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,_, ,-=- <br /> A4�PL1CAT10N FOR CONS'�RUCTI.AW PERMIT `',"`•" <br /> TO BE COMPLETED IN INK—PI_�dSE PRiN7 � <br /> :rc Eroro.mn <br /> CIiVOP _. .. _.— <br /> everett HEATING SYSTEM: ❑GAS 9 ELECTRIf:_J= <br /> BUILDING DEPARTMENT <br /> 259-B810 <br /> DEMOLITION COMBINATION ' BUILDING L rMECHANICAL�E 'PLUMBING <br /> y (� `r —.•.,_u �iq:�nDop�s��L-.zz9ay .�n �/COI�Z�o <br /> `' � y{�c�� ,4-�'� 9�l3 <br /> � y r vHO++E <br /> C � M A1�JLADDF:E55 GIiY ��� <br /> lE4b. <br /> � H N <br /> H � _ _.__ crtr ziV rMONE <br /> y H n��;..'n.�:iORDi5iG4iH YALLI�D�RE55 <br /> K y �1 pHq�E I�CENSE� <br /> cm � <br /> � H � GIN[RALGCMiR4CiOH �4���E� <br /> N N Q�� lIP'D <br /> y [+ , f>���e�' Cm, LP GNONE LICEnSE• <br /> C Zo S ���EC��nmCa�G�Ni�ACTOli NRitADDAE55 <br /> W �3 O <br /> An � CITY ZIP P�E lKENSE� <br /> � � � vLlN9iNGCANiRnCTOA AUILADDAESS <br /> � y � CLilS50F W011N _ <br /> H NEW ADDITION ALTERATION }� AEPAIR � DEMOLITION � WOODSTOVE/FRPlINSERT - BL'ILDINGRELOCATIOI� <br /> CONTAGT PERSON AND PHONE ND. <br /> N <br /> � ��j"� � <br /> O N <br /> coma�cr�r+�ce oF wonK <br /> �' � r C[SCRIOEWORNPup500aAElOO1AGE�'��aYED __ _y <br /> y � �J�I'�...tF-IN=( .�TP�]o <br /> "j o y � � � 1 HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> r m���GSED�SE OF OViLDMG <br /> S�`'/J` rN,�,' �c��C1�� APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT LL <br /> r�•��• r��r-� pROV1510NS OF LAWS AND ORDIt:AN:ES GOVERNING THIS TVPE OF <br /> ,i�;e�oescn�vr�ouorrr�ov�etvisHownouG+voannncnFoueCOFiEs� yyORK WILLOE COIAPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ,.�; o�o�� oF NOT. THE GfiAN'ING OF A PERId1T DOES HOT PRESUME TO GIVE <br /> AJ'HORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> UTHER STATE OF LOCAL I1�W FiEGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I Ald AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO FcRFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITN THE STATE <br /> I CONTRACTOFS LAW 1827 RCW AND 29620D WAC. <br /> 1 S�G���TUREO«a�TRACT090AAUiHORIZEO�GCNT DRiE <br /> x : ��.� <br /> i'�-� �'ROJEGI or,�,s ��L� �����a �$� nr�v��.nr�*sa+�eus ssi.ic- er+o.n�,neusmE ,nnue <br /> I � MF.CHANICAL <br /> � PLUMBING <br /> • FEE N0. TYPEOFEOUIPMENT FEE <br /> � . NO. TYPE OF FIXTURE OR ITEM ,q��_ANNDLG UNITS—H.P. <br /> i _ WATER CLOSET ITOILETI -- <br /> � 6ATHTUB FORCED AIR SYSTEM"—B.T.U. M E.A. <br /> � !�' IAVATORV(WASN BASIN) UNIT HEATERS—B.T.U. M <br /> CLOTHES DRYEFS � <br /> � SHOl4ER ' <br /> KITCFiGN SINK 8 DISP VGNTILRTION FAN <br /> — RANGEHOOD <br /> DISHWASHEF WATER HEATER <br /> I� �� LAUNDRY iRAV yyppD STOVE <br /> CLOTHES WASHER <br /> METAL FIREPLACE 8 CHiIdNEY _ <br /> URINAL � FIREPLACEINSERi <br /> =l�i DPINKING FOUNTAIN HEAT PUMP <br /> � FLOOR DRAIN <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAUST PAN <br /> ' t 1 1 SINK 15EfiVICE—BAR.ETC.1 <br /> i � <br /> �I .�rI _ SUB TOTAL $ ; SUO TOTAL 5 <br /> PERMIT S <br /> �� PF.RI�tIT £ ' 70TALfEE 5 <br /> � — -- TOTAL FEE $ <br /> FOR OFFICE USE ONLY: �EE pECEIPTNO <br /> �AG!!1S[i[AGv P!�RS[iFlnCK <br /> 5i0E5ET8�CK PUHCH[CHNUTA�ER <br /> �SE ZONE �OT�PEP V�GANT SItE ��/�j�\ <br /> FEES VALUATION FEE <br /> BWLOINO �(_�V <br /> irP[o�CONi5Al10W�elf trPEo�cox5l�ciWt arqqNO' xawcwi�,ov:.�+�^5 PLUM0ING — — <br /> • SIZE OF BIDA. NO.OF STOP�ES BASEMENI MECHFNICAL --- <br /> OGQIPNlC�lOAD RRESPRNKlERSN[40 HEIGNTLIlAi1RT10N <br /> ADOITIONAL PLAN CHEGK <br /> OTNER �— <br /> RF ASON FOR SPRiNNI[RS y��� <br /> $iAtE BW l DING SURCHARG[ <br />� nnneeov ruNsnvrnureoov CITYOFEVERETT vuBLiCwOt�Ks <br /> LOCRLSALES ` �� <br /> TAX CO�E IS 3105 TOTAL <br />