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APPLICATIG .J FOR CONSTRUCT��N PERMIT ''`''"'�` <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ir��or --� <br /> everett i HEATING SYSTEM: t�GAS �l ELECTRIC J ___ — J <br /> BUILDING DEPARTMENT <br /> 259 8810 nf'1 <br /> 1 DEMOLITION COMBINATION BUILDING MECHANICAL .,i� ' PLUMBING SIGN <br /> f -:•,rq MaiLapJF[55 Gnv ]m oMod / �� �� <br /> I�,.,�i �inrn �O('1��17i1"(4,1� �Il�_ �rll�l�►Y�) �uCl�?N� i:���`.' �5�- <br /> Q ro �`' <br /> :�.���i MAII�DORE55 CITV 21P PHONE <br /> � �F] � aeCNrtWtORDESiGNE� MARR�DRESS CITY Z�P PMONE <br /> � ¢ H <br /> � ^ � �fuERALCONTHnCIOA A�A�LADDRE55 QTV 21P VMONE LIGENSE• <br /> � � � `-rj PMOqqq LI[ NSE� <br /> y �„� \ECHANiCqIWNiF�C*OF fM/A��iLA1DDAE551q (1 ' ,�J ` � 1/' 1� ^r ) �, 1� Q��� <br /> � � � � 1 U1� IAI� �ll��'X � � I D 1� � (CITv�� �ILr�I {r IJIJ� /\ �J, i'� i� ( .� <br /> y IUMBINGCONTRRCTOA MAILADORE55 Gli� 21C PMONE IIGENSE• <br /> �"� � � SSO�IYOHN <br /> M ` <br /> i„i �NEW ADOITION ' �LTERA710N AEPAIR OEMOLITION WOODSTOVE:FRPLINSERT BUILDINGRELOCATION <br /> y CONTALT OEASON�ND PMONE NO <br /> � H ::ONTRRGi PRIf,E OF WOAK �� � ��Iv� � �� <br /> N <br /> � y JiSCai��1V0�NfND50U��E OOTAGE�NVOLVED \ <br /> � � r o ��^ ' S liJ ' , '; �E� ''`' . <br /> y �V �^M � -c� m:..:... I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> p y �1� r!' ; ��+ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> .'eGA�OESC`AiP➢ O doPeA�'is�o"N e�owoa n*�<eH vOUAeoaies PROVISIONS OP LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> � WORK WILL BE COMPLETED WITH WHETHER SPECIPIED HEREIN OR <br /> �,pr d,:x, o� NOT THE GRANTING OF A PERld1T DOES NOT PRESU�dE TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL lA\'!fiEGULATING CONSTRUCTION OR THE <br /> ��� , d . � J�� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> T'tX � I� R l� �O�-l���Sr "�"� �PPEROIONISISRMADETANDPERCO PLYHE4ITOHKTHOERSTATE <br /> CONTflACTORS LAW 1827 RCW AND 296200 WAC. <br /> S�G4RTUQEOF�ONiFPGTOqOAAUTMORQED4GENT DATE <br /> �1 <br /> — " -�n ,u i �.� l�t:�� �,1_ c � � ;; , <br /> oAO�ECiADDP 551 �/� 1 ` uI - ` '�� � � <br /> �� ����l,��J,V� - I�4.f'� II i ��GF� C �e.l ^ I aaP��� rSGTVBtl5i4ES5liCE�6EN0u�DBU51 SN�i.�E <br /> 1 <br /> � PLUMBING MECHANICAL <br /> ( �� NO. TYPE OF FIl(TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET�TOILET� _ _ A C—A HNDLG UNIT$--NP <br /> 1 BATHTUB __ __ FOPCED FIR SYSTE�dS-8 T.U. �d E A. � <br /> �� LAVATORV IVJASH BP.SINI UNIT HEA1'ERS—BS.U. M <br /> �� SHOWER CLOTHES DRYEAS _ <br /> , KITCI .N SINK 8 DISP VENTILATION FAN <br /> DISHWASH-R RANGE HOOD <br /> LAUNDRV TRAV WATER HEATER <br /> 1 �� _ GLOTHES WASHER _ VlOOD STOVE <br /> ' URINAL METAL FIREPIACE 8 CHiMNEV <br /> DRINKING FOUNTAIN FIREPLACE WSERT <br /> FLOOR DRAIN I1EAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING <br /> �� E%HAUSTFAN <br /> ROOF DRAINS—RAINLEADERS <br /> SINK�SERVICE—BAR,ETC.1 <br /> w� - -- � <br /> ✓ <br /> SUBTOTAL 5 '�SUBTOTAL 5 ) <br /> ' PERMIT 5 PERMIT 5 � � <br /> �� TOTALFEE S ' O'rLFCC > — / <br /> _' _—__—__ . <br /> FOR nFFICE USE ONLY: <br /> ------ ----- � ---- ---- -�—, <br /> -:,,��'cr*r.er. �l �ueu.rc��. ..____.__._.. ,_ , ._' r�� �.E�E���n� <br /> � .... J'r.: ...r... �.... ...n... <br /> ��seloe¢ �o*�nee WUNTS�TE FEES VALUATION FEE <br /> BUIIDiNG <br /> '�rEOfCON'.iALIOW�BI[ r�PEO�GON51/�CNA� ot4�e:+ worrr.i��r.�+'�s - <br /> PLUMBING <br /> ,itE OF BLPG NO Of 5'� • ES B�SEMEh* I,IECHANICAL <br /> � ��CCl1PAN[YLG4p i1RE5��yNLEA5RE0D NE�GMT�iM�Ui1pN ADD�TIO��ALPLANCMECK <br /> OTHER <br /> ��EASON FOR SPRiNNiERS <br /> STATE BUIIDING SURCHARGE <br /> •�ineE b+ O�pNS�PPAOVEDBV CITY OF EVERETT PUBLIC YlOHNS <br /> � ILOCAL SALES <br /> TAX CODEIS 3105 rorn� <br />