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APPLICATlO: FOR CONSTRUCTiJN PERMIT �VefP" <br /> n�e e�c���ee� TO BE CO�dPLETED IN INK—PLEASE PRINT � I <br /> cirv or <br /> everett — -- - --------- - _ I <br /> LHEATING SVSTEM: J GAS �ELECTRIC J _- —._._____ <br /> BUILDING DEPARTMENT <br /> 259-8610 <br /> DEMOLITION COMBINATION X BUILDING _ 'MECHANICAL JCPLUMBING SIGN <br /> . o�v�,en �.�����oo�Ess /9�{a/ ��J7�+M/6G�ecf- �F/Oo vro�,e Sz--7-ao P5� <br /> ��JS107� � o�� 2 c� 4 y�yJY_w��l�(�tf' 9' $'O 3 � 77/ —po 7D <br /> r�e(+nHr nanooaess ciTv zia rHor+s <br /> — VA-C.a x�— /zo 3 — P �U�,e�7� �Aal� �a, <br /> �FCNrtECTORDESiGrvER ��A44��RE55 Qiv ZiP PHONE <br /> � _ J!�° r2-.��,�, �..y rv� 3 �7-3600 <br /> ,o �GEN[RALGON1PPCi0R ! 1.!AII��DRE55 CITY IF PHONE UGENSEM <br /> H C)H —� /UZ'f �r T �i✓� '_ <br /> �'�� 6�LCHANICPICONiRAGfOR MAIL�p[1RE55 CITY ZIP PHONE LICENSER <br /> mzx �� � — <br /> 4" H PI�IAUINGCONiRACTOR I.I�ILAD�RESS CITY 21P PHONE lIC[NSEo <br /> ayw « i. <br /> H �.~^�' CLASSOFWORK <br /> H � '� <br /> K y� NEW ADDITION �ALTERATION � REPAIR OEMOLITION WOODSTOVE/FRPL INSERT . BUILDING REWCATI <br /> �i a.. cor�tact aeasorv arvo r��or+e r�o T <br /> � H� COIJTRACiPRICEOFN'ORN /O OOT� V . <br /> V1 H <br /> F3 C�� OC.SCRIOiWOFKANDSQUARCFOpTAG[INVOLVW <br /> G�i.y �GGrI�N <br /> � y� �',�5�� 5�e�a-t�x�EJ4 d 7 a ���,(rA',Qe — <br /> ❑aoro— ,s�ilso 'eoFe���i�oiHc T.=, I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> �y �/ / APPLICATION AND KNO�Y THE SAME TO BE TRUE AND CORRECT.ALL <br /> � [�i�p � PROVISIONS OF LAWS AND OflDINANCES GOVERNINC THIS TYPE OF <br /> ���� L[G�LDESCRIPTIONOPPPpPERiVISHOWNDELOWOFATTACHFOIIRCOPIES) <br /> H �! /_v�, � WORK WILL BE COMPLETED WITH WHETHER SPEC�"1OD HEREIN OR <br /> nLr H�7 �pT Z BLOCN 2Y� OF (� NOT. THE GRANTING OF A PERMIT OOES NOT PF�-5U1dE TO GIVE <br /> y y��� �� AUTHORITY TO `.�IOLATE OR CANCEL THE PROVISIONS OF ANY <br /> t" H y $�y��� � OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTION OR THE <br /> d y PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> p H OWNER OF THIS PROPERTY TO PERFORIA THE WORK FOR VJHICH <br /> C7 C7� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRAC ORS LAW 18.27 RCW AND 296200 WAC. <br /> i� SIGNATURE CONTRAGTORORAUINORI DFGENT UATE <br /> y �fn y � f�%6�s���e���. <br /> n <br /> PROJEGTADDRE55 q <br /> /�G _lUI ��r�,q,,Y �'n qpPLi 1 SC�iY�US'�NESSLiCENSENO.AN BOSINE551lAUE <br /> r�y.�,c.e - oi <br /> PLUMBING M C ANICAL <br /> � NO. TYPE OF FU(TURE OR ITEM FEE N TYPE OF ECUIFMENT PEE <br /> WATER CLOSET(TOIIET) Ao-NHNDLG UNITS-H.P. <br /> ��!! � / BATHTUB FORGED AIR SYSTEMS—B.T.U. M E.A. <br /> "°'�' LAVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M <br /> SHOWER CLOTHES DRYERS <br /> � � KITCHEN SWK 8 DISP VENTILATION FAN <br /> '�, � � DISHWASHER _ RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER _ <br /> CIOTHES WASHER WOODSTOVE � _ <br /> I '� �. METAL FIREPLAC[8 CHIMNEV <br /> URINAL <br /> ' "�! DRINKWG WUNTAIN FIREPLACEINSERT <br /> I <br /> , FLOOR DRAIN HEAT PUh1P <br /> o � BACKFLOW PREVENTERS GAS PIPING <br /> !O I ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ET0.) <br /> T <br /> � ' <br /> � SUBTOTAL 5 SUBTOTAL 5 <br /> �Ii PER�d1T S _ PERMIT 5 <br /> TOTALFEE 5 TOTALFEE 5 <br /> � •, FOR OFFICE USE ONLY: <br /> rr� FfiONT5Ei0n N REARSEi ACK Slp[5[i9 CN PLRNCMECNNUSIBER «E AEC iPiNO. <br /> usez�n G� z zZs "7(n�G� �- �o <br /> � �otnae vncnHt� E FEES VALUATION FEE <br /> C�I R �/ BUILDING /p UAo �� '� <br /> rvPEOiCOtI15ALl0YlA9l[ iVPEOfGON51.ACNAL OLfu��c•.r boOrpxF�rr,G�•::�s <br /> twouv p�UMBiNG <br /> Z/ - �! � Z v <br /> SIZE OF�IOG IIG OF S10RIE5 BASEMENT MECHANICAL �, <br /> ��f7� `r F' I ��l_� _ �. <br /> OCf.UPPNCYLOAD ��AESPfNtLERSFEO'D HEIGHTulAiiATiON ADDITIONALPLANCNECK . . <br /> �) O/ OIHER � I � <br /> ���� <br /> NE�SONFOIISPRINqERS LI 1 i� <br /> STAT[BUILDING SUflCHARGE � � �j(J ' <br /> winHc m r�nr+snvPnoJi.0�,�� CITY OF EVERETT PUBLIC WORKS �I � <br /> LUCALSALES <br /> ::5-- TAX COOE IS 3105 TOTA� � Z 1 ' SU <br />