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���0 { APPLIC/�T{O�d' F�R CONSTRUCTIajN F9ERMIT <br /> everett <br /> U:,,F�or9ieen � <br /> Cii1'C6 <br /> everett <br /> 6UILDING dEPARTMENT <br /> 259-8810 TO BE COh1PLETED IN INK—PLEASE PRINT <br /> DEMOLITION IJ COMBINA710N � I BUILDING ,MECHANICAL i i S'LUMBING ❑ SIG�� <br /> '� rfrzri '�`�� %1n!t orEss L I�. / C/ / l�-�. ! _ I vouC� `�3 ..Js��GOG�"� <br /> r <br /> �r ���- ��a I/I '��_ , <br /> fT1 [�1 „i:,..n un�inonness cirv zir ruor+e <br /> c �'H —�C ��'�����— � <br /> �fy�:.�� n,�r.imecronoesror+en MAII�DDRESS crtr nr v�wue. <br /> �,,,�� � ___' <br /> y H ai qn� nu � uon ni� oonrss � � c�rv / � �� ��� 5F � <br /> �y � �`�.�C��r_�'r���� -.� � .���� ,lc� �z�� � � �' s , �� <br /> �N � r.Tr.rnrrcnlcopinnr. on " rdnlLnooilEss � / cli IiP �/ PNGFlr cENSEt <br /> .� �f� � �-�111C'� �L 8 � <br /> �n H J l��1_,.1_ � <br /> M Q � �'�ur.�llir;C,coNiMcion Mn�tnooREss cnr zlr rHo E ENSEr II <br /> F� <br /> r3 t7 <br /> p H un=socwonH �, <br /> H �j g '� NEW I I ADDITION ' I ALT ATION I I REPAIR I I �EMOLITION I I WOOOSTOVE/PRPL INSEFT I-1 BUILDING RELOCATION <br /> ��' � I[uniI11L�PPOVEMENtORINtE0�0 R[MO EL[juLY.� CONiAGIPEli50flANDPIIOI:ENO. � <br /> ~ l� C��L, <br /> zy COfliRACiPPiCEOF1Y0fiN: <br /> DESCI11pE OR✓.ANDSOOA - �OOiAGEII! L� <br /> g� H 7-��1�eP �I�LI.���(t�!t�Mil"' � <br /> N � rr�,sroseouseovew�omc I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS i <br /> n G y APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �� � i.rr.n�oesenmrio�+oranor[ntt� �wwNo[�owcnntrncr�rouecoaieSl PflOVI510N50FLAlVSANDORDINANCESGOVERNINGTHISNPEOF '. <br /> WOFlK F:iLL BE COMPLETED WITH WHETHEH SPECIFIED HEREIN OR <br /> y p� in� e�ocK or NOT. TNE G17ANTWG OF A PERMIT DOES NOT PRESUME TO GIVE I <br /> AUTH0f71iY TO VIOLATE OR CANCGL THE PROVISIONS OP ANY �, <br /> OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE j <br /> �— PERFOR�dANCE OF CONSTRUCTION.THAT I AC4 AUTHORI2E�BY THE i <br /> OWNER OF THIS PROPERTY TO PERFORId 7HE WORK FOR WHICH <br /> APPUGATION IS MADE AND I COMPLY WITH THE STATE � <br /> CONTRACTORS LAW 16.27 RCW AND 29620U'rvFG � <br /> SIGNATUOEOFCON1MC10RORNILNORREDAGENi DAtE �, <br /> X •(� , � //"��/y/ <br /> �na�eanooness � I l / - -- � <br /> . I��n / A�PIiCMl1;GIi SRlESSI SE1lO.ANODWINESSNNA[ <br /> , _ <br /> I� S 1_-T � �, <br /> � ��' PLUMBING MECHANICAL <br /> r <br /> 110. TYPF OF FI7(TURE Ofi ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � � WATER CLOS[T(TOILET) NC—NHNDIG UNITS—H.P. --� <br /> I _ BATHTUB ' FORCED AIR SYSTEMS—E T.IJ. M E A. ; <br /> I�~' LAVATORY(WASf'BASIN) --� UNIT HEATERS—O.T.U. M i <br /> �, � SHOWEP � CLOTHESDRYERS ' � <br /> KITCHEN SINK 8 DISP VENTILATION FAN i ' <br /> � ^.ISHWASHER RANGE HOOD � <br /> i � != _ LAUN�RYTRAY _ W�TER HEATER _ � � <br /> CLOTIIES WASHER WOOD STOVE i <br /> URINAL _ METALFIREPLACE&CHIMNEY _ � � <br /> DRINKING FOUNTAIN i FIREPLACEINSERT � <br /> '� - — __ __—�— <br /> FLOOR DRAIN HE�T PUMP <br /> t'�' BACKFLOW PREVENiERS i GAS PIPING i <br /> —'— EXHqUSTFAN <br /> ROOFDRAINS—RAINLEADERS __; - ' <br /> SINK(SERVICE—BAR,ETC.) _�__ _ _ �LI �I� C _ . <br /> '�i'��' — �i <br /> —— i <br /> i — _.. --t— <br /> suo Torn� s ' SUB TOTAL s 3o I <br /> I �ti� PERMIT 5 —�— PERMIT $ /,� — <br /> ` — � TOTALFEE $ —� <br /> TO?ALFEE $ <br /> �n0�lISEIPACK �[ABSEIOACK SiDESElOACN PLANCIIECKNI1hipE0 �E[ AECEIPiNO. <br /> usr zoHe iornnen wcnin snF FEES VALUATION FEE <br /> i I YES I I NO BUILDIt�G � <br /> lrrforGCN51AllOwABIE 1YPEofCoIIS[atill\l occurnnra uonowtuivuuxns -- � . <br /> rnuvr pLUM01NG i , <br /> �:R[OfpLDG NOAFSiOR1ES OASFMBII MECHANIC�L � � <br /> I I YES I I NO �/SJ— <br /> orr.urni�cviono rmesrnr�n�ensn[oo nr.ir.irtur.u�auou �����A ' <br /> i <br /> I I YES I I NO __ STATE�UILDINGSURCHAf1GE ; <br /> m nson von srnir�kiens --'— <br /> SiATEENERGVSURCH4RGE � <br /> nrrncnnor�nr,c.m r�nr�snrrnoveoev CITYOFEVERE7T ruoucwonKs <br /> LOCALSALFS � <br /> TAX CODE IS 3105 rorn� '�� ` <br /> e <br /> � <br />