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APPLICATI�.� FOR CONSTRUCT�JN PERNl1'T °`°"'" <br /> n:��e��„m��,�,� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> Q1Y Of� <br /> everett —-- - � <br /> i HEATING SYSTEM: U GAS J ELECTRIC_ U _ _ — _— - --- - -- <br /> BUILDING DEPARTMENT i <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> o�vr�t��� �.�n�i noon�ss crtv nr r��oec <br /> 1.`I. :140� C. 1�sor� £i.^ eH 7c/3-`jly� <br /> �C—''�l��,QG rc. QiY 21P PMONE ��' <br /> � ,:ryaNl I.aiL n[lOf1E55 <br /> Pb <br /> p � �j .vr,�.�u1C.CLOIID[SIGI�ER M1IAl1A0DPE55 G�iY ZiP PNONE <br /> t' H 41 <br /> �y � � ;!�:L��AICOHtRAGtOR MAILApDN1155 <br /> L�TY ZiP PHONE IICENSE� <br /> ky � ��j. �. .S , T�„ �5�8 � �. � �}^� � �vevetl 48ao1 '�5 .� -R]Ss 6�sinr�µ IofNC <br /> O Q7 O CITY 21P PNONE LICENSE <br /> �.9C.HANiCFLCONiRAGTOR MAILA�DPE55 <br /> ro � b <br /> N M <br /> � � � p��n.�pWGCONTRACIDR MnRAp0�E55 CIiV ZiP PMONE LIGENSE� <br /> �3 <br /> p c�nssorwonK <br /> N <br /> r,�j :b �j NEW ADDITION ALTERATION X REPAIR DEMOUiION WOODSTOVBFRPL INSERT �� BUILDING RELOCATION <br /> CONTFCT PERSON AN�PNONE NO <br /> yy ,�2/ 7. <br /> � � ' — - <br /> t� M y cowrnncrrniceovwoaK — <br /> y pESCRiBEWORKANDSOVARE OOY� �iNVOIVED <br /> � dN IC � <br /> raoroseouseoFouiioir+a I HEREBY CERTIFY THAT I HAVE READ AND EXA1dWED THIS <br /> � y y G' 7 APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> O N J <br /> lEf.4L0ESCHIPiIONOFPFlOP[RttISHOWNBELOWORATTACNiOURGOP�E51 p'pO YORKSWILLBEFCOMPLENEDWIDTIHAVHET ERVSPEGNFIED EREPNOH <br /> ior � �a�_ o�aK 4 �� oF E NOT. THE GRANTING OF A PERCIIT DOES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STAT[OR LOCAL LAW REGULATING CONSTHUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT I AM 4UTHOFIZEC BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM iHE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COti'PLY WITH THE STATE <br /> CONTRACTORS lAW 1027 RCW AND 29G200 N�'AC. <br /> SiG�lAiUFEOFCONTRACTCRORAUIHON2EDAGENt ONE <br /> ���A �l.i��-�..L� <br /> PROJECi R�DRE55 AppLICANiS LIiV OU51 LSS IICEN5L�0 ANp pUSIN[SS Nn�.�L <br /> '�/��� �� �� -, — MECHANICAL <br /> �"� �. �LUMBING <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> I �� WATER CLOSET(TOILET) NC—A�HNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SYSTEh1S—B.T.U. M E.A. <br /> � LAVATORY(WASH BASINI UNIT HEATERS—B.T.U. M <br /> CLOTHES DRYEFS il <br /> I '��� K TOCHEN SINK 8 DISP _ VENTILATION FAN � <br /> � � DISHWASHER FiANGE HOOD I, <br /> LAUNURY TRAY WATER HEATER �. <br /> �� CLOTHES WASHER � WO00 STOVE � <br /> � ��� URINAL ' METAL FIREPLACE 8 CHIMNEY — �� <br /> DRINKING FOUNTAW _ FIREPLACE INSERT � <br /> FLOOR ORAIN HEAT PUMP I <br /> � BACKFLOW PREVENTERS ', GAS PIPING I <br /> !I I ROOF DRAINS—RAINIEADERS � EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.) �— <br /> — �— I <br /> i <br /> J '�1� <br /> �� ' I <br /> I � SUBTOTAL 5 PERMOTAL S I' <br /> I — TOTALIFEE $ TOTALFEE 5 �— <br /> �,�� II <br /> FOR OFFICE USE ONLY: � <br /> IRG!�i5[itlnCK R[f.RSET�ACK SIpE5ET0ALN PLANCHEChNUf.IOLN FCE REC[IPiNO I <br /> u;[.'ONE lOT ARER VFCANT SiiE FEES <br /> VALUATION FEE �I <br /> BUILDING ��C/ ���� I <br /> iH`[Of CONiS ALLOWABIf n'PE Of CONSL ACIpAI occqav� M1�a�lluxc unrts <br /> PLUM�ING <br /> SR[OF6lOG NO.OFSTORIES BRSEMENT MECHANICAL <br /> OCGUPANLY LORD FIRE SPPNNIERS REOD HEIGIIT U�dITNiON <br /> ADDIiIONAL PLAN CHEGK � <br /> OTHER __�_T_ <br /> ��[ASON POR SPRMKIERS <br /> STATEflUILDINGSURCHARGG 4 �) <br /> i <br /> irvrnnenv r�nr�snrrnoveotav CITYOFEVEflETT PUBUCwoRKS <br /> LOCALSALES ��� � ��L, i <br /> TAX COOEIS 3105 TOTAL <br />