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� .: <br />2 <br />c <br />Y�.Y� <br />Y✓.v�N� � <br />/' '.� <br />APPLICATION FOR CONSTRUCTI�.N PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />I�e Eveiprmn <br />CITV OF <br />everett HEATING SYSTEM: GAS U ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />� I DEMOLITION i I COMBINATION <br />Mnit noonE55 <br />.� r,_ <br />BUILDING <br />arr <br />�y�� <br />I I PLUMBING <br />O � d <br />I 1 S�GN <br />P-9��: <br />TE�UN� MNLPOOR�Sti u�. �n• ��..m= <br />4RQIIIECiOR0E51GNEP MNL�OORE55 CITY ZiP P4qNE <br />GENBMLCd! fIBGi0f1 M�Il�O�RESS CITY IIP FIIONE LICENSE� <br />� C <br />M[LII� IGALCOI �CIOIi MRIL�DURESS CIIV iIP PIIONE IICEN5F.1 <br />�.�llw. �����1�=�_�_3,s��.,, �l �.i .�z1 �Y�n'�'—=-_r �Fc�;� zss-Zsss �b�r.�,H„ <br />Pl11MI1111OCONI0AG1011 M�II �DI)fIP55 QfY ]II` f I'IKNIF LIGFNSE• <br />Gl�SS (1F WORK <br />� ' NEW I I ADDITION <br />USE Of <br />ior <br />PROJECTAOORE55 <br />��< <br />ALTERATION : I REPAIR I�I DEMOLITION I I WOODSTOVE/FRPL INSEHT I 1 BUILDINC REIOCATION <br />conuerr wNnNowar+eero. <br />_'l/1��_.._ 7 t/v�/ � �° � 3�.� G'��—(�' .. <br />Ppd'EBTY ISIIOWN BELOW 011 �t UCII f W R GOI`i[ 51 <br />m�:K or <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />FLfpR ORAIN <br />BACr'FLOW PREVENTEFS <br />ROOF DRAINS—RAINLEADERS <br />SUB TOTAL f <br />PERMIT E <br />TOTAL FEE S <br />FOR OFFICE USE ONLY: <br />j FPONTSETB�CK REARSEi2ACK <br />� <br />USE ZONE Lot nnee <br />IYPEO(CONR.0.LOWABR IYPEOiCONSLAL <br />� SREOFBLDG. NO.OFSTORIES <br />� OGCUPANCVLORD PIRESPRNKLER' <br />- RERSONFORSPRINKlEf15 <br />' MUNEBY PlGN5APP00VE <br />! <br />�' _ � <br />_ �__'_ <br />I HEREBV CEfiTIFV THAT I HAVE READ A�ID EXAMINED THIS <br />APPLICATION AND KNOW iHE SAME TO BE TRUE AND CURRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERN'NO THIS TYPE OF - <br />WORK WILL BE COM?LETED W:�H WHETHER SPECIFIED HEREIN OR � <br />NOT. THE GRANTING OF A PERMIT DOES NOT PF'ESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROV'SIONS OF ANY <br />OTHER STATE OR LOCAL U1W REGULATING CONSTR�ICTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTH'JRIZEO 8V THE <br />OWNEH OF THIS PRUFERTV TO PERFpqM THE N;JRK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE � <br />CONTRACTORS LAW 18.27 RCW AND 295200!YA0. ' <br />S�GH�iUREOfCONiMC1000fl�U1HONiIEDl1GENT D�TE � <br />X ' L . <br />�rai�c�Nr�.SSLK:ENseno.� oeusl+ rrtssNu.� <br />ij � <br />MECNANICA <br />10. TYPE OF EOUIPMENT FEE <br />NC—/uHNDLG UNITS—H.P. � <br />FORCED AIR SYSTEMS—B.T.U. M E.A � <br />UNIT HEATERS—B.T,U. M <br />.��.���...��.,�.�..�. , : <br />RANGEHOOD � <br />WATER HEATER _ <br />WOOD STOVE � � <br />METAL FIREPLACF. 8 CHIMNEY � <br />PIREPLACE INSER7 ; � <br />HEAT PUMP � <br />GAS PIPING � <br />EXHAUSTFAN i � <br />i <br />i <br />i <br />i <br />—�— . <br />SIOESETBACK PLINCHEGKNUMOER FEE <br />wGnrvrsrte FEES <br />BUIL�ING <br />aauwxr uoan�cuncunn <br />°R°U° PLUMBING <br />B�SEMEHt MECHANICAL <br />HF.IGHT LIMII�LION ADDITIONAL PUN CHECK <br />OTHER <br />STATE BUILDING SURCHARGE <br />CITY OF EVEHETf PUBLIC WORKS <br />LOCRL SALES <br />TAl( CODE 18 3105 TOTAL <br />