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APPLICATIOI�I FOR CONSTRUCTiJN PERMIT �°efP1 <br /> ��_�„�,�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cir• or <br /> everett HEATINGSVSTEM GGAS ❑ELECTR <br /> BUILDING DEPARTMENT v- <br /> zs��-eeio J AN 2 3 � <br /> DEMOLITION COMBINATION BUILDING �iAECMANICIIL ...PLUAA@�(i���� SIGN <br /> Ovn.[n YMlnWu6s cOv Iie �- <br /> sao�,c� c�.,,� 3oc�i or�s E�r- �8aa i ��a£�`��e, <br /> tr�N:(N� �p� � ueRl.00nfs5 Citr ziv VHON[ <br /> �qCu.lFCl(Mp1[iGNfP M�it�ppnE55 CiiY Z�0 MqN( <br /> G[NIf1I.lGpIIOI.LIDR M�It��JPL55 CitY ZiP 1'MON[ LiLENSE� <br /> 4b�ln,l�er� rv�,1 14Su4 t�.� 193•�P,.. w000,��� ��'�- �«si-Zuc '�a�te�m� i�3 P►� <br /> 41U��NC�LCGIIR�LIG'. M�II�UCR[55 CIIY ZO' P�KWF OCENSC� <br /> PIUM.IiNGCp11RI.C10N M�il10�F(55 LIiY Ii0 F�qN[ IICENSE� <br /> C1�5504 WOqe <br /> NEW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVE:FRPLINSERT BUILUINGRELOCATNN <br /> CONUCL GERSpN I.ND I4qlI[NO <br /> ta+in¢t ri+r.[or wv��s <br /> 35 ,��'`A tiL� � n�si-zi66 <br /> ry�LF�91 WOHnAN�50t1/.FElW1�iNIXVf^ <br /> �[fJIPL.E '9FFf�rIvE �1�� — <br /> �aorrznmos�aemio�nc � NEREBV CERTIFV THAT I HAVE REAO AND E%AMINE� TMIS <br /> APPLICATION AIJD KNOW THE SRME TO BE TRUE AND CORRECT.ALL <br /> iFeuocsenmtrorvorvnoernrv�s�rowneaowou�nemrWneavrtsi PROVISIONSOFLAWSANDOfl01NANCESGOYEC.NINGTHI$TVPEOF <br /> WOFR WILL BE COMPLETED WITH WHETHER SPEqFIED HEREIN OR <br /> ia* �a• � NOT. TNE GFANTING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> AUTMOflI1Y TO VIOLATE OR CANCEL iHE PROVISION.^ OF ANV <br /> OTHER STATE OR LOCAL LAN'flEGl1LATING CONSTRUCTION OR THE <br /> - PERFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORRED BY THE <br /> OWNER OF THIS PPOPERTV TO PERFORM THE WOPN FOR WMILH <br /> APPLICATION IS MADE AND I COMPLV W�TM THE STATE <br /> CONTR ORSLAW IB27RC AND29G OON'AC. <br /> 5 . lU Cb11N�LlONOF�Ut i O�GE OER <br /> ��. <br /> 1'P0.1LL1RUIMf[$ � <br /> 3_^1 �/� ���' � /. //� �GAI�� AVh 'N1GCIlVPllSi\LSSI .[N$!N IN�BUSIN�SSNWL <br /> �CJ F11cGl �NI� fJ��� <br /> VLUMBING M M�YIC�L <br /> NO. TYPE OF FI%NPE OR ITEM FEE O. TVPE OF E�UIPMENT FEE <br /> WATER CLO55T ITOIIET� A�C—1�HN�LG UNITS—NP <br /> BAiHTUO FORCi D AIR S�STEMS—BTU. M E.A. <br /> LAVATOFV�WASNBASIN� 11NITNLITERS—BS.U. M <br /> SHOwER CLOTHE` D9YBR5 <br /> KIiLME�SINK 8 UISP VENTILATION FAN <br /> DISHWA3HCF RANGE MOOD <br /> LAUNDf7Y TRAV WATER MEATER <br /> CLOTH!ES WASNER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DflINNING FOUNTAIN FIRGPLACE INSERT <br /> FIOOR DRAIN HEAT PUMP <br /> BACKFLOW PREVENTERS GA>PIPING <br /> ROOF OFAINS—RAIN�EADEFS E%HAUST FAN <br /> SINN�SERVICE—�AR.ETCJ . <br /> SUBTOiAL S SUBiOTAI S <br /> P&PMIT S PERMIT S <br /> TOTALFEE $ iOTALFEE S <br /> FPR OFFICE USE ONLY: <br /> 1')I.ICl�.111��K PI�11SEiB.�CN SIDESEiBI.CN PI�NCNfLMN11YBf�� �EC �[CfIP1N0 <br /> r+c:u�rt �o*nus� v.c�r�*sne FEES VAWATION FfE <br /> BUI��itrG <br /> ���YNC0415410N'�Bll IYRdCON51l{IU0. O[I�M%� vLPMwWV:�'S <br /> �"M PIUMBiNG <br /> Yd(v pLDG M�Of5Tq1R5 BASE4EAi MfCH�NIC/�L <br /> OCCVP..MCvl0�0 lIRCSvqNxL[nSNW� N[N'iMIIMIlA1qN ADD�iIONALPLANCNEGK <br /> OiN[R <br /> «reaoN�onsrn:r�.uas <br /> STAt[OUI:DiNG SURp ' <br /> �Nin.in. - naHs�rrnavu�ur CITY^°EVEflETT PUBLICWOFNS <br /> LOCAL S�LES <br /> �C..� TIUf COOE IS 3105 ro*�� <br />