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i,�-��ron <br /> APPLICATIOr� FOR CONSTRUCT��N PERMIT � <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> ,.���.� •,q�Ppn <br /> 1.111'UI- _ — —� <br /> everett HEATINGSYSTEM JGAS IJELECTRIC J <br /> BUILDING DEPARTMENT <br /> 259-8810 pLUMBING SIGN <br /> DEMOLITION COMBINATION BUILDING MECHANICAL <br /> utr zir r��oNe �, ,� � <br /> oe:rvrn u�uinooness ' ' C � -�`� > <br /> ,� � \ 11� 1 1� �•�l �lF��.t"�I\\(1 '�I \� �\\f 1�_t 1 ) <br /> 1"'�v� S �— —�` CITY LV PMONE <br /> y M <br /> iLNANi MAI1 AO�RE55 <br /> m b Z�p PIIONE <br /> p ¢ nRCwiEGTORDESiGNER MAIL�9�RE55 ��T� <br /> C M Z�p PNOf1E LICENSE� r' ' '^ <br /> m cirv O ,�i7��7> � <br /> (UnLt1nLCONiPPCiOP AIAILA��nG�E55 r ��–;� <br /> � ~ �� IvC� C U �I�v �� r'�� ` I ����L� �\� PNONE LICENSE M <br /> 2P <br /> � A�COIANiGAL CONiHACTOP MAIL AOOREs� ��,I' . \/,� '�Q)s �� <br /> W �oH M ,vL <br /> � � PWMOINGCONTRRCtOR MAILAD�RE55 <br /> CIiY lIP PNOI.E Fu IiCENSE� <br /> O M ggg C�n550F WORN - <br /> � �t�V � NEW ADDITION ALTERATION . REPAIR DEMO�ITION WOODSTOVE/FRPL WSERT -. BUILDING RELOCATION <br /> M uJ CONTACT FERSON AN�PMONE NO. <br /> � y . <br /> � CONTPRGT PRtCE OF WORN <br /> M OESCRidEWORNAN�50U/REF001AGEiNVOIVED � <br /> y " C S �I �C G D�' <br /> 0 N I HEFEBY CERTIFY 7HAT I HAVE READ AND EXAMINED THIS <br /> � � aA�vosEousEOFeui�owc �h� <br /> APPLICATION AND HNOW THE SAME TO BE iRUE AND CORRECT.�LL <br /> N ��— PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> O y LEGRLDESCRIPTIONOFPROPERTV�SHOWNBEIOWORAiTACHFOU�CO�IL51 yyORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> oi B��k oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PfiOVISIONS OF ANY <br /> PERFORMANCEOOFOCONSTRUCTIOU HATCI AM AUTHOFIZOED BY THE <br /> pWNER OF THIS PROPERTY TO PERFORM THE WORK FOR\V41CH <br /> ���J�,�(Q���� "��O rJD CONT ACTORSL W1^82D7�RGWAND296.00WAC. ITH THE STATE <br /> SIG��AIUREOFGONiRAGiORONnUiNOHiZEDAG[Ni �A�L <br /> X ��(�!/'..�� <br /> viaaecinooness nrrucnHrs�' �AusiNes�o oou essr����� <br /> � ,� � .' , <br /> PLUMBING MECHA CAI. FEE <br /> r ��� FEE N0� TYPE OF E�UIPMENT <br /> I Np, TVPE OF FIl�TGBE OR ITEM pi�_qiHNDLG UNITS—H.P. <br /> , �,�� VCATER CLOSET ITO�._E i) — FORCED HIR SYSTEMS—B.T.U. M E.A. <br /> � �� BATHTUB � <br /> 1 ' _ LAVATORY(WASH BASIN) UNIT HEATERS—B.TU M �— <br /> 1�� SHOWER CLOTHES�RYERS <br /> , ��I KITCHEN SINK 8 DISP VENTILATION FAN <br /> PANGE HOO!1 <br /> j , DISHWASHER WATER HEATER <br /> I LAUNDRY TRAV WOOD STOVE <br /> �� ' CLOTHES WASHER METAL FIREPLACE 8 CHIIANEY <br /> , I �_� . '. URINAI <br /> � FIREPLACEINSERT <br /> . DRINKING FOUNTAIN HEAT PUMP <br /> . FLOOR DRAIN GAS PIPING <br /> BACKFLOW PREVENTERS � — <br /> ROOF DRAINS—RAINLEADERS i E%HAUST FAN <br /> ��� � <br /> '� SINK(SERVICE—BAR,ETC.) , <br /> �T <br /> � ' <br /> �t_1 " �- <br /> SUB TOTAL 5 SUB TOTAL 5 'S �J <br /> . PERMIT 5 /5 �� <br /> � — PERMIT S TOTALFEE 5 4 ) ' � <br /> i_1�1 — TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: _ neceiPrr+o <br /> � SIpESETBACN PLFNCHELNNUTAOClj/,I FlE <br /> FRONiSEiBACK REnRSET�;1Gn �71� <br /> USEZONE LOTARE� VRCRNiSRE <br /> FEES VALUATION FEE <br /> 6UILDING <br /> iMEOitONISAILOWRBI( LVPEOfLONSi.ALiWI ottp�p� MOIXonBuxGuvnS PLUMOING � <br /> �� <br /> SIZEOPBI�u NO.OFSTOR�ES OASEAIENT MECHANICAL <br /> . OCCUPI�NGV LOAO FlRE SPRNNlERS FE00 HEIGHT LIMITRTION <br /> ADOITIONAL PLAN CHECK <br /> OTNER �— <br /> RGSON FOR SPRINRLERS $TATE BUILDING SUflCHARG[ <br /> RITANFflY rinrvsnavnoveoov CITYOFEVERETT PuouCwoHKs <br /> LOCALSALES <br /> TAX COUEIS 3105 TOTAL <br />