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APPLICATI�N FOR CONSTRUCTI�N PERMIT everett <br /> �E�,�� TO BE COMPLETED IN INK�LEASE PRINT � <br /> GITY OF <br /> everett HEATINGSYSTEM: �GA& OELECTRIC ;1 <br /> BUILDING DEPARTMENT —� <br /> 259�8810 <br /> ' �. DEMOLITION I COMBINATION x BUILDING i_:MECHANICAL ":PLUMBING fl SI6N <br /> OWNER YAllA0011C55 �,7�aL CITY IIP PIV�1.� <br /> V <br /> Mey Rc�s rin�c-nerT�c» #iPr I�-1- 31 � G.�rri< u..'� �SS-3�74 <br /> 1ENANl MAFAOd�E55 CITY 21P PWIIE <br /> MCNIIECiOPDESRNEP MA0.�W�R5 GITv 110 PXONE <br /> �j t1b �i 1 r ow,1 �7241 �131nkc �e � �h•�1�c �.k 981oZ 3Z+i-2>� <br /> GENCP.LLCWIPAC�OR M�4AppPC55 u Gn' Iw FXOME IICfVSE• /1 <br /> I� .`��77'S T lh�i/�"i' <br /> MECNANpµCdliR�CiON Y�M1ADDfl[55 CItY IIV PIqM( IKENSE� <br /> P�pMBWOLp11fl�C10R M�M1�DDflE55 CIIY ZIP OWNE LICENSEI <br /> ClA55Ci WOIIR <br /> NEW � ADOITION � ALTERATION . ' REPAIR i �. DEMOLITION . � WOOOSTOVEIFRPL INSERT �. . BUILDING RELOCATION <br /> CONi�LiPER50Nu�OP�qNE1q <br /> carvin�c*vnceorwonx e'dd t Z. ' Z <br /> ocunree w'rnK�Ho sou�nc roor�ce rcrvavEo <br /> saa c.z yr �� • .. � - o . a <br /> raoroscouseaeuaoiHn I HEREBV CERTIFY THAT I HAVE REAO AND EXAMINED TMIS <br /> � � -w� APPLICATION AND KNOW THE SAME TO BE TRUE AND WRRECT.ALL <br /> iweiocsceir*io�+avaoven*vis�wN*+e[iavon�nr.cerounconesi PHOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORN WILL BE f.OMPLETED WITH WNETHER SPECIFIED HEREIN OR <br /> ia� &aca or N07.THE GRANTING OF A PERMIT DOES NOT PPESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TME PHOVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTMORIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WMICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONiRACTORS LAW 1B27 RCW AND 296.200 WAC. <br /> SKaN�tURE0ICd1iflALiOROPAUiXOP4ED�GENT O�IE <br /> rearcr�oo s, . x � `� 1���7� <br /> .�J n C `�. / 1PPliC� 4UtYBU5�NE55lCEN5[HO BOSMESSN/.ME <br /> i/ L/ <br /> PLUMBIN6 MECHANICAL <br /> NO. TVPE OF FI%TURE Ofl ITEM FEE NO. TYPE OF EOUIOMENT FEE <br /> WATER CIOSET�TOILET) A-�A MNDLG UNIT$—H.P. <br /> BAiHTUO FURCEDAIRSYSTEM$—B.T.U. M E.A. <br /> LAVATORV�WASHBASIN) UNITHEATERS—B,TU. M <br /> SMOWER CLOTMESDflVERS <br /> NITCHEN SINN d DISP VENTILATION FAN <br /> DISNW�SIIER RANGE MOOD <br /> �q�INURY iRAY WA1ER HEATER <br /> CLOTI/ES Y'ASHER WO00 STOVE <br /> URINAL AIETAL FIREPLACE 8 CMIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DRAI� MEAT PUMP <br /> BACKFLOW PIIEVENTERS GAS PIPING <br /> ROOF ORAINS-RAINLEADERS E%HAUST FAN <br /> SINK�SEflVICE—BFR.ETC.) <br /> SUBTOTAL f SUBTOTAL S <br /> PEflMIT S PEFMIT $ <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICt USE ONLY: , $� <br /> 111IX1i5Lt9ACM P[ANSEiBAGI( `v��L50BACM PUN ECRNUMBER i[E n AECEIPIIq <br /> -zs' z-3' �.5' �535U 2���.7� � 1"�; <br /> usaza+pc �or�nu vwu�is�*[ FEES 1VALU�TION FEE <br /> 1�'S �/ SCYXJ � �� UUItDIN s r� '/S <br /> IrMO�[ON15AllOW.VI[ 1YR01CON5I/LtUAI PRwKv WVMt«�kin��'S <br /> -/ � <br /> ��°O ( PWMBING <br /> SII[OF DO NOC�Si0RIE5 9�SEM[NT MECHRNICA� <br /> Z4Y Sf OIVN <br /> ♦2 ' SF PECK � <br /> oCcu�uuCvtW� iiFEsvnHeiEPSREOU MEiGM�uGrt�iqq ADUITIONALPLANGHECK <br /> I�� z��• OTNER <br /> q[150Nf0{15VP�NRlENS <br /> ST�TE BUIL�ING SURCH�RGE (� <br /> m�eR[or MHSAPPROVEDBr CITYOFEVEflEiT PUBLICWORNS <br /> �y/' LOC�L SALES <br /> .�1� 2 TAX CO�E IS 3105 TOT�L <br />