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APPLICATIO.� FOR CONSTRUChJN PERMIT �°�fe« <br /> TO BE COMPLETED IN INK—PLEASE PRINT � I <br /> �, <br /> Me Ereqmwi <br /> GITY OF I <br /> everett HEATINGSYSTEM: GAS OELECTRIC CI � <br /> BUILDING DEPARTMENT <br /> 259�8810 I <br /> DEMOLITION . � COMBINATION BUILDING MECNANICAL . .PLUMBING �. � SIGN <br /> OWNFP M�ILA�OPf55 COV IiP PNq1E <br /> Vi��1V ���- 3-�31 F���n,� f�ia FvGY L�. �8aG2� 355-9�53 <br /> ifN�NT MARLpDRE55 CI1V IIP VIICME <br /> •4LM1[Ci0110051GNER M�M1MOflE55 LIiV IIp iNONE <br /> GEN[RMCCNIR.�CIOR NA4AOONE35 GiV SIV PNONE IKENiE• <br /> �Qj,�p���lY�li�"`�F'"'S .�nU$M�L�uB[I((�- EvVit q8�1 a5q-3`I92 �RLLGNbIs�Ll <br /> MCCUAMK�iLpItR�LiON MAR�DOPEbS CIIV ZIP PYOME lKfNSE� <br /> PItIMBWOCWiflAC1W LIMLADOPE55 CRV IIP F�4�E IICENSE• <br /> CUSSMKpirt � J <br /> NEW �. � AODITION � ALTERATION REPAIR DEMOLITION . \VOODSTOVEFRPLINSERT . BUILDINGRELOCATION <br /> corvr�c�v[n5orv�Ho aHor�E ero <br /> wrnw�c*rnkcawon� �.OU .0 �� �}' -� ' <br /> ocscnae wouR u�o saunE raouee rznoweo <br /> � � � � r � <br /> vrwvasc�u omiona I HEREBV CERTIFY TNAT I NAVE READ AND E%AMINEO THIS <br /> �F�� APPLICAiION AND KNOW THE SAME TO BE iflUE AND CORRELT.A�L �i <br /> iccuocuuivrioriavnovcnrvis�a.m+ec�owan•n�cwvwncovi[s PROV�SIONSOFLAWSANDORD�NANCESGGVERNING7HISTVPEOF <br /> WORN WILL BE COMPLETED WITH WNETNER SPECIFIED HEREIN OR <br /> ior azoc. � NOT.TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIDLATE OH CANCEL THE PPOVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGUUTING CONSTHUCTION OR THE <br /> PERFOPMANCE OF LONSTRUCTION.THAT I AM AUTHOFIZED BV TME <br /> OWNER OF TMIS PROPERTV TO PERFORM THE WORN FOR WMICN <br /> APPLICATION IS MADE ANU I COMPLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> SKJNIUNEOiCONiMG10NOR�UtrvOnilEOAGENi D�*[ <br /> PIqJECfIDOPL55 �___�_�— � "/C �/fC�LGL� "U•S <br /> APR�Gt115CIiVW �ESSL Ef15EM1O�NGOUS*� N�uE <br /> �9�3� I-I(�Q <br /> PLUMBING MECMI1tiIC11L <br /> NO. TYPE OF Fl%TURE ON REM FEE NO. TYPE OF EOUIPMEM FEE <br /> WATER LLOSET�TOILETI A'C—AHNDLG UNITS—H.P. <br /> BATMTUB FORCED AIR 5`.'STEM$—B.T.U. M E.A. <br /> LAVATORY�WASHBASIN) UNITHEATERS—BT.U. M <br /> SHOWER CLOTHESDRVEFS <br /> NITCMEN SINN 8 OISP VENTILA710N FAN ' <br /> —� <br /> DISHWASMER RAN6E NO00 <br /> IAUNDRY TflAV WATER HEATEF <br /> CLOiMES WASNER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUN7AIN FIREPLACE INSERT <br /> FLOOR DRAIN MEAT PUMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAMIEA�ERS E%HAUSi FAH <br /> SINK�SERVICE—BAR.ETGI <br /> --� <br /> SUBTOTAL E SUBTOTAL 5 <br /> PENMIT S PERMIT S � <br /> TOTALFEE S TOTAIFEE S 3 ' <br /> FOR OFFICE USE ONLY: <br /> i11CNi5E1BACM1 RE�FSEIBACR 5�[SEiB�LN ttAVMFC�yNUMBEIi fEE AfC�IniM <br /> 3;'ao <br /> ���� ior�n[� v�cu�tnr[ FEES V�LUATION FEE <br /> emio�r+c <br /> t�awcaxRulOW�lIF M'aM51�LID0. atwn aotwmr,�,n•s <br /> � PWAIBING <br /> S�Z[0�&06 ��SiOf1£S B�YMENi MECN�NIG�I � <br /> occuvu6rlpnD nnEsvnNnlEA5NE0D N[iceilwrtnipry ��DITION�IPUNCHECN <br /> orNen <br /> NEASCN fM S�q WMlCPS <br /> STRTE 9W101N0$URCHMGE <br /> mu,e e. ruNs�rrnovene. CITY OF EVEflETT PUOUC WORKS <br /> LOCIII S�LES <br /> TAX COUE IS 3105 rou� <br />