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APPLICAT<<!�! FOR CONSTR�JC-�IOPI PERMIT everett <br />TO BE CQMPLETED IN INK—PLEASE PRINT � <br />fhe Eve�9�r^n <br />CITV OF <br />eve rett I HEATING SYSTEM: IJ GAS ❑ ELECTRIC l.l _ _ <br />BUILDING DEPARTMENI <br />259-8810 <br />I I DEMOUTION ' : COidBINATION <br />�q�,y�Fq rnai�aoonr:ss <br />/'1Gi,r.r.Wi %1L5+ /GZ — �• J;� �.c.�. <br />TENANi <br />ARGHIIELT OR DESIGNER <br />GENEliAI CONiPACtOR <br />meamn�cnt coN�nncto <br />IdqIL MDRE55 <br />IdML AO�f1E55 <br />r.ma n��oness � <br />� 3!!0 ��>iI � •/� <br />AfML pD�RE55 <br />BUILDING <br />arv <br />� �r <br />,v <br />r CIIY <br />CIfV <br />CIIY <br />cirv <br />! MECHANICRL i pLUMBING ' SIGN <br />zm ruor+e <br />.� <br />zir <br />nr <br />P110NE LICENSE [ <br />ruouc ucer�se w v <br />7 / ,iLl(J�'�i.c.i/l Cl��%'G.-.� <br />ZIP PI�ONE UCENSE• <br />GLASS OF WORN -- -- . _ .. . –_---. .. – <br />�'?NEW � I ADUITION I I p�TEflATION .' REPAIR �'� UEMOLIT;ON �� WOOUSTOVE/FRPL INSERT .�� BUIIDING RELOCATION <br />�7 dU -- -----� r;or��ncirrnsar�nr�nrnoNe�io <br />cor�tnnr.rrmceorwo�e `�� _ <br />DESCRIB[ Y/OI1K �ND SOUM[ lOOI�G[ INVOlO[U <br />PqOPCfiFO USE OF plliL0lNf. <br />S � � <br />LEGALO SGRIPTIONOfPROP FTV�SIIOWN <br />LOT_ P�OCK __ <br />no�ecrnor,nFss �- <br />/02' L✓' /l, r•ya. �� <br />PLUMBIN� <br />NO. TYPE OF FI.XTURE <br />W�'ER CLOSET (TOILET) <br />BAlH7UB <br />KITCHEN SINK & DISP <br />DISHWPSHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DNINKING �OUNTAIN <br />fLOOR DRAIN <br />BACKFLOW PREVENT <br />I HEREBY CERTIFY TIiAT I HAVE READ AND EXAMINED THIS <br />APPLICATION �ND KNOW THE SAME TO 8E TRUE AMD CORRECT. ALL <br />�owoenTTac�irouncoriesi PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPI.ETEU VJITH WHETHER SPECIFIED HEREIN OR <br />or _ NOT. THE GR/1NTING OF A PERMIT DOES fJOT PRESUME TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCF,L LAW REGULATING CONSTRUCTION OR THE <br />'— PERFORMANCE OF CONSTRUCTION. THAT I AM AUl HORIZED BY THE <br />OWNER OF ThIIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />.— -- APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTOf15 LAW 1827 RCW AND 296200 WAC. <br />SIGN�IIIII[OfC01lIRACIOIlO11AlIi1101➢ZEU4GF.NI DAIE <br />X <br />------- ------ �� � �� <br />-�--- _ _ .. — -- -- - <br />�ri�i ir.nm s r.n v i�n ;ine: ; i ic[r�sr un nuu w isicrss r�nrar <br />SUBIOT�L 5 <br />PER�dIT $ <br />TOTALFEE 5 <br />— i_ _ <br />NO. TYPE OF EOUIPMENT FEE <br />A�C—NFINULG UNIiS-�I�I.P. <br />/ FORCED Alfl S`.'STEh15—B.T.U. M E.A. <br />UNIT IiE�TERS—B.T.U. M <br />CLOTFIES DRY@RS <br />VENTILAI 10N PAW <br />11ANGE !IOOD <br />� W:1T[f71�lE�TEf1 __ <br />WnODSI�VE <br />METAL FIREPLAGE R CHIMNEY <br />FIREPLACE INSER� <br />'L G�S PIPING <br />— EXHAU57 fAN -_ <br />SUBTOTAL 3 S'Z � <br />PERMR $ / �f � <br />TOTAL FEE $ s: ; '! <br />FOR OFFICE USE ONLY: <br />rnorurseinncrc � nrnnseinncK ------ -sn�r�annn�v.._...—� rinricuFr.kriurenrn rre <br />usezoNe ���ioinnrn � �vncni�i-sur� FEES V/ <br />IlUI1.UWG <br />- --- - -- -1 _ _ <br />imrerrar�isnnmvnmi irriniinucinauni ir.,�.� ��,o:v���. .,,� . - <br />� °� PI UldRI1JG <br />_ - -- _ __ _ _ _ _ __ <br />SIP[OfPLt)C. Nnt+l'SIOIUfS � IIAti(.hlfNi A7LCIIARIGAI. <br />OCCIIMNf.YLOAb f111G51'flllRlF.fi50FOD IIF.IGHILIMIINION ��nUIIIONALPLANCII[CK <br />OIIIER <br />REASON FOIi SPOCINLEf15 — <br />STAtE BUILUING SUOCHMGF. <br />_—__ _ . __.. . __ _ _ _____--_—_ ___— <br />unnKenv rinri;nrrnuvcunv CITYOFEVERE7T runi.icwonKs <br />� LOCAL SALES <br />TAX COOE IS 3105 iora� <br />i <br />!� J � �. <br />