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APPLICATION FOR CONSTRIJCTION PERMIT <br /> evere[t <br /> IheErerpreen ��(� / � <br /> `everett v <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLE�ISE PRINT <br /> ❑ DEMOLITION � COMBINATION ❑ BUILDING 'j�1dECHANICAL ❑PLUMBING ❑ S�GN <br /> �/O HALLAOOFE C LP VNONc <br /> �t�e2e�7 �� •�f� /`//52�/�ve, 2�G% �'�a7tfn_ 9�/D/ l�v�'2-l0/7l <br /> 11EwWi datiI�OJFE55 � � � LIiY LP PHONE <br /> G-�NIC�WIn�D�ERNGFS 1105 SC�tV4tfff /�/14uWl4YiCv�'ar.rT' iui'rE U <br /> /iPCNIiECTON0E51GNEfl MAILADDPE55 LIT' ZIP PIKKIE <br /> lG[NfMLCP4iflAGipR MA0.IDDflE55 S� F�Sp9 LI1Y LP PIqNE IiCENSE• <br /> %v�o SY$2�N5 I�1/Y �TNELLL.�AYSe bors�c� 9ba/�- �6-�7y897 <br /> NELN'NILALLONLN�LLOdP IMILIDDPE55 CIIY 31P PNCNE LILENSEI <br /> T�2I-CTATE/i�NB��.L��G �3y10 AJE/bf�ST B�LCE VUE� W!� aoL-G�3383c TR/ST/�'�'/SNZ <br /> PWMBINGCMiPALi0i1 1MILAJ�P[55 CIN ZIP VNONE IICEN;E1 <br /> C1A550FwJRN ' ' <br /> ❑ NEW ❑ A�DITION }QALTERATION ❑ REPl.IR ❑ DEMOUTION ❑ WOOUSTOVFJFRPLINSERT ❑ BWI�INGRELOCATION <br /> TENNIT WPflWEMENTCPINtEFqflPEMOp LO..N�LY�ye� GdIIAGTPEP$ONANUPXONENO. /� <br /> Cd1iH�CTPRCEOFWORN: ��`� b �ENNI V l.Q o 3-3 30 <br /> OESCflIBE NVIiN NIO SCU�flE FWTAGE INVCLVED <br /> ^Qu, -h�NST. 7Sab 6TU �N�T f E <br /> vaoroscouseoFeuanwe I HEREBV CERTIFV THAT I HAVE HEAD AND E%AMIHED THIS <br /> C�.O HNE/1C!.IiiC. APPLICATION AilD KNOW THE SAME TO BE TFUE AND CORRECL ALL <br /> lfWlpESLflIPipNCLPROVEBiV�SXOMHBELOWOR�iTACNfWHLOPIES) � PROVISIOIi50FtAW5AN00RDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL 9E COMPLETED WITH WHETHEfl SPECIFIED HEREIN OR <br /> wT �aK � NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � OTHER STATE OR LOCFL LAW REGULATING CONSTRUCTION OR THE <br /> PEHFORMANCE OF CONSTRUCiION.THAT I AM AUTHOHI2ED BV THE <br /> OWNEF OF THIS'PflOPERTV TO PEPFORM THE WORK FOR WHICM <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS IAW 10.27 RCW AND 29fi200 WAC. <br /> 6�GN/.tUflEW��OPOPA�TNOfl4EDRGENi ORE �/�/� <br /> i A ��'<i�`.,� . Tc-�..��.� <br /> rnaecr.woacsGs� • A RI-STATE l�/ C/ti1L��7SUC /03�y <br /> ��bS �J ( �/G,�F�T HTLL W�� APPI!GNi5L1iYBU5111E55LICEN5E110.N100U51NE55NMIE <br /> CY <br /> PLUAIBING MELHANICAL <br /> NO. TYPE OF FIXTUNE ON REM FEE NO. TVPE OF E�IIIPMENT FEE <br /> WATER CLOSET(TOILEn A/CrA/MN�LG IINIT$—H.P. <br /> BATHTl18 FORCEDAIRSYSTEMS—B.T.U. M E.A. <br /> LAVATORVIWASHBASIN) UNITHEATERS—B.TU. M 'J <br /> SHON'Eii CLOTHES DRVERS � <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISMWASHER - RANGEHOOD <br /> LAUNDRV TRAV WATEF7 HEATER <br /> CLOTHESWASHER WOODSTOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> OflINKING FOl1NTAItJ FIflEP�CE INSERT <br /> FLOOR ORAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING �GI � <br /> E <br /> ROOF DflAIN$--RAINLEAOERJ EXHAUST FAN <br /> � SINK(SERVICE—BAR.ETC.1 <br /> SUBTOTAL $ SUBTOTAL E � <br /> PEFMIT $ PERMIT $ <br /> TOTALFEE $ TOTALFEE $ � <br /> FflQYtSETBACN PEARSCiWLN SIOESEipACK VLWLHKI(NUYBEfl fEE FECEIPTNO. <br /> use:or�e iotnn� v�cu�i5ile FEES VALUATION FEE <br /> ❑ VES ❑ NO —T <br /> ouaoirvc <br /> �ViCOiCON$i11LOVlIHtF fYPfOifAH$I.�C111H a�✓�K� WpMiLLu4uvl3 <br /> 4X?w <br /> PWMOING <br /> SIZEOF&00. 1q.OF5id11E5 9M1SEMENT MEG/IANICAL <br /> ❑ VES ❑ NO <br /> OLCUPNILTL0.IO i�PESPflNNLEflSflEOD HEIGHILIYIi/dICN �THEfl <br /> ❑ YES C NO STATEBUILOINuSUflCHARGE <br /> PEASOHfOflSPPWIhEHS . . <br /> STATEENERGVSUPCHAFGE <br /> •VPLICALICNALGBV %ANSAPPflOVE00Y CITYUFEYEHETT PpBUGWONK$ <br /> � LOCAL SALES <br /> TA7(CODE IS 3105 rora� <br />