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PVBfPt� <br /> • APPLICATION FOR CONSTRUCTItiN PERM�T � <br /> TO BE COMPLETEC IN INK—PLEASE PRINT <br /> �x E.-:�B�e�+� <br /> GTV OF <br /> everett HEATINGSYSTEM "r�1GAS ❑ELECTRIC O <br /> BUILDING DEPARTMENT <br /> 259-88t0 �MECHANICAL PLUMBING SIGN <br /> COMBINATION BUILDING <br /> DEMOLITION o o t ^� � <br /> ti7 M MAiLA00RE55 ` �T� . �i � � I P <br /> ct � ro �w.�ea I � i� i, ' j � i P,,. 1 h � ,� <br /> ro ,��� r �. � � , ,-��.,,,, i...,y�` ",1 � � <br /> r] �.I I ' I .. 1 � � I CITY � / 2iP PNONE� <br /> 10 R1 ' MAiI�NDPE55 � <br /> 'Et:l11T <br /> �' y�i: y PNONE <br /> M r Z N q M�IL WORESS Cm' ZIO <br /> r�rt TOR�ES <br /> IG E <br /> �3 <br /> Z <br /> N <br /> ei¢ EG <br /> � H .y GTv IIP OMpNE UCENSE• <br /> .Q N rq �.,I�.EHALCOMTRPGTGR M�IL�DOPESS <br /> N 1-i �j� LI EN E� I <br /> � �oq t �. . (�� a.�, A � oA1S1g�jn �P 4 �� � � �l l� � � a �� �M 4,�.'�"c���3 ,, b)-�i1 GJ 1�l ;�^,� <br /> O �.y � l�I1V1'l�l \*)'�� 1��L�,��II 1'LY,) / CITv ZIP FONE LCENSEI <br /> � PLUMBiN6GONTF�GTOH MeRAD�RE55 <br /> � � <br /> M � <br /> ¢ � L�SS OF M'OAN <br /> y H <br /> t" N �t NEyJ ADDITION ALTERATION REPAIR DEMOC NiON PEp�N WOOD�SEOV�E'FFPL INSERT _. BUILDING RELO <br /> N � � <br /> � oN S� � R5U • O� _` <br /> CONiRACTGRCCO�WOAK 1 <br /> �C Ky' � DESCRiOE OANANDSOU�REFOOIAO �Ol�EO <br /> o N ������� I � S Y �C I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> �pp��...�.__n o,��i Di <br /> �� qpP.ICAT10N AND KNOW THE SAME TO BE TRUE AND CORRECT. L <br /> (''�f (D� PROVISIONS Of LAWS AND ORDINANCES GOVERNING TNIS n'PE OF <br /> .EGat D���QJ I�!�"fv:s�owN�E�Iwoa TTPCHCOUALOP�E51 WpqK WILL BE COMPLETED WITH WMETHER SPEGFIED HEREIN OR <br /> Gr B�a_� - o� NOT. THE GAANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> L.,���� O�`J��D I D JOOO AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> Z OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> pERFORIdANCE OF CONSTRUCTION.THAT I AM AIiTHOFIZED 6V THE <br /> pWNER OF THIS PROPERTV TO PERFORM THE WORK FOR W'HICH <br /> qpPUCATION IS MADE AND I COMPIV WITH TNE STATE <br /> CONTRACTOFiS LAW 1827 RCW AND 296200 W�C /'/� <br /> SiGHaiLAEO�� �1N�CTOA �+�AUj1H}0?}�EDAGENi /D�f,q��//qiV� <br /> � il/�.�L 1 / �.XJi�� ��� ��� Z' <br /> � �d�� <br /> �,���.�� ,, : � , , �� <br /> �� ' p�t EQT�DOFE55/� ( I�� l.� 11�9 � � -�� pPPUC�NTSG'TVBU5�NE55LICEN5FH0 PNDBu5�HE55H�ME <br /> I � ��-I � � I � �� �I � Y—I ''� I� ' 1 �� �- MECHANICAL <br /> � PLUMBING FEE <br /> ' NO. TYPE OF FIXTUAE OR ITEM FEE NO. TVPE OF EOUIPMENT <br /> � � WATER CLOSET ITOILET) A�C—A�HNDLG UNITS—H�P - <br /> � '�_ � FORCED A'R S"STEA15—B T.0 M EA. <br /> BATHTUB UNIT HEATEAS—BS.U. M <br /> �� LAVATORVIWASH BASIN) <br /> CLOTHESDRVERS <br /> ' SHOWER VENTILATION FAN � <br /> � � KITCHEN SINK 8 DISP RANGE HOOD <br /> � D�SHWASNER WATER HEATEFl <br /> �� �� LAUNDRVTFAY <br /> WOOD S70VE <br /> CLOTHES WASHEP IdETAL FIREPLACE 8 CHIMNEV <br /> URINAL FIREPLACE INSERT <br /> ' DRIIJKING FOUN7AIN HEAT PUMP <br /> �1�' FLOOR DRAIN <br /> � GAS PIPING <br /> BACKFLOW PREVENTEPS E%HAUSTFAN <br /> ROOF DRAINS—RAIIJLEADEiiS I <br /> "� �,'1 S�NK(SERVICE—BAR.ETC.) — � <br /> ----'— i <br /> I 1 _ ✓1. <br /> II � � SUB TOTAI S SUB TOTAI S � <br /> sI �� PERMIT S <br /> � PERMIT S TOTAL FEE S <br /> — TOTALFEE S <br /> _'_'y <br /> FOROFFICEUSEONLY: — —__— pisr�cHE�KN�MeFa �EE neceivTr�o <br /> i��ONTSE�OPCK � FtARSEiBPCK S�OESETBACN <br /> u5E 20NE LOt�RE� WG�NT SITE <br /> FEES VALUATION FEE <br /> BUIl01NG <br /> (eoEOiLONifi�IIOMTBIE LYPEO�eON4.MtUM U[[�K� xodbNfuixcuv:�s PLUMBING <br /> � <br /> � SiZEOF0LD0 NOOFSTOAIES B�SEMENT MECMANICAL <br /> OCCU�PqCYLO�� �iRESPRNNIERSAEO'D HEN'iHTLiMITATl0�1 <br /> AD�ITIONAL PLAN CNECK <br /> OTNER <br /> ivE<SON FOR SPAn+NLERS SiATE B W lDINO SUACMARGE <br /> minKE Bv VlANS aP�POVE00y CITY OF NERETT PUBLIC WORK$ <br /> LOCALSALES <br /> TAX CODE IS 3105 roui <br />