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APPLICATI(>`�`�1 FAR ICONSTRU�C7.JN PERMIT <br />rhe Evnrp,rron <br />CITV OP <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETE� IN INK—PLE�A E PRINT <br />❑ DEh10LITION ❑ COMBINATION IJ BUILDING '�YAAECHANICAL IJ PLUMBING <br />f <br />everett <br />� <br />[�l SIGN <br />,FWNEn _ mni�nu�ess S..—_ _ ■ - ','�• I�✓�. (�<lJv/ItUA q�n2�� 3u�•5co9� <br />�� �t � .l.iQnvi 2�0 LLill�.1/r l <br />TENAHI � 1ARILADORE55 CI?Y ZIP VHONE <br />ARLNIiECTOR0E510NFR MAILID�PE55 CItY ZIP PHONE <br />OE��E04LCd+IRACIOR M�ILADORESS CIIV ZIP PHONE UCENSEI <br />MMIAD�IlE55 CIiY� ZIP <br />q1� .��4 R�NE !�-ItilamdG <br />MRI�ADOBE55 CIfY � ZIP <br />PIiOl:E <br />1-I r'J 4 �SUNLUWT�y(�°1 <br />CLASSO: WORK <br />❑ NEW 1.7 ADDITION IxALTERATION I_I REPAIR I.) DEMULITIQN I.I WGOCSTOVE/FRPLINSERT ❑ BUILDINORELOCATION <br />TEN�NT IIAPBOVE4IENT OP M7Ef110R <br />CON1RACl Pf110E OF WOi1K: <br />I Pf�19EAU5E OF BWCOING <br />i <br />� `11,1� <br />I LEGPLDESCBIP71040FPP� <br />j l0T BLOGK <br />BELOW OR <br />OF <br />rnaecTnooness C�� nn n NM j� <br />\� V'�lJ I.GCIVI/�. <br />PLUMBINO <br />NO. TYPE OF FIXTURE OR ITEM FEE <br />SINK 6 DISP <br />HER <br />'TRAY <br />IWASHER <br />3 FOUNTAIN <br />ROOF DRAINS—RAINLEADEHS <br />SINK (SERVICE—BAR, ETC.) <br />fR011T SEIBACN <br />V JC CM[ <br />IYPE Oi CONSC ALLaWABIE <br />5�2.'.OF BL�O. <br />4CW PANCV LO�D <br />REASON (0115PRINKI <br />APPLICAIION ACC. BV <br />CONTACT f'ERSON �NO PIIONE NO <br />I HEREBV CEfiTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORREC7'. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPFC�FIED HEAEIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME ?0� GIVE <br />AUTHORITY TO VIOLATE OR CANCEL TNE PROVISIONS O�� ANY <br />OTHER SiATE OR LOCAI LAW REGULATING CONSiRUCTION OFl THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHOR!ZED BY THE <br />OWNER OF THIS PF;OPERTY TO PERFORM THE WOFiK FOR WHICH <br />APPLICAiIbN IS MADE AND I COMPLV WITH TNE STATE . <br />CONTRAC70RS LAW 1827 RCW AND 298.200 WAC. . <br />SIGNA7UREOFCONIRAC70ROOAUIIIOFI2EUAGENT OAIE . <br />I�,,i,c� 02.,03�1 N <br />X 5�1hoK.9-n� . ��(l.a.�.o�,'�') <br />pPPLIC�NT3CITYDU5WES5LICENSENO.�N09U5iNE55NMME �, :i <br />MCld1NIVIliN1. <br />N0. TYPE OF EOUIPMENT <br />NC—NHN�LG UNITS—H.P. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEA'iERS—B.T.U. M <br />CLOTNES URYEFlS <br />WATER HEATER _ <br />N'OOD STOVE <br />MF.TAL FIREPI,ACE 8 <br />FIR�PLAC[INSERT <br />HEAT PUMP <br />OEAq5ETB4GK SIOESEiO�CK PLRlCNECKNl1M0ER <br />LOTAREA VACANIGIIE FEES <br />[ I YES I.1 NO OUILDRlG <br />7vCE0fC01151.ACfUAI oaurwcr rmpowuurvcuxns -- <br />�� PLUMOiNG <br />NO.OFSTONES B�SEMEN�f M��IIANICAL <br />CI Y[S I1 NO — <br />FIRESPRNNLEPSfiEO➢ HE1611TUMIINION �T��t� <br />❑ YES �I NO ___ STAlE13UIlDINGSURCH�RGE <br />STATE f:NERGY SUfiCIUPGIi <br />PLANSRPPPOVEOBY CIiY OF EVERETT PUBLIC WORKS <br />�ocn!. sn�es <br />TAX COpE IS 3105 TOTAL <br />SI;B TOTAL � <br />PERMIT S <br />TOTALFEE 3 <br />iEE RECEIPT NO. <br />