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c � m <br />M y <br />CH <br />7 H fA <br />M � x <br />K � n <br />H %! <br />�C N M <br />� <br />� H <br />O t+ <br />z n o <br />r+M o <br />G1 • n <br />1-I C <br />� H � <br />F-I H <br />O fA <br />O H <br />(] O N <br />C G <br />� � tra <br />H O fp <br />I�� <br />�� <br />APPLICATIOW FOR CONSi'R61Cii0i� PE�3olAi'�' `'°'."•", <br />TO BE COMPLETED IN INY,—PLEASE PRINT � <br />Irm 6:r �•o�, �i <br />CITV pn <br />everett <br />BUILDING DEPARTMENT <br />259�8810 <br />I HEATING SYSi EM: "Sd GA:• ❑ Et ECTP,IC U <br />DEMOLITIOh � COMBINATION <br />•.•:��EN Mar.FC'�RE55 <br />f l / S�� �F <br />�������4 IAARADDRE $ <br />BUILDING <br />CIIY <br />jC A;ECFIANICAL <br />z�� P. <br />�/� <br />Z�P v <br />,S''�- .i�.li�, % G %- G 9 - / l - / 3- ��l�,- `-t� �a �-� — <br />PROeiECTOA��51GNEft AUa�D�RE53 ���� ��� <br />G[NEF��LCHTRRCIOR MAiLAD[�1E55 ���� Z�P <br />�MECNANIC ONIHAC1Ol MAIL�DDRE55 GIIY Z�n <br />, �a LJ+'c 1y-,� �� 7� �E aE�. 9�oos- <br />a ��ne.eooaEss cnr zio <br />NEW �� ADDITION X� ALTERATION � REPAIR <br />fOOtaOE <br />canrosFa�uscoFnWlO�ac � - <br />-��/��.f��6���J���� d�. c�ii <br />tF.GAL�" ggCq�pl�Orypp � (Ri� Y�D��BELOWORAtUG� <br />lOT OLOCK �� __ <br />�� _ <br />C.iOJELT�p�RE55 <br />PLUMBINO <br />NO. TVPE OF FIXTURE <br />WATER CLOSET (TOILF.T) <br />BATHTUB <br />LAVATORY (WASH BASIN) <br />SHOWER <br />HITCNEN SINK d DISP <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER_ <br />ur�iNn� <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKPLOW PREVENTERS <br />ROOF DRAINS—RAUJLEAC <br />Sllfl TOT Al. <br />PGRMIT <br />TOTALFEC- <br />NONt <br />PHO`�E <br />PHCNE <br />! PLUMBINa I SIGN <br />UCENSE� <br />���E�,SE. <br />!'Ok <br />I DEMOLI110N � WOODS70VEiFRPL INSEHT .� BUILDINp RELOCATiON <br />CONi�GI PCp5011 AHD f110NC 110 <br />I HEREBY CEFTIfY TH�T I IIAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVIS!ONS OF IAWS AND OR�INANCES GOVERNING THIS TYPE OP <br />WURK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRAtJTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTNORIIV TO VIOlA1E OR CANCEL THE PROV!610NS OF ANY <br />OTH[R STATE OR LOCAL LAW REGl4ATIN0 CONS?RUCTION OR TFiE <br />PERFORMANCE OF CONSTRUCTION. THAT I AN AUTIIORIZED RY THE <br />GWNER OF THIS PROPERTY TO PEfiFORM TN� WORK POR WHICH <br />APPUCATION IS MADE ARD I COMPL`! WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296.200 YIAG. <br />S.GNA�l1REOGGUI�1R4GiOROR�U1r�0��QE j ENT 01iE <br />/�/ / <br />X � <br />%`-�a�cG Tc�/ <br />Af'PUCAIIIS CitV BUSIfiE55 UG[NSE NO M�D BUS'�NESS h'�e1E <br />CU] <br />FORCLDAIRS"$TEMS—B_T.U. _ ��� EA JO'up <br />U41T HEATERS—B.T.U. �.1 � <br />— ---�-- <br />VEN7ILATION FAN ' <br />RANGEH000 � <br />WATER HEATER y_ <br />WOOD S7pVE <br />. METAI. FIqEPLACE 8 CNIMNEV _ _ , <br />PIPING <br />4UST FAN <br />FOR OFFICE USE ONLY: <br />iRONiSEIBACR REARSEIBA[K Si0E5ETBACR �l>N CHECK��p�,ip[R ffi <br />USE ZONE l0� A11E4 � VACRNi 51lE FEE3 <br />euaou+c <br />11'PLO!GON15Al1OWABtE �V{'f0i(r�11$�/i��1JF. IXfVfiY+ �'Jj/PAi11WiUM115 � �—�� <br />4J°s• PLUMBING <br />SR[OFBLDO NOOfSiOlUES BASC�CN1 MECNANICAL <br />OCLUPAACVID�D FlHE6vRt�R�ENSREO'0 MEiGHiLIMI1�LON AOG1710NAlP4ANC1iECK <br />OTHER <br />�GSONFOR5PPotINLERS —' �--- <br />STATL I3WLUiNG SURGHARGG <br />INiAKEBY auusnPPnoveour- CITYOFEVEflETT PUOLIGWORKS <br />LOCALSALES <br />TAJ( CODf IS 3105 *oTp� <br />TOTAL <br />$ <br />NO <br />