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x C'il <br />[Z� ti <br />��x <br />ayn <br />K�� <br />H x1 <br />Ox0 <br />'�y y � <br />H <br />z <br />�HC <br />OH <br />H�g <br />�V ❑� <br />ZyH3 <br />t" y Z <br />Ny <br />H <br />C] C7 f� <br />� � C�f <br />H O fy/� <br />�+�' eVl'f�[� <br />APPLICATiO�. FOR CONSTRUCTI.iN PERMIT � <br />;n�.e�-e�o��� TO BE COMPLETED IN INK—PLEASE PRINT <br />ciTr oF <br />eve rett HEATING SYSTEM� � GAS O ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8d10 <br />DEMOLITION COMBINATION BUILDING ECHANICAL PLUMBING SIGN <br />....- �un nnnaF55 , : Citt _ 21P PHONE <br />/ <br />� <br />ARCHRELTOR SiGNER MRILADDPE55 CITY 21P <br />GENEP4LLONTl1ACTOR MPIL..J�PE55 �iTY Z�P <br />MEC N' AL CON � GT�3I� MAi fl�� �� /��L �. �^/��r—�� 2�P <br />ycc.�i , �C�-� <br />... _, , .--�-� � ZiP <br />PLUMBING CON RACTOR MMIqDDAE55 <br />I �. NEW �. � ADDITION <br />CONTRACT PRICE OF WOPI <br />OESCRiOEWOPKAy9 SOUy� F�OO�T�/ <br />fLx'ti,b(�; N/�71i-(t-.1aAt <br />PROPOSED USE OF �UiL01NG <br />IEGAL DESCRIPTION OF PROPCRTY 1; <br />LOT BLOCN <br />� / LL:��/J%Q - <br />KITCHEN SINK 8 DISG <br />DISHWASHER <br />LAUNDRYTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FIOOR DRAIN <br />BACKFLOW PREVEN� <br />FOR OFFICE USE ONLY: <br />FRONTSETB�CK R��p` <br />US[ZONE ��TAP <br />ivf'[OiCONIS.AIIOWTBtE n'PEJf <br />SIZE OF BLOG NO.OF <br />OCCUPANGYLOAO FlRE$ <br />INIANE BY <br />oF <br />L,�/ <br />PNON[ <br />PMONE LICENSE� <br />I <br />I <br />P�3E ��iir�,�1�K I�O�/`� <br />PHONE LICENSE� i <br />� �. REPAIR � DEMOLITION . � WOODSTOVFJFRPUNSEflT .__ BUILDINGFELOCATION <br />� CONT�GTPERSONf�NDPlION'cNO. l �� <br />SUBTOTAL 5 <br />PERMIT 5 <br />r�nHs ercnoveo ov <br />COPI[51 <br />SIDE SE fO�CN <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS i <br />APPLICATION AND KNOW THE SAME TO BE TPUE AND CORRECT. ALL , <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF ', <br />WOFK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLA7E CR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTPl�CT10N OR THE <br />PERFORMANCE OF CONSTFiUCTION. THAT I AM AUTHORIZED BY THE � <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH . <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SIGNATURE Of /CONTRACiOR OR RUiHOFIZED PGENT ORTE /F-- y•�� <br />X �l . � �� - <br />�NiSCITV�U51NE55UCEN$ENC RNOBII$MESSNAME <br />ANICAL <br />TYPE OF EOUIPMENT <br />fVCrNHNDLG UNITS—H.P. <br />FORCED AIF S`.'STEh7S .T. . M E.A. <br />UNIT HEATEflS—B.T.U. M __ <br />CLOTHES DRYERS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOODSTOVE <br />METAL FIREPIACE 8 CHIMNEY <br />FIRE°LACEINSERT <br />,FiEAT PUMP <br />GAS PIPING 3� _ <br />NUM�ER <br />OUILDING <br />CCCOiMNCY XOppMltNfu4d5 <br />r.eoue p�UM01NG <br />�ASENENT MECHANICPL <br />NEIGNTLIMITATiON ADDITIO4ALPLANCHECK <br />O1HEfl <br />STATE DUILDING SURCHARG[ <br />CITY OF EVERETT PUBLIC WORKS <br />LOCAL SALES <br />TAX �ODEIS 3105 TOTA� <br />TOTAL S <br />NIT S <br />>L FEE $ <br />NO. <br />; � �', ) <br />A <br />