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, <br /> � � APPLICATIOrI FOR CONSTRUC7 .:rN PERMIT � '�'"�" <br /> J:, - r " � <br /> y_�^ TO BE COMPLETED IN INK—PLEASE PRINT ' ' ' ' <br /> , i;. <br /> � <br /> everett HEATING SYSTE�d: GAS ..!EIECTRIC J _ I <br /> EUILDING DEPARTt.�ENT <br /> 259 8870 <br /> � w DEMOLITION COMBINATION BUILDING �CHANICAL PLUMBING__ SIGN <br /> S `�`�Ir�11 ; �^'^Rr,^,::�l�otl I l�li II�u iTr n� no•2 <br /> � � s � C a � ' -�-v- ��� q�aL� �5�- ,� <br /> ky .�r •.� 4aLI100RE65 ci.r zia vHor+e <br /> ;. � : ��`�CWV�-Q. <br /> ' H u -.��r,LCiCMUCSir,yCR NMLAODR65 LITV 7P PNONE <br /> .1 SA � <br /> O T O /� (�� n (� /`�1 t <br /> � y �'j .`�1r`�roR �,iL _ E 5 l� ��t. V�. L Y � 1 V a. P _'r1y /�ly;try.[� <br /> r J {r 1�7� <br /> b1 � b1 � �'.:,iUNICNLCONiR 'iOR MNiLpp�f1E5`v C11V I� PMONE LICENSE <br /> �f tn7 �/ -t��NEI� +-�- � -1�-�r <br /> � P y ,,.!AJMGCOMiRACi0i1 M.40.ADDRE55 CIiV IIP PIqNE LIC[NSE� <br /> fl <br /> M <br /> N <br /> H crssorwoqK <br /> � NEW ADDITION ,�,�lLIEf�ATION REPAIR DEMOLITION . WOODSTOVE/FRPLINSERT BIIILDINGRELOCATION <br /> N M CONTAGTPERSONNI�PHONE/MJ <br /> O N J <br /> � � t, .,,;:nAcrcnicEorwon� ��1 , , . <br /> � � `T���jN��',.�1",Ui/11C��CL �-t�-�' <br /> . „���srousroFau�ou+ �r�� I HEREBY CERTIFv THAT I HAVE READ AND [XAMINED THIS <br /> Y I APPLICATION AIJD KNOW THE SAME TO OE TRUE AtJD CORFiECT.ALL <br /> ��,+��oescemr�onovrauoEnivrs�owr�er.iowoa�,rlacHFouncoriES� PROVISIOWSOFLAWSANDORDINANC[`iGOVERNIN�THISTVPEOF � <br /> ��- WORK WILL BE GOMPLETEJ WITH WHF•�HER SPEGFIED HEREIN OR <br /> . s�cc� o� NOL THE GRANTING OF A PEPMIT G�_S NOT PRESUtdL TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCE: THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW FEGULATRJG CONSTRUCTION OR THE i <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BV THE <br /> GWNER OF THIS PROPERTY TO PERfOFM THE WORK FOR WHICH � <br /> — hPPLICAiION IS tdADE AND I COMPIV WITH THE STAT[ <br /> CONtRACTORS LAW 1827 RCW AND 296200 WAC. <br /> GIG4FiUfiEOCCGNiFPGIOROHquTMOitiZ[DPGENT D41[ <br /> ; — — /'� y1� 1 —� � / Xy�!��,-�. ����d�� ,��,�9� <br /> C� PRnJECin.pn!`" 'OC I I l.io� '! %1 I ' <br /> A P�ICf"iT54�i'vpUSi ESSLICENSENOANp0U51NE5511A1.1E I <br /> . PWMBING � MECNANICAI <br /> 1 ' NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> . �� WA7ERCLOSET�TOIL[TI MG—MHNDLGUNITS—HP. I <br /> 1i��I BATHTUB FORCEDAIFSYSTEMS—B.T.U. EA. 'I <br /> , LAVATORY i�NASH BASIN) UNIT HEATEFS—�.T.U. M <br /> SHOWER CLOTHESD(�YERS <br /> KITCHLN SINK 8 DISP VENTILATION FAN ' <br /> �, �_ DISNWASHER RANGEHOOD <br /> --T <br /> ' LAUNUf7V TRAY WATEFi HEATER <br /> CLOTHES WASHER WCX�DSTOVE <br /> U(iINAL •' M[TAL F R[PLACE 8 CHIMNEY �— <br /> � 1 1 DRINKItJG FOUNTAIN � FIREP E INSERT � <br /> � HEAi PUMP —� <br /> FLOOR DRAIN _ <br /> BALKFLOW PREVENTERS ' GAS PIPING <br /> fi00F DRAINS—RAINLEADLRS EXHAUST rAN <br /> , I_t^1 , SINK(SERVICE—BAR.EiC.) <br /> Il �'�'I _ SUB TOTAL $ SUB TOiAL $ —�— <br /> �� PERMIT $ PERMIT 5 <br /> TOTAL FEE $ TOTAL FEE S �— <br /> FOR OFFICE USE ONLY: <br /> I�Livi5ET9RCN REARSELBaCN SIOE5E1HhCM �IAWCN[GNNUMBER fEE qCCfmiNO <br /> ��-,r raie iot�aE� vncu+T srt6 FEES VAW ATION FEE <br /> �UI�LIING <br /> LmfOfCONiS�ILPN�BI[ ttPEQiCON51RL111M. oG[w.ircv �wdnnu�.,r.:u•ns — --�— �— <br /> �'P'w0 PLUMB�NG <br /> LIZE OF BLDG. ��0 OF STORIE9 B�SEM[Ni M[GHANICAL <br /> pCt'.iIPANLVLO�D PIRESPRNNIERSREO'0 NEIOHTLIMITAIIOIi AODII'IONALPLANCHECN <br /> O7HER <br /> u./,SpN LOR SPRINNLERS — <br /> �— <br /> 57A7f.OUILDWG SURCHARGE <br /> ��nn.:e nv rur+s nranov�o ev � CITY OF EVERETT Nudu�;wonks � <br /> LOCALSALES <br /> TAX CODEIS 3105 rora� � <br />