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APPLICATI� FOR CONSTRUC�N PERMIT <br /> everett <br /> ,..,E...,A.4,, e <br /> �ITY Of <br /> everett <br /> BUILf'ING DEPARTMENT TO BF COMP:_ETEU IN INK—PLEASE PRINT <br /> 259-8810 <br /> GEMOLITION CO'MBINATION BUILDING . �MECHANICAL . PLUMBING _ SIGN <br /> ownrn vuuooncss an zm vra�+c <br /> _r�,�i�+-,i,�� ti� �c���� G� �� -�.� — <br /> /�ennn� I � unnanwrs/s� L arv �}} zm vuor+c <br /> \_'i_��..�.+1� � ia:�`I I I�V1 p� . ��1�."�� _ <br /> AFCIUIECIpqOfAf.NkB M1RA�OPE55 GIiV lIP VNCVE <br /> G[•�!Mi CONLPeCi0�1 M"�40OPE55 LIiV ..P VHCNe LICENSF• <br /> / <br /> ' � ��- 9R(��� 5��i� 573? ��N('�k�F.STIICT(�' <br /> �j�'�Il-�l�lf� ��ol� �C)�� - �1iillfPl �� �V) v�xe ucer+u. <br /> p��..e.uGLCGYfPA�iOP IlnppP[55 CIiV �� <br /> �{V�'O��M1GCONiPACiCII ����lRD0aE55 CI!" 21" PNIXIc ULCNSEI <br /> C1�550�WOPrt � <br /> ,{ NEW ADDITION ALTEFl+TION FEPAIR DEMOLI710Y N�OODSTCVEFRFLIYSERT . BUIIDINGFEIOCATION <br /> ifN/.NI i4�BOVEIAENi OA iMEPiOF f.Ei10�c1 P`6I I<Q9iAC1 PER£ON AM1J PnONE NO <br /> cwunn<r ra�cc or won«: <br /> tl �`�fY�o�, <br /> Df$CfliBFW0f1xRF�50V41iE'f�°1�GEINJt%�EO �� �.m� <br /> �' K�S, �Icx'l��_r���: _���� 5(�ti-- — <br /> �woaos[ousraew�ou�c I — P I HEREBV CERTIF/ THAT I HAVE READ ANU E%AMINED TMIS <br /> �� �'I I1- r< <�� �I ���LG�� APPIICATION AND KNOW THE SAME TO BE TRUE AND CQRRECL ALL <br /> ircn�ae�ca�a*rouavneanenrvaeo�maeowonennwrouaconrcs PROVIS�ONSOFi.AVl.iANDORDINANCESGOVERNINGTNISNPEOF <br /> WORK WILL 9E COMPLET�D NIiH WHETHER SPEC!FIED HERF.IN OFi <br /> �o* I L. BioCK I or !`�IY 11'I(„���i� _ NOT.TNE GFANTING CF A PEFM'.T�OES NOT PflESUTAE TO GIVE <br /> AUTHORITV TO VIOLATE OFl CANCEL THE PROVISIONS OF ANV <br /> OTHER S�ATE OP,U�CAL LAW RE.GULATl4G CON..TRUCTION Ofl THE <br /> -- PEflFORMANLE JF CONSi RUCTION.ThAI I AM AUTMORRED BY THE <br /> OWNEfl OF THIS VROPENTY TO PE9FORM THE WORK FOR WHICM <br /> — APPLICA710N IS MADE AND I COMPIV JJITM THE STATE <br /> COh1l4LTORS LAW 18�7 FCW AND 2°0 200\YAC. <br /> yicru�uAeofcorvia��meoaeinNan¢co�aeur n��e <br /> ' X/�a:-:F1� �iC�'MLYJ 'j—����U <br /> veo�ecino a s. yy � � �, <br /> -- - a ;y1;�" �,��I,r� S�r�r� <br /> � �����' NIIJIJ GG �=-VPfQ.n_��1t1 +rri¢unscrtrrcvr:essucu+_:Hoer�oxusmes<ti>u.� <br /> PLUMBING A'ECHAtlICAL <br /> Np, TVPE OF FI%TUNE OF ITEM FEE NO. TVPE OF E�U!4MENT FEE <br /> WATERCLOSLT�TOILET) __ 1�L—A�NNDLIiUNITS—H.P. <br /> BATHTJB FORCEDP'9SY�i6MS—B.TU. M E.A. _ <br /> LqyATORV(WASHBASIN) �NITHEATERS—DT.U. M <br /> SHOWER CLOT:IES DRYERS <br /> kITCHEN SINN 8 OISP _ ___ '1ENTILATION FA4 <br /> OISMWNSHER —� fl�NGFH00� __ _ <br /> --_ LAUNDFV TRAV ' WATER N'c�TER __ <br /> — —r VlWOSTOVE <br /> CLOTHES WASHER <br /> URINFL InET4L FIREPLACE&CHIMNEV <br /> DPIYNING FOUNTAIN FWEPLACE�NSERT _ <br /> FLOOR DRFIN 4EAT PUtdP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> FOOF DRAINS—RAINLEADERS E%HACS�FAN <br /> SINK(SBRVICE—BAR.ETQ) <br /> SUBTOTAL S SUOTOTAL $ <br /> ---- ' PERMIT S — PERMIT S <br /> � � TOTALFEE 5 TOTALFEE $ --�- <br /> iR;li�'.[IbqCM PkI.F5E10ACn S��ESEtB�CN FL�NPIRNNOMB[R iC[ NECEIfINO <br /> ��� y4�d / ��� <br /> „�ro„� ��WEA vecnxrsm FEES VALUATION FEE <br /> __� _ �5 � bM>/ . VEg � O gwLoiNG <br /> t�lf��'.01i1FtIPNMIf IYVfOiCONS1.AL�ll�l P� �d�^TLIiM"u.. <br /> `°''�'•' rwrnoir�c <br /> �,v1u10�� NOOF51piUE5 Oi45f.u[Ni MECHANICAL <br /> vES NO ( <br /> . .evnr�rv�wo nncSPe��aFnsnFao Mt�G�uiiMP»iorv OiN[R <br /> VE$ NO �� STATEDUILOINGSUBCHRRGE <br /> .n n�.nu rnn 5rn:ru,rn5 <br /> —r— <br /> SiRtE[N[PGYSURCHARGE <br /> ei.i.���ni�r•.m�. n� nnnsn���ovrnoi CITS'�FEVERETT nuouCWORKs <br /> � LOCALSALES � <br /> -� — � <br /> TA%CO�E IS 3105 Tor�� <br />