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APPLICATI�rI FOR CONSTRUCTCJN PERMIT everett <br /> �E�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259�8810 <br /> � DEMOLITON i : COMBINATION I-� BUILDING XMECMANICAL � :PLUMBING �.-i SIGN <br /> ONNEP YALFWPE55 LIIV SIP >NON[ <br /> .v`lluwt �1,,.1 � E�.f� .Sf• .ddi�If 9Btb3 ZS9'*L89G <br /> 1ENAN1 MA0.I.ODPE55 CIiY ZIP PIqN[ <br /> eRCNrtFCiq1DC54NEN MAi.�WRE55 ��T� ��P ��E <br /> GENFIULCWiP�LlO� AULI�pOPE55 Cltt Z�p PMOME IILEN$E� <br /> MELNEN1LQf.ONiRAC10� M�M1�OWRS CIiY ZIP PIIp1E LIGENS[• <br /> C���w1 - �� _ .�� ��}t� L�i�/ dj/r �.I.y.y�0/ 3S3d1l�'/ Sf/kYN�9904 <br /> Q�d'�— cm ziv v�e �Kcr�sc. <br /> pW1I0MGLW1pAGlOR M�i�DORE$ <br /> nissa.wr+n <br /> � NEW �. ADOITION ALTERATION . �. REPAIR OEMOLITION � WOO�STOVFJFRPUNSERT �. ��. BUILDINGRELOCATION <br /> ca+rncr r[aw'+�No>�wr+E ra <br /> carrtnw^*rnccawoux ��� <br /> ocsta�oc won��r�o sou�Ac raouee wvav[n <br /> rrroroscouseaveurtmHc I HEREBV CERTIFV THAT 1 HAVE READ AN� E%AMINED THIS <br /> `,'. _� , APPLICATION AND KNOW TME SAME TO BE TRUE AND CORRECT.ALL <br /> 5.�.` PROVISIONS OF U1W$AND OHOINANCES GOVERNING TNIS NPE OF <br /> iE��ascnmtqno.rrqrcnm�srowNo¢�avon�rtecHrouncovi[si y�ORN WILL BE COMPLETED WITM WHETMER SPECIFIED HEREIN OH <br /> �pr aiace � NOT.?HE GRANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL UW REGUUTING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTflUCTION.THAT 1 AM AUTHORIZED BV THE <br /> OWNER OF 1HIS PROPERTY TO PERFORM TME WORK FOR WMICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR TORS LAW 1837 RCW AND 29fi200 WAC. <br /> sax�n acorvrn•ciona+�u*wonizcor.ccr�r o.ic <br /> X <br /> pqp!C1A C55 <br /> �P A CIiVBUSM[SSIICEN5E1fJAN BUSMESSN�MC <br /> PLUMBING • ECH�NICAL <br /> Np. TYPE OF Fl%TURE OH REM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) ATrAMNOLG UNITS—MP. <br /> BATHTUB FOflCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORYIWASHBASIN) UNITHEATEflS—O.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> NITCHEN SINK 8 DISP VENTILATION FAN <br /> �ISHWASMER RANGE HOOD <br /> LFUNDRY TRAV WATER MEATEF <br /> CLOTHES WASHER WOOD S10VE <br /> URINAL METAL FIREPLACE 8 LHIMNEV <br /> ORINKING FOl1NTAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> BACKFLOW FREVENTERS GAS PIPING <br /> ROOF OFAINS—RAINIEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) <br /> —T— <br /> SUB TOTAL S ' Sl1B TOTAL S � ' <br /> PERMIi E —T— PERMIT E <br /> TOTAL FEE S TOTAL FEE E ���� <br /> FOR OFFICE USE ONLY: <br /> FnON15[1PACN RELBS(1BACR Si�ESEiB�CM RAN�Ef�M�MflEN �EE PECEIPitq <br /> C� � <br /> usczorrt m�enu vecexrsnc PEES WILUATION FEE <br /> ewioir+c <br /> rvrtamx�su�ow.x� rvvEnca�s��c�wi � ,owon�,�.uwn <br /> PLUTABING <br /> S�p�p�pp NJ.OFSid1rt5 BASEM:NT MECNIVIICAL <br /> pCf.UGANGYlWO �1NESP11NMlENiPWO N(IGMi4MI1�i1CH PDDIIION�LPIANCHCCK <br /> OTMER <br /> P[�SONfp115✓flNXICR$ <br /> �T- <br /> STUE BUROING SURCHARGE <br /> INiAKEBY FlANSAP%bVE�BV CITYOFEYEHETT PUBLIGWORNS <br /> LOC11L SIILES <br /> TIU(CODE IS 3105 *oT�� <br />