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- --..._. <br /> . . .,�....,.,.... ,, <br /> ,�;;',: r`!.,? : <br /> APPLICATIOi�'�FOR CONSTRUCTI�rN PERMIT everett ; <br /> TO BE COMPLETED IN INK=PLEASE PRINT � � <br /> 9 e..ron.� , <br /> iry OF • <br /> �ve rett HEATING SYSTEM: GAS O ELECTRIC O ' <br /> � <br /> �UILDING DEPARTMENT ' <br /> 59•8810 � • <br /> DEMOLITION 'i l COMBINATION ' � BUILDINQ �MECHANICAL �LUMBINCi :7 SION <br /> ��CFP�, Con�"a.�, E"a��� or�c�s'�v. Ev�e 'r�e� ��ao�` as�-yr��� <br /> ENIJ/i IMIL�DDAES9 CIN IIP PNONE . . . <br /> �nCMITECTOR0E9pNEP MAR�DORE55 CITY 21P P�1pNE ' � <br /> :ENEMLCONTMCTOR MA�L�DDNESS CITv 21P PIqNE LIC[1ME1 . . . <br /> I '�J1 �riucron �Y1T�.���xb 711--C��I, N�1� /'lN. ���_r �1������KnL� <br /> x y/ �J�l� �11 � n. � <br /> 'lUAlMO TMCTOR MML� GTV IIF PHOiE LIR/qE/ <br /> i <br /> i <br /> •l11lS OF Wd1K <br /> � ` NEW `_�; ADDITION '.�_I AITERATION C.: REPAIR .� DEMOLITION �..; WOODSTOVE/FRPL INSERT �G BUILDINO RELOCATION , <br /> ,1 J � CONTACT iE1180N N1D►110NE NO �. <br /> �� <br /> CONTN�Ci MICE OF W01IX '� , <br /> 0 R! W0111fANDlOU�REF TAOEMIVOIVED / . <br /> � <br /> o se0 0 ew `b I HEREBY CERTIFY THAT I HAVE READ ANO EXAMINED THIS <br /> 1 qPPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �EaµpE TqNOFPROOERiY1SHOWN �OM'ORATTACMfWpC07�E51 PROVISIONSOFLAWSANDORDINANCES60VERNINOTHIBTVPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER HPECIFIED HEREIN OR <br /> iat e�ouc oF NOT. THE ORANTIN3 OF A PERMIT OOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISION8 Of ANV <br /> . OTHER STATE OR LOCAL UW REOULATINO CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT i AM AUTHORIZEO BY THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MAOE AND I COMPLV WITH THE 8TATE <br /> CONTRACTORS LAW 18.27 RCW AND 296R00 WAC. <br /> SION�n7NE OF CONTRACTOR OR AUTNON4ED�OLNT WiE „ <br /> X � �� �� ��1!�1,�, 1�b71-9/ <br /> e CT !f / � �yn�,/�N S�gmE54L�CENSEMO./�NDW �^�j'^^"'� <br /> � � �. <br /> � LUMBIN MECMANICAL <br /> � NO. TYPE OF FIXTURE OR�TEM FEE N0. TYPE OF E�UIPMENT FEE <br /> WATER CIOSET(TOILET) aC—NHNDL6 UNITS—H.P. ' <br /> BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS ' <br /> KITCHEN SINK d DISP VENTILATION fAN � <br /> DISHWASHER � RANGE HOOD � <br /> LAUNDRY TRAY ' WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAL FIREPMCE b CHIMNEV ' <br /> ORINKING FOUNTAIN � FIREPUCE INSERT � , <br /> FLOOR DRAIN HEAT PUMP ' <br /> BACKFLOW PREVENTERS GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS EXHAUST fAN ' <br /> SINK(SEAViCE—BAR,ETC.) � <br /> � <br /> � <br /> � � <br /> SUB TOTAL S ' SUB TOTAL � S ' <br /> PERMIT S PERMIT f � <br /> TOTAL FEE S TOTAL FEE S ' � <br /> FOR OFFICE USE ONLY: , <br /> F110NT 6ETMCM REM 9ETMC1( SIDE BETBACK PVH CNECN NUMBER FEE ��E�PT�• <br /> USE 20NE LOT�REA v�cu+t sire FEES VALUATON FEE <br /> BUILDIN6 ' <br /> trRo�tONtseltOw�ett nvEortplSrAcrWL aNr.rc. rodowiu,�uu+��s ' <br /> i <br /> p1P� PLUMBIN6 � <br /> SREOFBl00. NO.OFSTOIIIE9 BASEMENT MECHANIC�L � <br /> OCCUP/�NCY LOAO flRE SVRNKIEAS REQD MEIOHT LIMIU7qN ADOITION/1L PUN CHECK � <br /> � <br /> � <br /> OTHER <br /> REASON FOfl S�pIHNlEP9 � <br /> ST�TE BUIlDINO SURCH�ROE � <br /> IN7�NE EY PLANS APPIqVED BY CITY OF EVEREI'f PUBLIC WORKS � <br /> LOCAI SALES � <br /> TAX CODE IS 3105 ror�� S^ o� <br />