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APPLICATIOf�I FOR CONSTRUCT�JN PERMIT �'°°"'" <br />' BE COMPLETEO IN INK—PLEASE PRIh � <br />Itwr ENrrpnm � - � <br />CIfV Of <br />everett <br />�I nI.DING DEPAR i MENT <br />,610 <br />� HEATING SYSiEM: U G�S U ELECTRIC U <br />i � DEMOUTIJN I I COMBINATION <br />�.ursn _ --"wn nnrxazc —' <br />___SpME <br />i11K.�IRff.1 W1f�F5K <br />Mnn. ntm�ttss <br />M�IL <br />r,�tcwwE�icc»an�r.ton MMI.AI�M1f55 <br />fM1UM11RMCONIIUCIOR M�R�OfN�E55 <br />I I BUIIDING <br />� COY <br />_� <br />cur <br />I I MECHANICAL i I PLUMBING � SIGN <br />ii�am� -/--�--�ri�cC ------- <br />\VC3/I ___��7�'� �I I� _ <br />zm rimr+r <br />f,11Y Tlf` IMN1Nf <br />28t2 Caa�t ��'Cr a62o� <br />CIIY <br />J <br />atr 7�r r�x�Nc <br />cnr zm ri� <br />2S2 -ZIS <br />-- l ICENSE � <br />� ■�cNu � <br />GI �SS OF WOIIN ' <br />'' NEW I� ADDIiION � ALTERAIIUN �� REPAIR I� OEMOLITION I � WOODSTOVEIFRPL INSERi !� AUILDINO RELOCI1ilON <br />/J���-p�� CONUCiPE �NfIMN1NElq ----' --- <br />C(„1IRIIGIPR�CEOfVl011k y/ VUv __I '1 �� _____ <br />MSGIII�F W(NMfMIDSIXIMF.f:I(11�f.CMVqVfII <br />T��`_ l M��Tt�r Z`� � �� <br />rna�ouo i � � nu� naKo <br />1[IIM� 1 M PIk71'f�1� ff� M� �Or.1�CEN'If 51 <br />llli _1 � � PI OC1t 'i Z_ UF =��y,Z <br />1 �Ji� � r�✓1 � .� �� w. ♦ �'i <br />__��?9 N �z.��_� W.M <br />_. 5��.�_. ���- oo� - �oa��. <br />. ... . ____ __.._.. - - `--_._.._._--' --- <br />.�'1 � �C�.---� �1�_- -- <br />P�qlff.f MNXK.55 <br />N0. TYPE OF FUt1URE Ofi <br />WATER CLOSET (TOIIET) <br />BATNTll9 <br />� CAVATORV(WASH BASIN) <br />SHOWER <br />� KITCHEN SINK 6 DISP <br />� DISHWASNER <br />DRINKIN6 FOl <br />FLOOR DfiA1N <br />BACKFIOW P! <br />AOOF DRIIINS <br />�� <br />SUbTOIAL S <br />FOR OFFICE USE- �O—NLY: <br />ilqqfSE1l/1C1I � �CAO; <br />IISE7(MIE l0Tl111 <br />IfRdCpIIS YlOYMMF tYMd <br />S�lE OF B100 N�. OF ST[MIES <br />57b1_� TJ_ —_ � <br />J�NCvto�U fIfIPSPI1HKlF11 <br />�o � -r.� . ua <br />o+uKe er � PI �NS <br />Vl�CANT SIIE <br />t M<unwr, r,uoln���n;��n�: <br />�RpP � <br />O�SEMENT <br />;Fnn uurut � nai�� N --- <br />oY CITY OF EVERETT <br />IOCAI SIILES <br />ie%t� I illX CODE IS 3105 <br />1 IIEqF.BV CE(171FY TIIAi I II�VE FlEAD �ND FXAMINf:O TIIIS <br />APPLICATION ANP KNOW 1HE 511ME TO BE iHUF AND COtiRECT. ALl <br />Pf10VtS10N5 DF IAWS AND OPOM�NCES AOVERNIN6 TNIS TYPE OF <br />WOFlK WILL BE COMPLEiE� WIiN WHEiHEi1 SPECIFIFD HEREIN OI1 <br />NqT. 711E (3HANTIN4 OF A PERMIT DOE3 NOT PRESUME Tq AIVE <br />AUiHORI?Y i0 VIULATE OR CANCEI iNE PHOVISIONS OF ANV <br />OTHER STIITE OH UJCAI lAW REOUTAlINO CONS7RlICT10N OIl i11E <br />AERFORMANCE OF CONSTRUCTION Tlf�T I A!d AUTIIOp12E0 BV Tf1E <br />OWNEfi OF THIS PROPERTY 10 PEpFOfiM TNE WORK FqN WIi1Cl1 <br />APPLICATION IS MADE AND 1 COMPIY Wlil1 tHE STATE <br />CONt(1�CTOR$ lAW fp.27 f1CW ANb 29f.200 W11C. <br />ne*mm�ea�axruucum�m�unxnannsara unn <br />x �j <br />-�- - -�'-°-�-� �-- --- � ___ �-�' -- ------ <br />I1P1'lK: � SCOYPIISINF.SSIMFN. .110 �NOOUShKS:N SF <br />MECNIINICAI <br />'10. TYPEOFEOUIPMENT FEE <br />FOiiCED AIR SYSiEMS-8 <br />UNIT IIEATERS�-B.i.U. M <br />R�N6ENOOD <br />NEATPUMP <br />UA3 PIPIN6 <br />B%HAUSTfAN <br />PI �N CI IEf.K <br />_.—_..._'-'-'--.-_".-"--... --------._i <br />SUP TOTAL f _�� <br />PERMIi f � <br />tOTAL P[iE f ' <br />iFE � nEc� �IO % <br />�C% , OS � <br />eunMr+a <br />run.+oiNa <br />MECII�NICAL _ <br />�Db1IlON�L PLAN CIIECK <br />on�en ----- <br />stnte ouuoirm suncnnnce <br />ruouc wonHs <br />totlll <br />i � <br />� <br />_,_/! _, � <br />i <br />� <br />L— <br />� <br />�U <br />� ; S� <br />