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��� ' ,., <br /> APPLICATIdiV FOR C�NSTRUC7`�ON PERMIT everett <br /> ��E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: I_J GAS IJ ELECTRIC U_ � <br /> BUILDING DEPARTMENT <br /> 259•8810 ' <br /> I I DEMOLITION ' i COMBINATION � � BUILDING /}�MECHANICAL � I pLU:N8ING I I SIGN <br /> �E �U ��1.�h�1Q �IAE--S „� �-0� `��CkC I�-�'I C, t�1� —�`t c_}I. (� °J�� „ �. � <br /> � <br /> J - Jrn— <br /> 7Ey,�NT � AILADDRESS CIIV 71P PHONE <br /> �f � <br /> A NITEC70RDESIGNER M�IL/�DDRE55 CIIY 21P -:�MlE <br /> ENEfUL T f�l� �1 /5'1NC. y�7V IP ( MON€ LICENSE/ <br /> saaaox_ �dc�»�o-�u.xw� ���I_(.;1.: I1)`7 �� ��- �I-��-�ll <br /> MECMNIIC/�LCONTRIIC7 M�ESS CIIV 21P 1'MON� LICENSE� <br /> �w�Nt, WMhIrKtOn N201 <br /> PLUMBMOCONTRIICTOR MAII�UDRESS CIIY ZIP PHONE LICENSEI <br /> ClA55OF WqiK <br /> I I NEW I I ADDITION x9LTERATION ! I REPAIR � ' OEMOLI710N ' i WOODSTOVElFRPL INSERT I i BUILDING RELOCATION <br /> / -- f.ON1�CIP@ItSONANI)PIIONfNO <br /> CONTR�CTPRICEOFW011K � `�C�� ���� ___ "—_._--_'"_-'.__ '_—_—'_ <br /> OE9CPIBE WQRk�Np MF II�CE INV I V��1— �� !,� <br /> '�171J IZe.�� �C`► ► l�a'_�i.�P � � .� t 'c 9«' <br /> PIqPOSEDUSEOFOWLDIya_ �> I HEREBV CE�iTIFY THAT 1 HAVE READ AND E7(AMINED THIS <br /> � j= C> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECL ALl <br /> LEO�LOESGH�FTIONOFPPOVER7VISHOWNBELOWORRiIACHlOUfICOPIF.51 PROVISIONSOFLAWSANDORDINANC,ESOOVERNINOTHISTVPEOF <br /> WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot atocK or NOi. THE GRANTING OF A PERMIT DOES NOT PHESUME TO OIVE <br /> AUTHORITY i0 VIOLATE OR CANCEL THE PqOVIS10N5 OF ANV <br /> OTHER STAiE OR LOCAI LAW REQULATINO CONSTRUCTION OR TNE <br /> — PERFORMANCE OF CONST(iUCTION.THAT I AM AUTHORIIEO BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM ?HE WORK FOR WMICH <br /> — APPUCATION IS MADE AND I COMPLY WITH THE STATE <br /> CONiRAC70RS LAW tA2717CW AND 296200 WAC. <br /> sicNniuneorcovmncioaonnun�aazeo�oeNt o�Te <br /> vno�ci�ooaess^ �7 , I xy Y�,�.�.��. ;7�)• _. �M`.�1�R�Y S� �� <br /> �I ��l`� /�/I—� 1( _ /��L/ pPPLIGINISCIivBUS�N LICENSENO.�NDBUSMlESSNAIAE <br /> (Jf (J l.tl � � <br /> p��pq MECHANICAL <br /> N0. TYPE OF FlRTURE OR ITEM FEE NO. 7YPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) � A/C—AMNDLG UNITS--N.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> LAVATOHY(WASH BASIN) UNIT HEAIERS--B.T.U. M • <br /> — �_ <br /> SHOWER ; CLOTHESORVERS <br /> KITCHEN SINK 6 DISP � VENTILATION FAN ; <br /> DISHWASHER —� PANGE HOOD � <br /> LAUNDRV TRAV ; WATEIi HEATER <br /> CLOTHES WASHEfl T— WOOD S70VE i <br /> URINAL i METAL FIREPLACE 6 CHIMNEY <br /> DRINKIMG FOUN7AIN � FIREPLACE INSERT ; <br /> —T— <br /> FLOOF DHAIN _�_ HEAT PUMP � <br /> BACKFLOW PREVENTERS i � .GAS PIPING ' <br /> —'__—____ <br /> --�— —_—'__- --i— <br /> ROOF DRAINS—RAINLEAD[RS � EXHAUSi FAN _ ��_ � <br /> - --�- ---'—�- --- �-- �7 , <br /> SINK�SEAVICE—UAR,EiC.) ___ ; , �__ ../C�`��lJ_r_��((�C�M�'� <br /> -- ------- ---�-- - -- ---- -----��(L'c,h'l C�t ---�— <br /> --'— -- ------- — <br /> — —�— — —�— <br /> SUB TOTAL $ ; SUB TOTAL S / <br /> PERMIT $ � PERMIT E S� � <br /> T07AL FEE $ TOTAL FEE E ' <br /> FOR OFFlCE USE ONLY: <br /> FRONTSETBACN Rf:RtlSEIAACN SIDf:SFiO\CN P�pNCHECNNVMBFfi PEE RECEIPTNO <br /> ❑aE ZONE iot nnen V�f,�Ni 511E FEES YALUATION FEE <br /> PUILOWG � <br /> iVPF0/CONIS�tLOWRRIf IYP(OfCONSIALIWI Ma�qqq 1 <br /> v NOINWRLItlIfiINi1S — — � <br /> f�-.Xl1' � <br /> ri uMniNc ' <br /> --_ - -------__ ------- - ---- -----�— <br /> SREOf�IOG NO.OfS10111f5 O�SfMfNI Mf.CHANIGAL 3i7 <br /> — _— _ � <br /> OCCUPANcrlOnn fmESPm�NLFnSRFOD uFir,u�urAnnl�oN ADDI110NALPLANCIIECN � <br /> —_— � <br /> _ OIIIER � <br /> PEA$pNFORSPpINNLEfIS --- - --1— <br /> STAIE BUII UING SURCHAfiGE � <br /> INTANEBY vinNsnrrnwFoev CIiYOFEVERETf ru5ucwor�K5 � <br /> LOCAL SALES <br /> TAX COOE IS 3105 Tor�� 3� � <br />