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APPLICATIO�� FOR CONSTRUCTM.IN PERMIT everett <br /> �E�� TO BE COMPLETED IN INK—P EASE PRINT � <br /> an oF <br /> everett HEATING SVSTEM: AS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259-BB70 <br /> �-i DEMOLITION !i COMBINATON :.! BUILDING CHANICAL f 7 PLUMBING ;l SIGN <br /> (•A2n�nl/�1c�t.£s ���.�//-�'�-���1�� �`� 9871J3 z5z' IS7s �Sq- 1907 <br /> iFN�Ni L M.1iLMUPES$ Gltt IV / Plql�C / <br /> ��4 <br /> LPGNrtELlORDES�GNEfl ML0.ADDNE55 tlrv TIY pNONE <br /> GENER0.GONIN�CT011 MAfADDPE55 Cliv ZIP FNONE ItENSE• <br /> MECN CON10�p0 YARI�I`�PE GiY bP PNWE Li ENSE� <br /> ��45 �az�n��� ��zz�tl� �14"-�.9-�(lau�- 9�7Z 4�_(88� 77�Yw� �/9�8�1 <br /> PIUMBplOCpllMCi011 MA0.�0 E55 C1 ZIP � PNONE T� IICENSEI <br /> C1A550iNORK <br /> . � NEW i � ADDITION �... ALTERATION ` REPAIR ��7 OEMOLITION . ��. WOODSTOVFlFRPLINSERT �.. BUILDINGRELOCATION <br /> c�rvucr rensd r.r�o rwrvc rvo. <br /> cor�ra�crvn�ccarwa+n �7 (�.7 ` <br /> o[unrecwa+n�uo •n[r ucEim�aw[n ����� <br /> 4 � � <br /> vnorououuaeuanwc I HEREBV CERTIFV THAT I HAVE READ ANO E%AMINEO THIS <br /> ' APPLICATION ANO KNOW THE SAME TO BE TRUE RND CORRECT.AL� <br /> LCG0.DESLNiPiUNOfPROPENtV1�b�B[LOWON�R�CNfWfltOai61 PPOVISiONSOFLAWSANDOR0INANCESGOVERNING7HISTVPEOF <br /> WORK WILL OE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> io* e�aK � NOT.THE GRANTING OF A PERMIT DOES NOT PRESU�AE TO GIVE <br /> �� # � q��/J �/ AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF ANV <br /> —VL7 ZZI D OTHER STATE OR LOCAL IAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COMPLV WITH liE STATE <br /> CONTRACTORS LAW 1827 RCW AND 2962W WAC. <br /> sr✓uruneorcwnuc�onou�u*�wnuco�ccNt o�tc /l��/—�� <br /> PPQIFCTADDP[55 � / f� l� �/ ' �r/I`11Ltu� <br /> �S�� C E Q C—A/� A"� ACPLICANi5C1 USMESSIILFN5EN0 ANU&ILVESSH�ME <br /> PLUMBINfi MECN�NIC�L <br /> Np, TYPEOFfl%TUREORREM FEE NO. TYPEOPE�UIPMENT FEE <br /> WATER CLOSET�TOILEn /e'C�AMNOLG UNITS—H.P. <br /> BATHTUB FORCED AIF SYSTEM .T.0 M E.A. <br /> LAVATORV(WASH B�SIN) UNIT HEATER$—B.T.U. <br /> SMOWEP CLOTHESDRYERS <br /> KITCHEN SINK d DISP VENTIUTION FAN <br /> OISHWASMER RANGE HOOD _ <br /> LAUNDRVTRAY WATERHEATER <br /> CLOTMES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINNING FOUNTAIN F REPLFCE INSERT <br /> F�OOR ORAIN HEAT PUMP <br /> BACKFIOW PREVENTERS GAS PIPING <br /> ROOF�RAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETC.1 <br /> SUB�OTAL 5 SUBTOTAL S 1 <br /> PEFMIT $ PERMIT 5 f'� <br /> TOTALFEE S TOTALFEE S /� <br /> FOR OFFlCE USE ONLY: <br /> {PpItSEIWLN RGqSEiBdLN S��ESEi8.1CR PLANCNECNNUMBER fEE MECflPTlq <br /> us�zar�s io*enen vnc.wrsirt FEES VALURTION FEE <br /> BUiI�ING <br /> M1RO�COMiS�IIOWMI[ TRIXCMSI�CN� omw[r nwoMi�ncwn <br /> �� PLUMBING <br /> siIEOFeLOG NOOFS10RiE5 BISEMGNi MECHANICAL � • — <br /> OCCUPANCYl0�0 iIflESPPM1RlEPSR[OU XEqNTIINIIAiION AOOITIONALPIANGNECN <br /> OTHER <br /> PEASd1lOR SPflHINlENS <br /> SiATE BWIDING SURLHARGE <br /> wuMEBY R/m5evnnOVE00Y CITYOFEVEHETT PUBIICWORK$ <br /> LOCIIL SIILES � <br /> TAI COOE IS 3105 TOTAL ii� — <br />