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TO BE COMPLETED IN INK—PLEASE PRINT <br /> ma t�e�ya�rn <br /> GITY OF <br /> '_' <br /> everett hIEATING SYSTERI U GAS U El EC1 RIC IJ _ _ <br /> BUILDING DEPARTMENT - - — <br /> ---- <br /> 259-8870 <br /> � DEMOLITION COM8INATION BUILDING MECIiANICAL _PIUMBING SIGN <br /> OWIlER ( !lAil \1»I1E-5 .. , ��iY�" � :d� � . _ � _ !u('tlC <br /> ����n��_111� _�-��. iL /'_/�1C�f� /'��Y _`�Er�/ __ r��,s�i'3_ �_js__%l.l�- -- <br /> ieuar�r r.wn nnnai�ss �,rtv tu� runue <br /> ._ . - - - ---.'_-...-- <br /> . . ._ ---------- - <br /> ARCIIR[CTORIlE51GNEli 61A11 PP�flGiS '��"� � � i�.IIY 111' I'1101![ <br /> GEN BALLOtlTf1AGWR h1�IlA�O ESS ' " _���' -� �� CII -- ��"- 21P �_�.�...-- PIIOIIE I IIL[NSEI <br /> � n ,..��)� / <br /> . � - ,� ] �n„��' — <br /> 7 S 1E'��/' � �_- - --- <br /> �-_/�.f-"..-`.-'_ _. _ _ _ _ cur tm . . runrn- iir.[use� <br /> i.�Ec�mr+ani.comnncia�i i.+aiin oness <br /> _ _ -- <br /> -- ---____-- ---- -- ----- — _ <br /> PLlI1.lOMGCOMl1ACIOR I.In11.AOf1flE55 <br /> ._. _. .. - .. - - cnv �� tm ��uou� nc��rs[o <br /> CLPSS OF WOl�•� <br /> , I NEW ADDITION . AI.TERATION � REPAIR � DEMOLITION , WOODSTOVE/FRPL INSERT . BWLDING RELOCATION <br /> ---__-__--_-_— - <br /> -p�p - COIlIAL�YFR501!A1lU PIIDf1E IIU <br /> �� `��J yS.c.. _ ��' � _ <br /> CUNiRAGTPRiCE01'VIUHH "' - ' ^ ' - . --- ---------""------ <br /> DESCRIpE WOR (�IlO SOIIAII[FOOIAGL 1{ OlV[� <br /> X � . � � / —__ <br /> �J J <br /> Xaaor��ornunoinc � � � � I HEREBY CENTIFY THAT I HAVE REAU AND EXAMINED THIS <br /> `' �LZ.. ,/ .- / �-�S�����L-- APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> � S 1 t-lL��;� 1L��sf t� pROVISIONS OF l�WS AND ORUINANCES GOVERNING THIS TYPE O� <br /> u,n� e°�qimic�iorN ��nmvisu crt+nr.iowor�m�ac.ur�nunr.nviis� Wn�.�K tin�� HF COPAPLETED WITFI WI�IETHER SPECIFIED HEREIN Ori <br /> � ioT�_ ma:K _,__ __ u� _�i�._t-��'�`-»�-- __- IJ(ll. TIiL GRANTING OF A PGRId1T DOES NOT PRESUME TO GIVE <br /> ✓ �e;. I AUIIIOHIIY 10 VIULATE OR CANCEL THL PROVISIONS OF ANY <br /> ��7�{[{3 g�qlE Oil I.00AL I.AW REGUTATMG CONSTHUCTION OR 1HE <br /> -----� ----- � --- PEHFOHMANCt Of- CONSTHUC110N. TIIAT I A�t Al1TIlOFIZED 9Y THE <br /> OWNEH Of- IHIS PROPLRIY 10 PEHF�)NM 1HE WORK FOR WHICH <br /> -- Ai'PLICAIION IS MADE AIJD I COMPLY WITII THE STATE <br /> GON7 RAGTORS I.AW 1827 HCW AND 296200 WAC. <br /> suumwi�tore�,un�ncirn�ounuwo�atu�n,[n� on�t <br /> _'--_____.. _ <br /> �no�er,r nooness ------- - — - -- - - f"�f�Ct���l:��L`'1��2� .,� /� -- <br /> � n 1 ,v�iu.nnsciiryurticssuctus[r�onuunusir�[�_ur.��- L/-r{�'7� <br /> JE�_ a�.SL}I' ( <br /> P UMBING M[CIIAIJICAL <br /> FEE 170. TYPE OF E(lUIPMEIJT FF.E <br /> NO. TYPE OF FIXTURE OR ITE�d _�T_ � <br /> WATER CLOSET(TOII.ET) � A,C A�I INDLG UNITS--Ii P. � <br /> .. ___._._._' -__-____.___- _--.--�- <br /> .._ ___._.-.__`_ __ _. _ , <br /> —-------�----- --�� � FORCED AIR S`.'STEI.15-0 T.U. M E.A. <br /> BATHTl1B � --- ------ ' � <br /> — --___ <br /> . _.____ .__..____-. <br /> LAVATORY(WASH BASIN) � UNIT HE�TE�iS-�.T.U. _ T_ <br /> _._... _-._„- _ _... -____.-__- <br /> ""-—--�- GATI�IES DRYEFlS ' <br /> _— SHOWER _._._- ______-.-.�-- _. ___. -------" — � <br /> � KITCHEN SINK 8 DISP , ___ VENTILATION FAN _ _ ,�_ <br /> - -- ----�----� RANGE IIOOD ' <br /> �ISHWASHER ___—�_- --- -- -- -- <br /> --- -� WATEF HEAT[R � <br /> LAUNDRYTRAY � _ .____ _--------------- � <br /> - .___ _.___- __ -_-�_ <br /> ------- NlOOD STOVE ' <br /> CLOTIIES WASHER � .- --�--------"---�—— — `-- <br /> -----------------"-� � IdGTAL FIREPLACE 8 CHIMNEY ' <br /> URINAI. . ! - . - -.___- -- i <br /> -- -- �-"—"-"��-�� ' � �IREPLAC[INSERT <br /> DRINICING FOUNTAIN . . . ; . - - ---------------- - —'-'— <br /> __._ -__. .._ _. . - . . I IEAT PUIdP ' <br /> - - FIOOR DFlAIP! � _ __ ___.___ .- — — <br /> __._ __ -- � c�ns t�iririr, — - <br /> enci<n�wPr��v�riruas — —_ --_ _— ; <br /> -- — - -� - — - ' �annusrrnra � <br /> ROOfDRAWS HAIMIL-AIIERS ' � ���- ��-- ----�-- ' <br /> . __ . .__ _ . _._....._._ � _ _ . � <br /> . . ..- -SIMIC�SEHVICE-BAF, ETC.) __ ' - . . . . - -- - ---�----"- �-- <br /> ____._---_-____ ' <br /> __ - � <br /> . ._ _. ___-_ _--�— <br /> � <br /> ___-_ .___ ..___.. . _ _ _ � _____'__'. . <br /> _ _ <br /> � � <br /> . . _ , . . _ . . . _.__—�— <br /> _ ______ <br /> .. __ _..__ , <br /> ____ .__. __ ___ ___- '-- _..-_-___-.- SU6 TnTAL $ <br /> .___ _.. . _ SUOTC7TAI :i� 'f . pGHld1T �5 � —_- <br /> _-. <br /> ___ . . � <br /> . __._-.__. -____ .__ - `"— <br /> _ ___ __ .-- _._ _ _ PERL1ff � � _ . . .. -� TOTALF[E b ' <br /> TOTAI.F[E b � <br /> FOR OFFICt USE ONLY: _ <br /> FPOH�SEIORCN fICAliSETpRGK ����� .. .Sllil e[IlIAf,K <br /> PIPIlCII[CAtlIIfA[I[Il f[G R[f.[IPi1l0 <br /> .- - .- --..-. . -� '-" VALUATION F�_ <br /> usezoNe -_._- �iornnea .--_ .'.._. v>c.nmsrte FEES <br /> uun�,iu�; i'd %.1' . __�_Z ;�'o <br /> _- - _ __t_.. _ .__ —� <br /> _-___..._____-_._ .__ _ o,.�-�I� i�m�u �.:�ir.rv. - __ . .. <br /> 1'if(p!LOBIS V 101YABIE IYPC OF GOI6I Af,IIIAI i• <br /> PI I II.tOMI <br /> _ _ __ _'--.--�— <br /> _. _ - __.. ' � <br /> SiZ[OF DI OG. 110 Of STOAiES ._. ..OASEIJHII� L1hCI IAHICAL _"___ _'___ _ <br /> __- ____ _ <br /> - --------- AODITIOflAL PIAN CIIGGK � <br /> OGCi1PANCYIOAD I"IP[SPf11lKl[RSfi[O[J IR;IfiIlillldrtATlOI! __'___.-_----"---- <br /> U;I ILH <br /> -. . _ . _ -__ . . _ .. . . _ _ _ _-"--T- <br /> 114ASON FOIISPRItlNI LRS <br /> .. _ SIAIC lilllllLNLi SIIHCIIAHGh " - ___ Y 1i_ <br /> _.'_ .__-__.._ _ .... . . - - �- —i <br /> INMKEDY � • �'�A��S��'��(]VLI1pY CiTYOFEVERETT PIIHIICWOHK$ <br /> LOCAL SALES �� 5 U <br /> _ TAR COOE IS 3105 roTn� `/7 <br />