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APPLICATId.1 FOR CONSTRUC7�JN PERMIT everett <br /> r�»E��y�.w� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirr ov <br /> everett HEATINGSVSTEM: ❑G/,S P�ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259�8810 <br /> DEMOLITION � COMBINATION . BUIIDING MECHANICAL .PLUMBING SIGN <br /> OWNCH PAK�0011f.55 I ZIP PNONC <br /> rnf' �he�5 ��H�i�l Uo9 ,�pc�c��n,-dcGr' 4tu� ay7—�7Gi <br /> i[N�NI MA4�Od1E55 CIiY II� PMONE <br /> AP6ntEL1CF0[i1GNEP M�4AppFE55 LIiY IIP PIId1E <br /> GCNCN�ICpItPAt1p11/� M�IlA0C9E� ��1� p I�P � ��,�'E 16EN5E• GP- <br /> �C' l= / 1A,1t3/r' !A.c,SrPiiiT��� �r 5�7.`�/J�f.�2�:..�L F h"- %fXa: 1rY7n iVb-,Eo <br /> M[O�91iLElCON1P�C10R M1R/�OdlE55 CIiV IIP %qNE IICENS[� <br /> Plli4oiNO[QVifl�GIOP MNL���PE55 C1�V , ZIP PItlNE lqEVSE� <br /> Ct�$$IX WO��N <br /> NEW 'ADOITION ALTERATION REPAIfl DEMO�ITION WOODSTOVE/FRPLINSERT ��, BUILDINGRELOCATIOfi <br /> cou*�crrcasorv�xo crro <br /> cwm�c*varcorwonK �3C` C�`�' — C L/ �7'��. <br /> o[unmr.wonrc�Hosnu�ncrao*�ccnrvavco/� /� ,, r <br /> /1/�/bT/an /� . � �,� � •� ' � (A[ <br /> rrwroscouseor iuortw � �HEREBV LERTIFY THAT I HAVE REAO AN� E%AMINED THIS <br /> ��•�i(t��u'��' APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> i[uiocscnintallorcnwcnrvis�aNmaeirnxon�*��oawncsits PROVISIOHSOFLAWSANOORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILI BE COMPLETED WITH\YHEiHER SPECIFIED HEREIN OR <br /> io* e�ocK a NOT.T1iE GRANTING OF A PERMI7 DOES NUT PRESUME TO GIVE <br /> AUTHORITV TO VIOLATE OR CANCEL TME PROVISIONS OF ANV <br /> 11c. � ? � /��l�F i< �i 1 ( �JC �� F OTHER STATE Ofl LOCAL LAW PF.GULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONS7RUCTION.THAT I AM AUTHOR2E0 BV THE <br /> OWNER OF iH15 PROPERTV TO PERFORM THE WORN FOR WNICH <br /> L1 •i , 55 APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW IB27 RC W AND 296200 WAC. <br /> SIGN4UPCq'COM1PALi0PORAUiHpUICJ�GEN! O�iE <br /> . .7_ � � ��LAY-L + ' � <br /> PI11[Cl AOD11E$$ �� — <br /> � G,�. �C / /A U � �/ APRICANiSCIiVBUSME55LKLNSENO.W�BU5ME55NM.1E <br /> (��O <br /> PLUMBING MECMANICRL <br /> NO. TYPEOFFURUREORRERI FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER C�OSET(iOILET) A C—Al INOLG UNIT$—H.P. <br /> BATHTUB FORCEDAIRSYSTEMS—B.LU. M E.A. <br /> I LAVATORY(N'ASH DASIN) UNIT MEATERS-0.T.0. M <br /> SHOWER CLOTMESORVERS <br /> NITCHENSINKBDISP � VENTIIAtIONFAN <br /> DISHWnSNER RAM1GE HOOD <br /> LAUNDRY TRAY WAiER NEATER <br /> C�OTHES WASHER WOOD STOVE <br /> URIN�L MET.1L fIREPLACE 8 CHIMNEV _ <br /> ORINNING FOUNTAIN FIREPLPCE INSEHT <br /> FLOOfi DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> ROOF DRAINS—RAINLEAUER$ EXHAUST FAN <br /> SINK�SERVICE—BnR.ETC.1 <br /> SUBTOTAL 5 � SUBTOTAL S �_ <br /> PERMIT 5 PEFIMIT 5 <br /> TOTALFEE S TOiALFEE S <br /> FOR OFFICE USE ONLY: <br /> IIqNILCtO�CM RE�HSEfBACIt � SIpESEiBAC6 PIANCNECe11U4BER IC[ PECCiVLNO �j/� <br /> 'LO � ZCl � � � � l � / (G <br /> usrear+r �o*�nc♦ ��*sm FEES VALUATON FEE <br /> 7— / //.=� I�o euiiowc 8 6Y0 ��l � — <br /> t�irynf[OM1I54lOWAB1l �YMqCOHS�H.lIL4 Rt�✓�Kr �ptlPM��T.�Inn <br /> � � � PIUMBING 2 <br /> tiVt�w oiIX: No OFSiOni[s e�SEu[Hi MECN�NICRL � <br /> 11. S. �_ <br /> UCCI:ANCVl01.0 (IPESFN1AtL[PSNEOD NkqNillMliAiICN ��OITION�LPUNCHECN <br /> Oil�EB <br /> nusauronsvmxnuns � <br /> SiR1E BWl01NG SURCNAqGE � <br /> F,u—..rm nexsn�rnovmor CITYOFEVEflETT auoucwOnHs <br /> —1k�' LOC11L SIIIES T <br /> 5 •�3 TIIX CODE IS 3705 rou� ���'C <br />