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1� �.:.. <br /> 1',�� <br /> 2 �t:) <br /> �.�F�LICATIO�� F�►R C�Io1STF�llC�'�J�d PE�MIT "'`'"'" <br /> E TO BE COMPLETED IN INK—PLEASE PRINT <br /> CIIY OI' <br /> everett ----- - ------------� <br /> --- <br /> HEATING SYSTEM: !J GAS J ELECTRiC J _ ____- –---_�--- <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING �.MECHANICAL PLUMBING_ SIGN <br /> ;;�:;,-- �nni�noo ess arv zia r�,one pnnJF/' <br /> �}J ►� N��.lC�� o��;l'���,r i .� b-� e�__��� 9 R7�)1 I��' 1an�_.,_� <br /> -�1—���—"�� / CiiY ZIP PHONE <br /> � ('1 � L';:.!iI / IAAIL�00f1[55 <br /> r (� <br /> � y JGthne ctS 0., �v � <br /> b � C : m,i[CiOP�ESiGN[R lAPILlAOR S CITv IiP PHONE MDO <br /> y �hr C rtlw,n�, �� �S SZC� (�Ke S�-. Sec�i'tle `�RlC�; �'I6' - �� <br /> r y y ��=._ �— � cirv zm a�aNe a,w�cc 'C7"/h�`�–� <br /> H � t�Ci �pe�r�e�n�co��ranc*on e�nenoo�ss �1��.� �CCIY�G� <br /> K y � -(- �Y� l��j� i'1LY�ftiut� Sweetll7o Cie � 2- <br /> O R7 O r.inanncaess cir. zip anou� , ucensev <br /> .IT�✓ <br /> '° N � �'�- kl�exir �� �i%r.d"�� 7i J�l � `" l�U� S� sF�>a- �� �.TI �l-��i1�S <br /> O � � PWIA�3iNG�TRACi�1I I.Ini�,Jp-�55 �O/1 � � CI� 1 1iP PNONE UCENSEa _— <br /> � �;=, ` (� ��� �ikl� C) ky2 oz�,� <br /> M � � cir,ssorwoiarc . � <br /> � • �� xNEW ADDITION ALTERATION � PEPAIR DEMOLITION . WOODSTOVE/FFPL INSERT � BUILDING RELOCATION <br /> �"� � CONTACT PERSOq ANp PN04�NO <br /> � y z 39, 29�/ s ��z_��� e� ��, /�, <br /> M y coNr ncr vatcE oF wonK J� <br /> Oy N DESCRi�F\YOFK nNU SOU��E FOOiAGE INVONED <br /> � � y N��s__ __� s�v �9 0o s4 � - � <br /> 3 ta � r-�auros=_ousEOFouaou�c I HEREBY CERTIFY THA7 I HAVE READ AND EXAMINED THIS <br /> �'� APPLICATION AND KNOW THE SAME TO BE�fRUE,1ND CORRECT.ALL <br /> �3 O tyi� — �u � PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> i.=cn�oescaivnoNeFP FeaTrisrowruee�owoannna+Fovacoaies� yyORK WILL BE COMPLETED WITH WHETNER SPEGFIED HEREIN UR <br /> � �or o�ocK oF _ NOT THE GFANTING OF A PERMIT COES NO7 PRESUMF. TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHEFi STATE OR LOCAL LAW REGULATWG�ONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTIOY.�fHAT I AM AU?HORIZED BV THE <br /> OWNER OF "fHIS PP,OPFRTY TO PERFORM THE WORK FOR WHI(:H <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> — CONTRACTORR I.AW 1827 RCW AND 296.200 WAC. <br /> SIGNATt1REOFCONiRACiORORAUiNOPIZE�AGENT DATE <br /> -�_c M ho�r�Q �no� �,�ac�lf S�- X ��+�-p <br /> p�pi�CiApDRE55 pppL�CRY[iU5MC�55LIC ��SENO A����USIIlE55NAfdE <br /> ,-�dd � � �.//� � <br /> i'_-. PLUMBING MECHANICAL , <br /> NO. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> '�'� WATER CLOSET(TOILET) ,�2 A/C—NHNDLG UNITS—H.P. �S <br /> BATHTUB _ FORCED AIR SYSTEMS—B.T.U. M E.A. I <br /> �I LAVATORY(WASH BASW) UNIT HEATERS—B.T.U. M <br /> �. I�� CLOTHES DRYERS <br /> ' SHOWER <br /> 1� KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISH WASHER RANGE HOOD � <br /> LAUNDRY TRAY WATFR HEATER <br /> �� CLOTHES WASHER WOOD STOVE <br /> METAL FIREPLACE 8 CHIMNE� <br /> I, �'^i URINAL FIREPLACE INSERT <br /> DRINI(ING FOUNTAIN <br /> FLOOR DRAIN HEAT PUMP <br /> BACKPLOW PRE\�ENTERS GAS PIPING <br /> '�ms. ROOF DRAINS—RAIIJLEADERS EXHAUST FAN ;__ <br /> SINK(SERVICE—BAR,ETC.) '�— '� <br /> — i <br /> , ��I _ - I <br /> �I '�� SUB TOTAL 5 SUB TOTAL S �/�o � — � <br /> . PERMIT 5 PERMIT S S i ' I�I <br /> I ='��I. TOTAL FcE $ TOTAI PEE S _ S� I'I <br /> l� <br /> FOR OFFICE USE ONLY: <br /> li+0!�iiEf�ACK i�E��SET�ACN SIOESEiBACK PLl.NLHECKNW.tItPq �fC �t���Pi'�� �I <br /> ��;�i_����� �plqqEp vpcnr+TsitE FEES VALUATION FEE � <br /> BUILDING � <br /> hiF04COHI5ALLOWABIE iYPFOFCONSi.RG111AL oc[uvencr x00fnsui^�nr,��s <br /> c=ouv PWMBING I <br /> :+:+EOFOLOG NOUFSTORIES BASEMENT MECHANICAL yJ�� — �I <br /> AOOITIONALPLANCHECK . �� <br /> . oGCUPANCYLOAD FIPESPqNN�ER58E0'D HEIGMTLIlAITqTION , <br /> OTHER I <br /> � <br /> ❑E�504 FOR SPfliNrcLERS <br /> STATE 9UILDING Sl1RCHARGE <br /> �N,nHEo. a�nr,snF�r�r�oveoav � CITYOFEVERETT vueucwoAKs � i <br /> � LOCALSALES — ! i <br /> TAX CODE IS 3105 TOTA� y?S'; r.�� <br />