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ApPLICa+T101�PERMIT �����CTIOF�6 <br /> i�riou <br /> tlio Evam�ecn � <br /> CITV OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8870 TO BE COMPLETE� IN INK— PLEASE PRINT <br /> r+ i.ai�nooaess cuv zir, v�+on� <br /> hl OV:N[R / ,�J /� /'J / <br /> � 'a �✓� ' � ( �F�ti$� �.?sL—�/�-��'�C�o.�/� J�.h z�p�6✓vizo ---— <br /> eiAi�nooaEss <br /> p� C� �� ��t' 7'� _ <br /> C y y tErvarvr <br /> t �. GITY LP PHONE <br /> F] � H ARO11iEGTOR0E5iGNER MPILPD�RE55 — <br /> O � O GITY ZIP PHONE LICENSE• <br /> � F� b GLNEBPLLONiRLLTOR MNILPOORE55 <br /> N � <br /> CIECMANICPLLONTRACTOR M1IAILAOORE55 <br /> CIiY 21V FIIONL LICENS[� <br /> 0 4 0 --7�i / ., Pn o3o ti'Z�� /t'�i-}�G�✓S✓i��� 9E41>n �o�',�--E 3�_Z/� v — <br /> !i ✓ G l���xi zia ice se. <br /> � �nxJ n {'LUMBINGCONTRACTOR 1AALAOD E55 p,�G ���ris���B <br /> qb~.] � CLASSOFWOFK <br /> C' H y ❑ NEW ❑ ADOITION ❑ ALTERATION ❑ FEPAIR ❑ DEMOLITION Co❑pVlOOD�Si�NDP110NENOSERT � BUILDINGPELOCATION <br /> iENANiIMPROVEMENTGRINiER�ORFEMO LONLV <br /> n C N <br /> c� � r conraacTvnicEorwoaK � SOC7 _ — -- <br /> DES/Cg�,G�\YOFKPNDBOl1AREG00TAGEINVOWED <br /> H O N ril a� / / /L _— <br /> PRG�OSEDUSEOF Ui� G IHEREBYCERTIFYTHATIHAVEREADANDE%AMINEDTHISAPPLICATIONAND <br /> KNOWT4ESAMETOBETRUEANDCORRECT.ALLPROVISIONSOFLAWSAND <br /> OFDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLETED WITH <br /> �Ecn�oEscaiano�+oFPROPean'i5nowr+ee�owoenrrneNFouacoPieS WHE7HERSFECIFIEDHEREINORNO7.THEGRANTINGOFAPEFMITDOESNOT <br /> PRESUME TO GIVE AUTHORITYTO VIOLATE OR CANCEL TME PROVISIONS OF <br /> to* B�ocK oF ANVOTHERSTATEORLOCALLAWREGULATINGCONSTRUCTIONORTHEPER� <br /> PORMANCE OF CONSTRUGIION.THAT I AM AUTHORIZED BY THE OWNER OF <br /> ANID IRCOMP YTWPHRi�EMS ATE OONTRAC OPSHLAWL1827�RCW 1AND <br /> 296.200 WAC. /j.�Z 4_�j2 <br /> SIGNFiUREOFCONiRACIDPC���NIHCFIZE�/GENT �FLE 7 <br /> z��o Gfl, / 1 v� . ��_��� -� -- <br /> pppJECiPDOFE55 /.PI�iCtliSCliv � "SSLICENSFN A SINESSNA�AL <br /> � . MECHANICAL . <br /> I '=p'��� PLUMBING FEE <br /> FEE NO. TYPE OF EOJIPMENT <br /> �� NO. TVPEOFFI%TUflEORITEM _ <br /> A/C—NHNDLG UNITS—H.P. <br /> � ' WATERCLOSET�TOILEn FORCEDAIRSYSTEMS—B.T.U. MEA <br /> IBATHTUB <br /> '�ya LAVATORY(VJASH BASIN� UNIT HEATERS—BS.U. M — <br /> CLOTHESDRYERS <br /> 'ew�' SHOWER VENTILATION FAN <br /> ' KITCHEN SINKB DISP. qpNGE HOOD <br /> DISHWASHER <br /> � WATEF HEATER <br /> O�q LAUNDRYTRAY WOOD STOVE <br /> I I CLOTHES WASHER — <br /> �i �� _ METALfIREPLACEBCHIMNEY <br /> �A�NA� FIREPLACEINSERT <br /> DRINKING FOUNTAIN HEAT PUMP <br /> �`� FLOOR ORAIN GAS PIPING <br /> � �� I BACKFLOW PREVENTERS EXHAUSTFAN <br /> I ROOF DRAINS—RA W LEADERS <br /> SINK(SERVICE—BAP.ETC.) <br /> : �1�1 <br /> I _ <br /> �`1 a. SUBTOTAL S Sl1BTOTAI S <br /> PEFMIT 5 <br /> PERMIT S S <br /> TOTALFEE <br /> � TOTALFEE S FEE PELEIPTNO. <br /> SIDESEiBAGH PIANCHECIt�%�1� <br /> fPON�5El0ACK iiEARSElOACN ^ , <br /> � d <br /> vncar+rsrte FEES VALUATtON FEE <br /> US[10NL ��jA��EA ❑yE5 ❑NO <br /> BUILDING — <br /> TYFEOFCONST. OCCUPANCYGROIIP NO.OFOWELLMGUNIiS -- <br /> ALLOWAOLE/AGTUAL PLUMBING _ <br /> SIZEOF9LOG. NOAFSiOPIES 65ML. OCGLOAO MECHANICHL —' <br /> ❑Y <br /> ❑N <br /> HEIGIIiLIMITAiION OTHER — <br /> FlF[SPRINKLEPSPEOVIPE� ❑1'�5 ❑NO STATEBUILDINGSURCHARGE _ <br /> STATE ENEPGV Sl1RCHARGE __ <br /> pPPLICAiIONACCOY PLANSAPPF.BY PUBLICWORKS <br /> TOTAL <br />