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� �'���'\ APPLICATIO�� FOR CONSTRUCI d�N PERMIT everett <br /> � TO BE COMPLETED IN INK—PLEASE PRINT � <br /> Ihe Everpreen <br /> , CITY OF <br /> everett -- _ __ -- - <br /> HEATING SYSIEM: S IJ ELECTRIC U I <br /> BUILDING DEPARTMENT ---- <br /> ' 259-8810 <br /> I 1 DEMOLITION i COMBINATION � � BUILDING �ECHANICAL ! i pLUMBING I I SIGN <br /> ' �/� ---/�-- ------ --- ----- _ __-- ----i-- -- ----- /� ./ n <br /> A.J'E ^^'���LJ ' •v`- M�RE=51cIGl - �' }` 11Y /, Z,P� / �ONE -l'1 ?/ �� L �� <br /> � t 11- , C C� � _ <br /> TEN 7 ' �� ' M�ILAD�RESS QfV 71P PHGNE <br /> c_: <br /> �PCNIIECTORDE5IG�VER M41L��Df1E55 Cllv 71P PNOIlE <br /> ��GENERALCONiRACTOfi—YA` I � CAS INC. �I ❑Y + 7 P NE / �I, .ICE �. <br /> 269•5492-355�7730- 742 V ���1���'7�..���'•� ` 1•. <br /> 2943--- <br /> MEGH�NIC�LCONiRqCTOR Mnn%906�rq�pougall cirv ¢iv rnori� UCENSEI <br /> Evsretf, Washington 98201 <br /> vwMair+ccornnncion Mnn.nonness cnv nr rnor+e LICENSEI <br /> -- -'------ �— �-- ------ ----- -------�------- <br /> cus5orwonK � <br /> I I NEW ! I ApUIiION AL-TEPrATION ' ' REPN(7 � ' UEMOLITIUN i i WOODSTOVE/FRPL INSERT I I BUIL�ING RELOCATION <br /> _____._. _ _ _ '____ _' _ _... . ._. .. ._ __. <br /> caanecr rnx:e or wonn <br /> �_c1�l�.L�v �„����,;�,��:��<„������,�•„�;�,�;��, -- -- — <br /> OE CHIBE W N�N� )Iln E fIXliAGfP INVOIV � <br /> �;�Q,�.��LL��CL_�' �t�}�Cl��j-- _ _ __ <br /> rnoaost useoremiui c ` I HEREBY CEi7TIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �� J APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALL <br /> �eon�oesceirriorrorrnoreattis�wwNoeiowonnirncnrouncomes� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior _ nicen or ____ NOT. Tt1E GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTI10RIiY 10 VIOLATE OR CANCEL TI1E PROVISIONS OF ANY <br /> OTHER S7TTE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br /> PERFORMANCE Of CONSTRUCTION.TfiAT I AM AUTHORIZED BY TFiE <br /> OWNEF7 OF THIS PROPERTY TO PERFORM 1HE WORK FOR WHICH <br /> - ----- APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONIRACTORS LAW 18.27 RCW ANU 296.200 WAC. <br /> SI�NAIUREOPGONIIlAC10B0(1�U71101112EbAGENT O�iE <br /> PRQIELTADDPE55 � �' � �/ � <br /> A PL NiSCIiYBUSWE55 � NS NO.ANCBUSMESSNAME <br /> PLUMBINO MECNANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TYPE OF EUUIPMENT PEE <br /> WATER CLOSET(TOILET) ! NC-NHNDLG UNITS-H.P. , <br /> BATHTUB ; FORCED AIR SYSTEMS-B.T.U.� E.A. --~ <br /> LAVATOqV(WASH L'qSIN) � UNIT HEATERS-B.T.U. M <br /> SHOWER � CLOTHES ORYERS '- <br /> KITCHEN SINK 8 D�SP � VENTILATION FAN � <br /> DISHWASHER �-- RANGE HOOD —r <br /> LAUNDRY TRAY ; WATER HEAI'ER � <br /> CLOTHES WASHER —' WOOU S�i OVE � <br /> URINAL ; METAL FIREPLACE 8 CHIMNEY <br /> DHINKING FOUNTAIN � FIREPLACE INSERT � <br /> FLOOR DRAIN � HEAT PUMP , <br /> - �__ <br /> BACKFLOW PREVENTERS ; � GAS PIPING <br /> ROOF DRAINS-RAINLEADERS --� - EXHAUSi FAN <br /> SINK(SERVICE-BAR,ETC.) ; <br /> — —r— — <br /> i <br /> : � <br /> — —T <br /> i <br /> _ � _ 1 <br /> i � <br /> —i— _—�' <br /> SUB TOTAL $ ; SUB TOTAL � �j� <br /> PERMIT $ --� PERMI7 $ ; <br /> TOTALFEE S ; TOTALFEE $ � � <br /> FOR OFF{�E USE ONLY: <br /> FIlOHI5C104CK IIEAIISf.lOACK SIUPSfI04CH P14Nf�IfCNN1lM1lpfil fFF: IIECFIPLNO <br /> use�aue iu�n'nrn � vncnuisnr FEES VALUATION FEE <br /> —r— <br /> _'_' ..___ __. .. r <br /> H1111.UM(� ' <br /> IYPCOfCONI5N10WAp1i IYI'IOIf.0yS1�C111T1 nm�nM. I N�aIMLumm�.s .-_. . .. _ . .._ � .. __ ______'____�_ <br /> rniam I 19.UH[3M(: � � <br /> —_ . '___ ' _"""" '. . .... 1 .__'_. _ . ."' _ '. ___ . _' __ . ' '____ _-_ .—__' � <br /> srzeorni.u� IA�Of51001f5 p�5�'IdFNI 61F(:IIAHI(:AL <br /> C�s- � ca <br /> occurnNcr iono rme srm�n�ens nm�n IIFICIIf I IMII�IIOI! �DOI110N�L PI AN CIIECK � <br /> � <br /> _____-_. ________-_ <br /> OIHFfI ; <br /> eensou ron srniriei.ens __ , <br /> _.___.."""___" _'—_ T <br /> SIAif AUILOI�IC SU(iCIIMGF ' <br /> _________ _.-______._.___.__ � <br /> INIqNEAY rinnsnrrnovrunv � CITYOFFVERETT PU[311CWOf1K5 � <br /> LOCALSALES � <br /> TAR CODE IS 3105 Totn� (QS ;�)/i <br />