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' APPLICATId� FOR CONSTRUCT� JN PERMIT everett <br /> �M E,,,,o,�,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> an oc • <br /> everett HEATINGSYSTEM: �GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259�8810 � <br /> �._ DEMOUTION �(,COMBINATION L�BUILDING L�MECHANICAL ❑PLUMBING O�$IGN <br /> owv u�a�.00ness an , z�r vraxe 'SY7'1'"J— <br /> �u��trK .Tiidus £' y0?,v n'�i.c�n �4c� .S�ba�ce (AJH �7Zc►L ����4Y <br /> iE1UN1 WL/�WPE55 CI�'/ lIP Y E <br /> •FCw1ECiOqDES�GNEN • un4WDPE5i CItY bP PHPVE <br /> DI� Qrt-hE�nnina yi'�rt(/son4 . CJA� f'�]�-/7ZS/ <br /> `�`ru�r�' �,dus E55 ��n � =�o >�,E _r�t�m`iio� <br /> 4fCM/.HiC/.LLC111MC10N 4I.M1/.00PE55 CIIY ?IV PNCl.E IICEN$E• <br /> 1'W4BiNOCQVIN610R YAK/.pOPE55 CIIY ZiP ' p1CNE lKFNSE• <br /> C� SOiWOPK <br /> NEW ' ADDITION ❑ALiEfiATION ❑ REPAIR ❑ DEIAOLIiION ❑ WOODSTOVFJFRPlINSEFT �� OUILDINGflcLOCATIOH <br /> tor�r.ctocqspr�uio>�an[rq. <br /> �w,a.�,oaKE�,.�. ancK�eE�ce ��, �-ssy-oby�/ <br /> CLSCPiBEWORK/./1DSOV�FEfOpibElNv 1E0 O(_ <br /> ' n � j rm� �.c�rfr.�� �ck�li» 3S3-y8z�� <br /> _7/��noaos[ousE�Buaoi • � 1 MEREBY CERTIFY THAT I HAVE READ AND EXAMINED TMIS <br /> C. n J APPUCATION AND KNOW THE SAIAE TO BE TRUE AND CORRECT A�L <br /> tEc��oE9tnir� CFYnOVFPiVISb r�e6iowon iLCNiWf1COP�E51 PROVISIONSOFLAWSANDORDINANCEJGOVEHNINGTHISTYPEOF <br /> n �� � \VORK WILL BE COM1IPLETED WITM WHETNEH SPECIFIED HEPEIN OR <br /> �ar eioca ov �U L NOT.THE GHANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> .. AUTHOflITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR IOCAL LAW qEGULATING CONSTRUCTION OR THE <br /> PEFF06MANCE OF CONSTRl1CTION.THAT I A61 AUTMOFRED f3Y TME <br /> OWNER OF THIS PflOPERTV TO PERFORM THE 1VORK FOR\YHICM <br /> � /� APPLiCATION IS,S�ADE AND I COMPLY WRH THE STATE <br /> CONiRACTORSIAW 1827 RCW AN� 96.200 K'AC. <br /> SK.NAfpPE,O.,i�f,ONiMCfOqOP�yfiqPU@D Ni D�*E <br /> irc��� i�r�' <br /> _-- jS.�3- l�-a��v�eccl 1>4n�. ���'�'_t,j f. <br /> �WJEC1h�DFf55 / JIaT1�vt I: �1-l. i'-�_ <br /> iv qaNiSbIxBU5mE551 ND.ANppO5.FF5S�:u�E <br /> P�UMBING MECHANICAL <br /> N0. TYPEOFFI%TUREORITEAI FEE NO. TYPEOFEOUIPMENT FEE <br /> �_ 1YATERCLOSET(TOILET� A'C—NMNOLGUNITS—M.P. <br /> BATHTUB FORCEOdIR5Y5TEh15—B.T.U. A1 E.A. <br /> IAVATORY�WASHAASIN) � � UNITMEATERS--B.T.U. Id <br /> SMOWER CLOTHESORVERS <br /> KITCMEN SINK 8 DISP VENTILATION FAN <br /> �ISMWASHER RA�GE HOOD <br /> �LAUNDRYTPAV \VATER HEATEA ' <br /> CLOTMES\VASMER \YOp�STOVE <br /> URINAL METAL FIF[PLACE 8 CMIhINEV (�' �j <br /> ) <br /> DRINKING FUUNTAIN FIREPLACE INSERT <br /> FLOOfi ORAIN HEAT PUMP <br /> BACKFIOW PFEVENTERS GAS PIPING <br /> ROOF OfiAINS—MINLEADERS E%HAUST FAN <br /> SINK�SEHVICE—BAR,ETC.) J � - DO U �� <br /> SUBTOTAL S � SU9TOTA� ; �� <br /> _ PERMIT S PERAIIT S <br /> _ TOTALFEE S TOTALFEE S <br /> FOR JFFICE USE ONLY: <br /> �PONi5F104K RE�N EiBeU��� .2y� SWESEIBI;N PWILMLCKAUMBEN IEE � ' FECUVil.O <br /> 2�' �,' < s .? i3 3a ^` 7.os�� <br /> us�xor�[ � ior�F[� WCANiSitE FEES VALUATION FEE <br /> ,` � ��� ��� BU�LOWG <br /> p4(qCOF\5111ON41F f�%pCOM1SIKIW pZUNq� WYMUKWU — � 17 ��� ��� <br /> N �� /' � PLl11.IBIY6 .SS� <br /> s:cO�B�oy HO.OFS�OuiEb B/SEUENi MECHANIC�I Cjv ; <br /> �Sd S +p � <br /> OCCUPebLvlW.p RRESVIWKlER5PE09 NfR)MlliwfqelqN AOOITIpNALPIANGHECK <br /> u0 2V OTIIEl1 <br /> ��Ee50N OObvnou�ERS _— � <br /> SiAiE UVILDING$URCIURGE �� <br /> iryleKEBY YWISAIPHOvaDBr CITYOFEVENETT PUOLICH'Of1N$ � �.\ <br /> LOCAL SALES VCl <br /> Jb g�Li��L TA%CODEIS3105 Tou� <br />