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- � <br /> --, <br /> APPUCATIOI. FOR COidST��i���.�Wfi ��Rii�i9T` `� � ,� ,� <br /> TO BE C�7MPLETED IN INK—PLEASE PRINT � I, <br /> .,� . �.l�.i;�� <br /> everett I HEATINGSYSTEM: ,GAS 4 ELECTRIC J_ __ _ -- — _ I <br /> RUILDI�v3 DEPARTMENT { <br /> 259-6810 <br /> DEMOLITION COMBINATION DUILDING MECHANICAL _ PLUMBING SIGN � <br /> � :.'�:[i IA#�AO�RE55 CItY ::'�� ��•�'�E <br /> Iservl Butcher 1508 Hov[ Everett 98201 252-72i0 ___ _ _ ' <br /> �- IAAILAODRE55 CRY IIP PHONE � <br /> ;.,1Vi <br /> G�n, 2ip P��ONE <br /> �::rryRECTOR�E5IGNER I.IaILA00RE55 <br /> y�� � <br /> i��ENfRALC(YITPACTOR IAAILAGORE55 CITY Zli °HONE ULENSE� <br /> m�H Gverett Bldrs. Inc 5606 EverQreen i•]av E��erett 98203 �53-7161 EVEREB*301PH ' <br /> > -3 Cn cirr zia v�wr+[ uctr+sE. <br /> VEb�ANICAICONiRACTOR MAiLA00RE5i <br /> rx <br /> H 73 <br /> H z H 1 tUTABING LONTPRGTOR lAAIL ADDBE55 CITV ZIP PNONE IICENSE s I <br /> " y� _. — <br /> GLA55 OF NOPN <br /> � C~p N N�W X ADDITION ALTERATIGN REPAIR DEMOLITION WOODSTOVE�FRPI iNSERT � � BUILDING RELOCATION <br /> H L� — CONfACT PERSON RND�IIONE fln <br /> h �yd r.onraectvaiceoFwonK - 40�n��0-- D8n Plann/353-7161 <br /> O H p[SCRIBFWOAK���DFOtIA�EFOOLAGEINVOlVEO 7��/S�- . <br /> rxit�n o � ' nd story addition and inrn 'o rem� <br /> �" n r�rvovoseouseorow�oirvc I HEREBY CERTIFV TNAf I HAVE READ AND E%AMINED ThIS <br /> z N� ci� APPLICATION AND KNOW THE SAME TO BE TRUE APJD CORRECT.ALL <br /> J PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �rcn�oescAiP*�oruorvaoPEarvlSnovrz+ee�owoaartno�rcunca���=s�, WORK WILL BE COMPLETED WiTH WHETHER SPECIFIED HEREIN Ok <br /> ty y y �c� �9�3a eioc� 3� 7-D -� _ NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> p H AUTHORIY� TO VIOLATE OR CANCEL THE FROVISIONS OF ANY <br /> n C7 N OTHER STATE OR LOC LAW REGl1LA71NG CONSTRUCTION OR THE <br /> � �r Acc[ tl 4753-307-029-0007 PERFORIAANGE OF C�STRUCTIGN.1HAT I Ald AUTHORIZED BV THE <br /> (a] CWIJEn v1° THIS PROPERTV TO PERFORM THE WORK FOR WHICH I <br /> 2 HV1 AFPLICATION IS MADE AND I COM?LY WITH THE STATE � , <br /> y �� - � CONTRAC70R5 LAW 182I�9CW AND 296.200 WAC. <br /> SiGNALU!iECP�CB�It CiOAOPAUi� iZEDRGENT� DATE �//7/Q/ <br /> " � - / I <br /> — — \ '�c� �--L,l 'L.. � <br /> �;:�� ,•; ` � <br /> ^' - ' GPPCCAlILSGirvB��u+F.tiStiCEN5EN0 ANpOi 9NE55 idE <br /> 1508 IIoyC Ave. Gverett Wa 98201 <br /> PLUMBING MECHANICAL <br /> p:0. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> - �a► _ <br /> { � WATER CLOSET�TOILET) , AC-A�HNDLG UNITS-H.P. <br /> � -w � - FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> � BATHTUB _ <br /> _( �AVATORY 1WASH BASIN) " UNIT HEATERS-B,T_U_M _ <br /> �"- _ SHOWER _ CLOTHES DRYEFS <br /> `-�� ' KITCHEN SINK 8 DISP / VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> LAUNDRVTRAY WATERHEATER { <br /> GLOTHES WASHEFi WOOD STOVE �_ <br /> "�� METAL FIRE�LACE 8 CHIMNEV <br /> URINAL y— I� <br /> DFINKING FOUNTAIN FIREPLACE INSEFT �_ � <br /> - HEAT PUMP �� <br /> FLOOR DRAIN { <br /> � � �; BACKFLOW PRGVENTERS GAS PIPING <br /> ROOF DRAINS-RAINLEADERS EXHAUST FAN <br /> SINK�SERVICE-Bl+R,ETC.! <br /> -T <br /> 'r� <br /> �. � SUB TGTAL 5 SUB TOTAL S /fi ' <br /> PERMIT S PERMIT 5 � ' <br /> - 70TALFEE $ / — TOTALFEE 5 � <br /> FOR OFFICE USE CNLY: '�Z ����� <br /> ��..�.1',IIOA K fiEAR5E1pALN SIOES[1flALH P�NGNECa1��BF�.� � «� } � AEC[IPT��/� � <br /> � zoF Zo� s� ,� 3 a-� � s <br /> . �,�`� iornnEa� VPCAN15�iE FEES VALUATION FEE <br /> � r` euaoiNc =�3y 1p� .�J�)2 ' <br /> .. �n� u,t.u�,� rvrrorcUrrinnun� �c��oA+•. xoa��uwrunns — — ��-� _ <br /> � ' � r,""'r PLUM0ING � <br /> T <br /> �'iJ_ - ' <br /> .. � eiDG NOOFStORiES BAS[MENT MECHANIGAL /�� � I <br /> ��''O S�4D � AD�ITIONALPLANCHECN <br /> InHf,YLOAO LIRCSPRNMIEPSRE00 NEI(H1111A11�p➢t'll 1 i <br /> t��A Nv Z 0 OTHER rr� i <br /> �_.. ,���r.aSvrrN.ifr+ti � � /��) <br /> STATE BUILDING SURGHAHCE _ <br /> � �ir��s.Pr�o�rnur CITYOFEVERE7T runuc�voaKs <br /> nl�—LOCAL SALES <br /> / fr 4�;�,� TAX COOE iS 3105 rorn� �-�'�' � <br />