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, APPLICATI.�N FOR CONSTRUC�ION PERMIT everett <br /> �E�� TO BE COMPLETED IN INK—PLEASE PRINY � <br /> GTV OF <br /> everett HEATING SYSTEM: ❑GAS O ELECTRIC ❑ <br /> BUILDING DEPAiiTMENT � <br /> 259-8810 �/ , <br /> i ] DEMOLITION i ' COMBINATION i J BUILDING � MECHANiCAL I J PLUMBING SI(3N <br /> MML�DDPE55� W7V 21P P1qNE � <br /> E✓ere. Go 1`TlssroK, T'o Il�'��t-� z E�Pre.-{�C48ao�\ ��t��- (a,o � <br /> TENµt MAIL�ODPE55 CITY ZiP ��E <br /> �o��e� `-� R �4� a�ao l�ewr� E� �f�9d�o�1 ��a—ra o�— — <br /> ARGNI7ECTOfiDES�CiNER M+IL�O 55 ��TY IIP P�E <br /> pENEpKGpITMCTOR M�IL�DDRE55 ��T� Z�P P��E LiLENSE� <br /> MEGIIM11C�lCONTMCiOP M�IL�DDOESS <br /> GIIY 2�P PNONE IICENSE• . <br /> . PLIMBM�Cd/7RnCiOf1 MMLM/bftESS Cliv 71P P110NE UCENSE� <br /> CUHS OF WOfiN <br /> I I NEW I I ADDITION �-.4LTEf7ATION . ' REPAIR � '� DEMOLITION I I WOODSTOVElFRPL INSER? I I BUILDING RELOCATION <br /> �j��:,�,,,�,����,,.,,��N�� �sa--�ao ` <br /> cana�crvaceorwonK h�Xj� — — --- t_a .r_ �e_.�e._ S' (� <br /> pEg�qISE W�OII�R_AND SW�fiF.��O�M1E iNVtXVI�.� <br /> ' � pr,ovoceoo�aeuno��t� oO�� ¢ �,.�Q� �EREBV CERTIFV THAT I HAVE AEAD AND EXAMINED THIS <br /> � ,L D ✓l7 c H�1 .<�C � APPLICATION AND KNOW THE SAME TO BE TRUE AND COflRECT.ALL <br /> �EpkO�k�g�q�7pITpFPRpP;RTY�SIlOWNOELOWOAATI�CNfOURGOi'�ES� PROVISIOtISOFLAWSANDOPDINANCESGOVERNIN6THISTYPEOF <br /> WORK WILL BE COMPLETEP WITH WHETNER SPECIFIED HEREIN OR <br /> � �or eiocK or NOT. THE GRANTING OF A PEHMIT DOES NOT PqESUME TO GIVE <br /> ' AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> - OTHER STATE OR LOCAL LAW REGUTATING CONSTRUCTION OR THE <br /> PERfORMANCE OF;ONSTRUCTION.THAT I AM AUTHORI2ED BY THE <br /> OWNER OF THIS PROPERtV TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> ` CONTRACTORS LAW 1827 RCW AND 296.200 WAC. <br /> , SIGNALUPEOPCON����:10RORAUfHOR2EDA0ENt D�tE <br /> � ga� �-4-��— X �_ <br /> V�pJECT�00RE55 <br /> �PPUGAN C�TVflU51NES5UCEN5EN0. 4DBUSIHESSNIIME <br /> i <br /> ��� MECMANICAL <br /> Np, TYPE OF FlXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT �E <br /> WATER CLOSET(TOILET) � A/C—AMNDIG UNITS—H.P. � � <br /> BATH?UB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> i UVATORY(WASH BASIN) � UNIT HEATERS—B.tU. M � <br /> � SHOWER ' CLOTHESDRVEFS ' <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> i DISHWASHER � RANGE HOOD _ ' <br /> � IAUNDRV TRAY ; WATER HEATER � <br /> � <br /> � CLOTHES WASHER WOOD STOVE ' <br /> URINAL METAL FIREPLACE 6 CHIMNEV ' <br /> ORINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN HEAT PUMP ' <br /> � BACKFLOW PREVENTERS GAS PIPING _ � <br /> qOOF DRAINS—RAINLEADEPS EXHAUST FAN ' <br /> — , <br /> SINK(SERVICE—BAR,ETG) � _ , <br /> — <br /> � <br /> � - - � <br /> ,— <br /> � <br /> _ --i— <br /> __ --' � <br /> SUB TOTAL S --' __ SUB TOTAL $ ' � <br /> � , <br /> PERMIT E --��— _ PERMiT E � <br /> TOTAL FEE $ ' TOTAL FEE $ ' <br /> FOR OFFICE USE ONLY: <br /> FRONTSETB�CN 11F.�RSF.lO�CK � SiDFSf:�P�CR �LANCHECeNUM11F11 fEE / RELEIPiNO. <br /> / <br /> USE20NE iornnen V�C�NISIIE FEES VAI.UATION FEE <br /> i <br /> o����,��� l5 r_D <br /> fYl'EO/LONISAILOWABII ��Pf01Cl�N5fACiU�I. �'pn'�Ni� �mmm�+n��ir,nuns -----'-' --'-- � <br /> ��"� f'LUMPIN(7 � <br /> . <br /> _' —_._—__"'__—_ —" '_'_"__'__.__ ____—__.____—___— _— —�—� <br /> SILEOPBIOf.. NOOf510i11P5 IIASfMfNi MECH�NICAI. � <br /> _. —___ ._. ._ _".___—___ ____ � <br /> _ 1 <br /> OGCUPANCVLO�D RI11fSPPNNLFR5f1Fti1l ��FIGIIII.IMIi�TION �DDIIIONALPIANCHECN � ', <br /> i <br /> Oil{[p i <br /> ne�son�onsrninKiens <br /> SiAiE�UIIDMG Sl1RCH�RGE � ) <br /> i <br /> INTANE BV �L�NS APPROVEU 9Y CITY OF EYERETf rusuc wo�Ks ' <br /> LOCAL SIILES � � <br /> � TAX CODE IS 3105 ror�� ; <br /> .SCI ' <br />