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�,} � � APPLICATIO.. FOR CONS'�RUC'Te JN PERMIT � `°'°" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> everett HEATINGSYSTEM: JGAS JELECTRIC J =_ ___l <br /> HUILDING DEPARTMENT — <br /> 3�9-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> . -� I.�AI:AUGRE55 GiV ZIP f9O•.i_ <br /> ���;t�� SiR�Nc�cQ �83� i-I�.,� A ,, E.� ,— �isa� i _ <br /> �.1 <br /> I.IM1IL AUORES$ T Z�P PMONE <br /> � � y .-�� ��i�[CTORDESIGNER M�iLA0DRE55 ��iY Z�P P�wNE <br /> b <br /> b '3 y �.:�itAl CONTRRCIOR MAIL FDDRE55 CITY ZiP PNONE LICENSE• <br /> M � T <br /> y z H <br /> �G y � , GTY ZiP PHONE LICENSE• <br /> '.��nNICRICONit1ACiOP MMIR�DPE55 <br /> � y � (,��A��JA i C C`o l 1 S SG F.�� m�4�-�- w�J F�� ��S.aoY� �S'�� 333 L . <br /> y , '.•i1�11pLpNiPACtOR M�ILA�ORE55 CILV Z P110NE LCENSE <br /> �, o � �As�+i���aose3_ <br /> H O -- <br /> S Oc WOFrc <br /> x � p �NEW 'C ADDITION ALTFRATION REPAIR UEMOLITION . WDODSTOVE/FRP:INSERT BUIL�ING RELOCATIGN <br /> H ` G - O� CONiqCiFER501lANDPnONLNO <br /> z � x <br /> 9' H IL ••l1RACTPRICEOF'NORK ' <br /> C, N 'J ��-'����N�pE YIORN A1iD 50UAFE FOOLAGE INVOIV[0 <br /> G N � 1'J i` ' :� 1 C2 <br /> R � y i°oseouseorew�oac I HER[BV CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> �C M n '� � APPLICATION AND KNOW THE SAME TO BE TRI�E AND CORRECT ALL <br /> y p y .!�-•.�i OESCPIPT�ONOF VROPERTYISnOWN BELOW OF AiIAGN FDURCOPiES� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THiS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN GR <br /> o�ocK ov NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> AUTHORITY TO VIOLATE OR GANCEL THE PFOVISIONS OF ANY <br /> OTHER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br /> - -- PERFORMANCE OF CONSTRUCTION.THAT I AG1 AUTHORIZED BV TN[ <br /> OWNER OF THIS PROPERTV 10 PERFORM THE V.'ORN FOR NJHICFI <br /> -�f�� ��'�7O � "�7O '��7 � t7�O1_ APPLICATION IS MADE AND I GOMPLY �VITH TH[ STAiE <br /> CONTf�ACTORS LAW 1827 RCW AND 296200 W:.0 <br /> SIGNAiUi1EOFCONTRRGiONORRUiNOH2E0AGEN( OALF. <br /> .. �.icinO���CSS ���- �� 1t����_. <br /> �� nnPUCnI CrtV0U5MF55l�CiN5EN0.AN�BUSiuE �M•t. <br /> l) <br /> PLUMBING MECHANICAL <br /> ' � N0. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> � � � ' WATEq CLOSET(TOILET) lvC—NHNDLG UtrITS—M.P. <br /> � — FORCED AIR S`!STEMS—B.T.U. M E.A. <br /> - BATHTUB _ _ <br /> � � LAVPTORV IWASH BASIN) _ UNIT HEATERS—B.T.U. M <br /> � v SHOWER �__ CLOTHESDRYERS • ___ <br /> I ' KITCHEN SINK 8 DISP VENTILATION FAN . <br /> a� DISHWASHER FANGE HOOD _ <br /> LAUNDRV TRA WATER HEATER . <br /> CLOTHES WASHER WOODSTOVE ._ <br /> URINAL METALFIREPLACEB CHIMNEV _. <br /> � �"�� — PIREPLACE INSERT <br /> DRINNING FOUNTAIN � <br /> FLOORDRAW HEATPUMP _ <br /> BACKFLOW PpEVENTERS GAS PIPING __ <br /> '�"�s — EXHAU�f FAN __ <br /> ' ROOF DRAINS—RAINLEADE(:S <br /> _� SINK(SEHViCE—BAR,ETGI -S - 'N t _ <br /> r� <br /> SUBTOTAL 5 SUPiOTAL 5 / - _ <br /> PERMIT 5 PERMIT S � <br /> I 1�► 107AL FEE 5 TOTAL FEE 5 :3 '"� <br /> '��" FOR OFFICE USE ONLY: <br /> ���� .4i5Ei0NCN fVCa�iSCi�ACN S�DESETBAGN PLnNG?11ECNNUM9[N fLE B[CEIPiNO <br /> J 7 7 <br /> , .:orie LOLARER vncnr+rsrtE FEES VAIUATION FEE _ <br /> BUILDING <br /> ��+���COIIfSRLIOWAB:E IYVEOILONS(�C1pAl aawu¢Y �wcvPnlun.;ur�ns ' -- <br /> �ppj° PLl1MBING � <br /> /� OFBLDG. NO.OF'.TOHIES B�SEMENT tAECHPNICAL <br /> OCCUP�NCYLOAD FIPESPRNNlEN51iE00 HEIGHTUMIGiiON AODITIONA�PLANCNECK <br /> ' OTH[R <br /> REASON FOR SPRINNLERS <br /> STATE�uILDIfJG$URC1�inRG[ <br /> ir�uKeer vur+sr.arivoveoov � CITY OF EVERETT �uBUCwoaKs '' <br /> LOCALSALES <br /> TAX CODE IS 3105 �orn� <br />