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APPLICATI�N FOR CONSTRUC7,rbN PERMIT <br /> Iha Evergrertn everett <br /> CIiV O� �. <br /> everett <br /> BUILDING DEPARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLE�A E PRINT <br /> f I DEMOLITION I I COMBINATION I I BUILDING �/�I'MECHANICAL I I pLUMBING I l SIGN <br /> o�,E��v�'Un2��l M����55 � l�a��avc�u..) 8��✓� �vPilQ.-t�E9�6Zv3 353• 519 I <br /> IENANt M�IL�DDf1E55 �IIV ZIP t`IIONG <br /> . ^ 'y ^^� <br /> /J�.v r r <br /> nncmrer.�onnes�cr+en unanoon[ss cirv zia r��or+e <br /> OENEfl�ICONIMC70R MAILAO�OE55 CIIY 21P P110NE LICENSE� <br /> MECII�NIC��CEN1IR�CiOB M�IL��ORESS CIiY, IIP PIIONE LICEN54� <br /> �um I..o K I 1�115 • � �y Pa� NE �n.ltlovnd q`bc�3H 82� •N5y2/suNt-a�-y�c <br /> PLUMBINOCONiR�C70R 6UILADOOE55 CIIY 21P PIIONE LICENS �0 /�� <br /> CLASS OF WpI1K <br /> I I NEW I I ADDITION IxALTERATION I I qEPo11R I I DEMOLITION I I WOODSTOVE/FRPL INSERT I�I BL <br /> iENANI IMPIIUVEMENI Ofl INIEf110f1 fIF./M'�W[l(WI.Y CONI�CI PGIISON�NII PI�ONE NO. � <br /> CONIOnC7P010E0lWOf1N: �/�OO <br /> DESCf11qF.WORR�ND SWAiIE FOOI�CE INVOW ED <br /> FIAC�ll4(.` hu�1,f�G- <br /> aqovoseouseoFqeui�oiNa I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> J1I�� '�WYYII�VI�/ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL � <br /> �eaaoescmm�orroFrn n�sH aeiowonn i curouncoriesr PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocH or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> �n ,/� I _h2 ^n AUTHOPITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> _ I W�' l�l�/�J� ' IJIJO • n5a • 007 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTFlUCTION. THAT I AM AU7HORIZED BY THE � <br /> OWN�R OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> , APPL CATION IS MADE AND I COMPLY WITH THE STATE <br /> � CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> sicr+n�uneoFcorrmncionoanun�on¢e�o/naervr o�re <br /> —*'--- : I4�.G� �Z-O i�_I N <br /> rnaecrnooness C �' nn n h� <br /> � X S�I�oK. ¢nC . `-�+.�1 --(�OD'n <br /> J v��v I.GV APPLICANISCIIYAUSINESSUCENSENO.AN�BUSINESSNAME <br /> PLUMBINO • MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVPE OF E�UIPMENi FEE <br /> WATEA CLOSET(TOILET) i A/C—NHNOLG UNITS—H.P. � <br /> BATHTUB ' � FORCED AIR SYSTEMS—B.T.U. M E.A. � j <br /> LAVATORV(WASH BASIN) }— UNIT HEATERS—B.T.U. M ; I <br /> SHOWER �— CLOTHES DRYERS � <br /> KITCHEN SINK d DISP ' _ � � <br /> , VENTILAIION FAN <br /> DISHWASHEH � RANGE HOOD � <br /> LAUNDRY TRAY ; WATER IiEATER � � <br /> � <br /> CLOTHES WASHER —� WOOD STOVE ; <br /> i <br /> URINAL � METAL FIREPLACE 8 CHIMNEY � I <br /> DRINKINO FOUNTAIN �— FIFEPLACE INSERT ; I <br /> — --+— — --- � <br /> FlOOR DRAIN � HEAT PUMP —� <br /> BACKFLOW PREVENTERS _�_ � GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN i <br /> '_ `-- — — <br /> SINK(SERVICE—BAR,ETC.) ; �— <br /> — --�— —— � <br /> _ � r <br /> _ — _ _ —T <br /> i i <br /> -- i —_ i <br /> i i <br /> �_ '_ <br /> � � <br /> SUB TOTAL $ ; SUB TOTAL S <br /> PERMIT $ �— PERMI7 S � � <br /> TOTAL FEE E ' TOTAL FEE S — <br /> FIIONTSEIBRCK fiEA05El0�CK SIOESEIB�CN PIANCHECKNUM0Ef1 FEE RECEIPTNO. �� '� <br /> USE20NE �otnnen V�CANf$IlE FEES VALUATION FEE <br /> I I YES I I NO BUILDING �— <br /> trrtartoxst.euow�ete trrcorcoNstncmni �rmrnxc+ xnnm�w�xnus�is � <br /> cnpm � <br /> PLUMUING ' <br /> � <br /> SREOFBlIX3. NOOFS1001EA P�SEMf.11f MECH�NIC�L �— <br /> � I I YES I I NU — ' <br /> i <br /> OCCUPANCYl0�0 FIRESPONNlEfiStlEOD IIEIGIIfI.IMIIAIION ����E� i <br /> I.I YES I I NO SfATEBUIL�INGSURCHARGE i <br /> i <br /> 11EASONFOfISPRINNLEPS • � <br /> STATE ENEfiGV SUfiC11ARGE � <br /> APPIICAl10NACC.BY PlANSAPPfiOVEDBY CITYOFEVERETT PUBLICWORKS � <br /> LOCAL SALES ' <br /> TAX CODE IS 3105 TOTA� � <br /> . ... __ , <br />�,r.'rot.:;�.�Y. ,,.t„�. � . , . . . _ <br /> ,_ ,, . .. . <br /> , . , . <br /> , <br /> . .. . ,. . : <br /> �, � . ,: <br />