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Wm+' eVef('ll <br /> AP6�iLICATIOI�'�`'�OR CONSTRUCTIdw�,'rd PERMIT �1 <br /> a��i,,,:��,���� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv or= l <br /> ---- —1 <br /> everett HEATINGSYSTEM: ❑GAS UELECTRIC ❑ _ _______- -- - - <br /> BUIL�ING DEPARTMENT <br /> 259�8810 SIGN <br /> DEMOLITION �COMBINATION ' BUILDING MECHANICAL o E PLUMBING <br /> OWNflR h141LAUDR[;S CITY Z��' <br /> � v C2 iTY D.� F�/E/'f'TT — <br /> � y MNLAOORE55 C�IY 2i� PHONE <br /> TENANT � <br /> �C y y � F ' /o .t� <br /> � ARCHREGTORDES�GNEH MRILAD�FlE55 CITY 21P PMONE <br /> y � _ <br /> Z � PMONE LIL[NSE� <br /> K y GITV 21P <br /> G[��LRALCONTPACIOR MAI:AODflE55 <br /> m r�, m ti4 S ni F/,eE- �'.Co cr .�.r�� �'.rQex //Y3 ,f�E-.�T i€a3f 39f//97 �OYACfi�'/Jiy� <br /> ��n, Z�p PHONE IICENSE t <br /> y � � �1.'.tCHANICALCUNiRACTOR MAIIADDRE55 <br /> t4 � <br /> 4 oy <br /> � y.� PW610iNGCONTRACTOR MAiLPDDRESS CITY ZiP PHONE ��� � <br /> H M � <br /> � , � CL S.�F\YORK - � <br /> M <br /> � �"� ryEW . � ADDITION � ��. ALTERATION � �'� REPAIR ..-: DEA!OLITION . � WOODSTOV6FRPLINSERT �, BUILDINGRELOCATION <br /> y z <br /> � y CONiAGTPERSONANOPHCNENO. <br /> N M [ONTRAGT PR���0�N'ORN <br /> O N <br /> C � OESGflIBEWORHANO:AUAFEF00TAGEINVOWEO ,y <br /> tb w,�—i_U� �v1-i-Ct.� !-'�_-Y/�si"" <br /> � � y PRoaos��.pseoF i�o „a��--- � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> u APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> C.lit-�� .U�G�v�-�.� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> LEGALOESCHIPTIONOFPPOPEflTY15110Wr1BELOWOflATTACMFOURCOPIES� yypRK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br /> 107 p�aK oF _ q�THORI YRTO VIOLA�TEAOR CANCE�L THE PROVESIONS OF AINY <br /> OThiER STATE OR IOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERFORPAANCE OF CONSTHUCTION.THAT I AM AUTHORIZcD BY THE <br /> OWNER OF THIS FROPEFlTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MA�E AND I COMPLY WITH TH[ STATE <br /> - CONTRACTOFS LAW 1827 RCW AND 296200 WAC. <br /> SiGNATURLOFGONTRAGiORORPUiHOFIZEDRGENT �AtE <br /> X % «,v; ���,z� �' ,�" nc%�l,!Fi �:'i��f3 <br /> . , PROJEC'pDDPE55 AVP4C�CITYUU NESSLICENSENOANDDUSMESSNAME <br /> i•_v', o LE.✓C�JOOti RrJE: � <br /> �1 PLUMBING MECHANICAL <br /> r FEE N0. TYPE OF EOUIPMENT FEE <br /> NO. TYPE OF FIX.URE OR ITEM <br /> I _ WATER CLOSET(TOILET) � A/C-NHNDLG UNITS-H.P. ; <br /> � FORCED AIR 5`.'STEh15-B.T.U. M <br /> BATHTUB <br /> �� UNIT HEATERS-B.T.U. A7 � <br /> �� ' LAVATORY�WASH BASIN) � CLOTHES DRYERS � <br /> SHOWES � � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> ' DISHWASHER RANGE HOOG <br /> �� WATER IIEATER � ' <br /> i �=� LAUNDRY TFAY . �� <br /> CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE�B CHIMNEV <br /> UFINAL <br /> DRINKING FOUNTAIN � FIREPIACE INSERT <br /> ���I FLOOR DRAIN . HEAT PUMP,� � <br /> BACKFLOW PREVENTERS GAS PIPING ' <br /> ROOF DRAINS-R�INLEADERS E%NAUST FAN <br /> i ��� <br /> SINK(SERVICE-BAR.ETC.) <br /> w.e�1 <br /> I � SUBTOTAL 5 SUBTOTAL S <br /> I ' �1- PERMIT 5 � _ PERMIT 5 <br /> �\ TOTALFEE 5 ' TOTALFEE S <br /> FOR OFFICE USE ONLY: neceiPr No <br /> �RONTSETOAGK REPRSETOACK SIDESETORCK PtRNLMECKNUMOER FEE <br /> useior+e LOT�REA vnenr+isire FEES VALUATION FEE <br /> 6UIlDING <br /> irPfO�CONiS.ALOwABLE iYPEO�CONSi/�C1Ul�l oCtp� ���ul�vcui�s PLU1.101NG <br /> SREOfBLDG. NO.OFSTORIES OASEUENT MECHANICAL _ <br /> FIRESPflNNIEFlSPEOD ��EIGNTLIMITATION �P�NCHECK G� '"7 � <br /> OCCUPANCY lWD � <br /> OTHER.�pY I�E/19S �r� `I � -SZ�i <br /> IIEASON FOR SPRINNLER$ <br /> STATE BUI�D�NG SURCHARGE _ <br /> �iHinHenv r�ar+snvrnovcoor CITYOFEVERETT ruDUCwor�Ks <br /> �LOCAL SALES <br /> TIIX COOE IS 3105 TOTA� / 8 L� 17 S� <br />