLG UM1�TS—H P — , <br /> BATH7U8 FORCED AIR SYSTEMS-8 T.U. M E.A. <br /> � '-�� � LAVATORY�WASHBASW) 5�� UNITHEATERS—flT.U. M � <br /> � SHOWER — CLOTHESDRYERS <br /> ' KITCHEN SINK fl DISP VENTILATION FAN <br /> � DISHW�SHER RANGE HOOD <br /> LAUNDRVTRAV \NATER H[ATER �_ <br /> I �� CLOTliESWASHER WOODSTOVE <br /> URINAL 1 METAL FIREPLACE 8 CHIMNEV _ <br /> DRINKING FOUN?AW FIREPLACE INSERT � <br /> + FL00�7 DRAIN HEAT PUMP <br /> 1�� 7A.CKFLOW PREVENTERS GAS PIPING <br /> ROOF Di7AIN5—AAINLEALERS � E%HAUST FAN <br /> SINK ISERVICE—BAR,ETC.) � <br /> � <br /> i <br /> �� _ i <br /> T <br /> I � <br /> I '�� SUB TOTAL 5 �S�; ' SUB TOTAL $ <br /> � �1�I. PERMIT $ PERMIT $ <br /> � TOTALFEE .+ /S�' � TOTALFEE $ <br /> FOR OFFICE USE ONLY: <br /> nweiareio � <br /> FeilNi5Ei0Af.K AEARSEipACN SIpE5ET0ACK PIANCNECNNUMBEfl �EE <br /> i�,_i Za��� �pr��Ep VAGl�NT SrtE � FEES �VALUATION FEE <br /> �U1LfJING T Z�j�(� _��j� � <br /> NPf Of GON19 ALLOVfABIk tYP[Of CON51.AL7UAl Oteq Nier xc nr�M2unr,urins ' <br /> PlUMl3ING /S��OQ <br /> SiZ��+ NO.OFSIORIES BRS[MEN�i,/ MLCHANICAL <br /> . �J��siIIJG Z !�'�J <br /> OCGUPRNCVLOAO i�iRESPaNK�E115HE0D HBGIAUMItPiION <br /> ADOITIONAL PLAN CHECN <br /> Ns oriaeA ' <br /> nGA50N FON SPRINYLEP$ �— <br /> STATE OUILDING SURCHARGE L�,� � <br /> �.���KE A� v�awsnrrnwr.nn. CITY OF EVERETT PuouC WOHKs � <br /> LDCAI SALES —'— <br /> TAX COOE IS 3105 roTn� 7� �;�j <br />