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APPLICATIO� FOR CONSTRUCTI.�N PERMIT everett <br /> �E�M TO BE COMPLE7ED IN INK�LEASE PRINT � <br /> cirv oc ,� <br /> everett HEATING SYSTEM: �GAS U ELECTRIC O_ <br /> BUILDING DEPARTMENT <br /> 259�8810 <br /> ! ! DEMOLITON �. �� COMBINATION . BUILDING ,YMECHANICAL -�.PLUMBING �. � SIGN <br /> �ER �t� PE� Clh 21V PIqNE <br /> �K � � /6 .C•tw� c'� .E✓ERE7T I�A 9�D3 2SL'lL6 <br /> 7E�/� NAL�D�RE55 CIiV IIP F110NE <br /> ♦RCMi1FLtOPUESpNCN 1MR�DDRE55 Li1V 3�P ��MA�'E <br /> G[NERNLCNIMLIOP MI.LAOOPESS Clry IiP FBJME IICENSE• <br /> MFCMYIIGKLWiq�CLOR MAL.IDOPE55 C1iY I�P P��E LKENSE• <br /> �c,� � �sr.e/J,- �s na,�t0. 753-33df� .�Mliaov9o� <br /> RUMBINGCp11N�C1pR M�M1AOWIE55 LIfY ZIV P�qME IIGE SE <br /> ClA55OFNONK <br /> � ' NEW . � ADDITION XALTERATION - �. REPAIR ' � OEMOLITICN . WOOOSTOV6FRPUNSERi i_�. BUI�DINGRELOCATION <br /> Cp1UCf PEF`AN ANO PIqNE MO <br /> C WpiK �� <br /> OESCRIBE NOV1N/�NO$OU�FE fO0i1GC INVQVEU <br /> vrrorosco eoreurowc I HEREBY CER7IFY 7HA7 I MAVE READ AND E%AMINEO 7HIS <br /> � APP�ICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> i¢cr,icescn�rraHavuovEnmsravmec�owonertetHvwnconies PPOVISIONSOFUWSANDORDINANCESGOVERNINGTMISTVPEOF <br /> WORK WILL BE COMPLETED WITM WHETMER SPECIFIED HEREIN OR <br /> int 6�aK � NOT.THE GFANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTMORIIY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERfOFiA!ANCE OF CONSTRUCTION.THAT I AM AUTMORIZE�BV THE <br /> OWNER OF THIS PflOPERTY TO PERFOHM TME WOFK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTOflSLA 1B27RCWAND296200WAC. <br /> s�cH�rua-acann� ana+�unrona[o�ctrvt o�ic <br /> x <br /> ! <br /> PPOJEL WME55 <br /> • SOiYBO5WE55IXEN5EN0.4100U5ME55NI.4E <br /> LUNBINfi ELHIINICAL <br /> NO. TYPE OF Fl%TURE OR fTEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILEn NC-0.MNDLCa UNITS—H.P <br /> BAiNTUB FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATORV�WASHBASIN) UNITMEATERS—B.T.U. M <br /> SHOWER CLOTHESORYERS <br /> KITCHEN SINN 8 DISP VENTILATION FAN <br /> DISMWASHER RANGE HOOD <br /> LAUNDRY TRAY WATER MEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DFiA�N MEAT PUMP <br /> BACKfLOW PREVENTERS GAS PIPING <br /> ROOF URAINS—RAINLEAOERS E%MAUST FAN <br /> SIKK�SERVICE—BAR.ETCJ <br /> SUBTOTAL b SUBTOTAL 5 ! — <br /> PERMIT E PERMIT S <br /> TOTALFEE S TOTALFEE S <br /> FOR OFFICE USE ONLY: <br /> ili(YIiSC16�CR PE�NSCI9I�CM S�CESEIBACN MNLNFGNNIIM/EP_� iCE RECFIVLlq <br /> ,l <br /> WESONE LOt�PG V�LANT91tE PEES ` �ALU�TIOM FEE <br /> BUIIDING <br /> IYNMC01i15.LLlUY.1Bl1 �YRdf.ON511Clll�l O1uWt� qaCMt�iM4N's <br /> PlUM81NG <br /> 54E0!&�G NOOFSiOlUES BeSEMENi MEGN�NIG�L <br /> CCCUPIMCVtWU FlPESPAMMlEPSPEOD IIEqNilI41L1[TY �DDITIONALPUNCMECK <br /> OtNER <br /> p[�sp��'onsrqw i[ns —� <br /> STRTE Bl11lDiNG SURGM�RG[ <br /> w�..env was.arnovEoer CITYOFEYEflE1T ruautwoaKs <br /> LOCIII S11LES <br /> T�I(CODE IS 3105 rou� <br />