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\ APPLICATId� FOR CONSTRUC'�.ON PERMIT <br /> everett <br /> IM Evwpcen e <br /> CITY OF <br /> everett <br /> BUILDING DEPARTMENT <br /> 259�8810 TO BE COMPLETED IN INK—PLEASE PflINT <br /> I l DEMOIITON ❑ COMBINATION ■BUILDING I I MECMANICAL I.1 PLUMBING (1 SION <br /> OWNER Y��MDf1E55 GiY Z�P %�ONE <br /> EYEKF7T J'CNatY /�/I. f1J� cwueOr.N: Evs�Y� B!!a9 3'J9 • 4�14 <br /> 1CN�N1 4�4��ME55 CI1V IIP PIpNE <br /> •qLNIiCLiOP0E51GNEP M�LMOPE55 LIIY liP PNONE <br /> /�/AYfY AN�.Y/lCCI✓ i!O• dor /ooa 6v6K/71 9�tOG ?t/ • 6}7/ <br /> GCNEN/dCp1IP�Glq1 IMIApIN1ESS CIIY IIP P101K IICENSE� <br /> MEGIUIIqILCpI111AL10N MA4�COI1E55 C�1V IIP VIpNE LICENSEI <br /> P1114BoqCONiMGTOq N�LWOPE55 CifY I�V MiONE IILENSE• <br /> ClA55CF WOIIM <br /> I I NEW 1.1 ADOITION I I ALTERATION I i REPAIq I 1 DEMOL1110N f I WOODSTOVEFRPLIh&ERT �BWLOINaRELOCATION <br /> rcH�r�r wrnovcucr�r on wi��Wn ncuroc.anr cart�c�vrnwu uro war�e rro <br /> cwrn.crrnr.�axaw:��1/Oo.r.�4N/T. M/GNA�[ J'Noob.f�11'f <br /> �pCunecwa+�u1osou�nerao��ecwvav[o q�'i/A'�iW f/.VG!!9 d.�tN/t'<el� IIS9 • G'J7/ <br /> U ri,r�.sacs etwrr,rrsw.� � �cs�►.�o»+is <br /> rnaros[ouv:aeuroua I HEREBV CERTIFV TMAT I HAVE READ AND EXAMINEO THIS <br /> J'GN���. APP�ICATION AND Y.NOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> icnuocumm�ouorrnorEnrv�savmanawonen�cuvwntor�[si PROVISIONSOFLAWSPNDORDINANCESGOVERNINGTHISTVPEOF <br /> V10RK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior azacx or NOT.THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> /l�TL+VCt7 ✓'/18 /L/11✓, AUTHORIIY TO VIO�FTE OR CANCEL THE PROVISIONS OF ANY <br /> ✓'6� A OTHER STATE OR LOCAL UW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE OF CONSTRUCTIDN.THAT I AM AUTMOR2ED BY TME <br /> OWNER OF THIS PROPERTY TO PERFORIA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> C011TRACTORS LAW 1837 flCW AND 2962C0 WAC. <br /> SIGN�111FCCiLp11fl.1C1WGN�U�1�Cfl4EU�L[NI ��IE <br /> X/Iiw.l�-. �r�ta <br /> P11NEc1�UINIt55 '�"�-�'3 <br /> '�� ��� o�. evcac�n y8�o3 APPlq�N15GiYB1 SSIIL[NS(IqANOB1151NC$SH�YE <br /> PLUMBINO MECMIINIC�L <br /> NO. TYPEOFFI%TUNEOflITEM FEE NO. TYPEOFEOUIPMENT FEE <br /> WATER CLOSET�TOILET) A C—A'MNDLG UNITS—H.P. <br /> OATNTUB FORCED AIR SVSTEMS—B.TL. M [A. <br /> LAVATORY�WASHBASIN� UNITHEATERS—�Tll. M <br /> SHOWER CLOTHESDRYEPS <br /> KITCHEN$INK 8 DISP VENTILATIDN FAN <br /> DISIIWASNER RANGE MOOD <br /> LAUNDRV TRAV WATER HEATER <br /> CIOTHES WASHER WO00 STOVE <br /> Uf11NAL METAL FIFEPLACE d CNIlANEY <br /> DRI�IKING FOUNiAIN FIREPUCE INSERT <br /> _ � <br /> FLOOR ORAIN ��EAT PUMP <br /> BACNFIOW PPEVENTEflS GAS PIPING <br /> ROOF DRAINS—RAINLEADERS EXHAt1ST FAN <br /> SINK�SERVICE—BAR.ETCJ <br /> S110 TOiAL S SUO TOTAL S <br /> PEBAIIi 5 PEflA11T f <br /> TOTAL FEE S TOTAL�EE S <br /> f00Nf5C10AIX OU115kitlALR 5�0[SL1MC� PlA11GIC�NU 11 fFC PCCFIPIIq <br /> Z � 25� �S <br /> usErnx[ �7 _ iorence wcuusnc FEES VALOATION FEE <br /> �� I I YES �NO � <br /> OUIlDMO %�� <br /> IYMfACCN51kIGW4tI 1\RIX[pISI.�CN11 �'�• �P���"r'��) �J 7 � (� <br /> �VA1 E i v�uMouw <br /> S4CIX WfG Ip W S�dUCS B�SCMENi MECIUNIC�L <br /> �](�(�j 1 I VES �NO ' <br /> occunu¢r�wo rin[svnrw�[nsn[ao r�cq�rtt�n�iior� OT��EIi �� L� _'�� <br /> � IIYES �NO ZS, STAlEBUROINGSUI1C/UnG[ <br /> OPSpIfd1:P11Nv.lEPS — <br /> STAIE ENERGY SUNCIIAqGE <br /> •rric�ian�ccer �u�snrrmvmor CITYOFEVEHETT PU&ICWOIINS <br /> JM �ac��se�es <br /> 3 � ruccooeisaios *o,.� S",;_� <br />