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APPLICATIG� FOR CONSTRUCT:"�`.JN PERMIT <br /> everett <br /> tne E�rrar.,., � <br /> CIT'/JF <br /> everett <br /> BUILDING DEPARTMEIVT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259 8810 <br /> DEMOLITION COMBINATION k� BUILDING MECHANICAL PLUMBING � <br /> OWNFR N LAD RE55 Clif ZIP P110NE <br /> - y�z3�lFdr[tl�;•�. !�c ��.C,��r z sz-4�ss_3,�"¢� <br /> iU�MIJ��� I.IPiIA�ORE55 CrtY ZiP PMONE <br /> �,//��,/ / �ti, - /11.r ,rL�l�e2 — <br /> y�H ARCM�i[GTO DESIGNER M ILADDRE55 CiIY ZiP PMGNE � <br /> ��� j,�,o� /��it:l�r�ctx� `�lBc S y��`'w��(auls gd�zd i�5'�So /'/Ti,v�l,�,�/37L�. <br /> ay �.(;Eq[RALLONTRRCTON NAiLA�DPE55 Citt .�P PHONE LiCRbE� <br /> ��w � <br /> C �-+ <br /> a1-3C/� GIECMANiGALCONTRACTOR RUILAOORESS CITV ZiP PNONE L�CENSE� <br /> H ��' <br /> � � f'LUMBINGCONTR�GTOfl MRRROORE55 QTY ZIP PHONE LICENSE� <br /> H� <br /> � H� ClAS i OF VIORK � <br /> p�H xNEyy -� , pDDITION . ALTERATION � REPAIR DEMOLITION WOODSTOVE/FRPL INSERT . BUILDING RELOCATION <br /> � O� t[NAVTIMPROYEMENTORMiER�ipjRREMOOEL(1HLY CGNIACTP[HSOtl/ANOPHON O �a� p — <br /> y d f,G'IiRPGi PRICE OF VJORN: '"���OUO (_�+����–'S �! 5��� <br /> u DF tiCRiBE WOfiN AND SOVARE FOOTAGE�ti�GIVLD �T� <br /> �1 C]v �� /J G I ��?_�/�S �' — i¢d � <br /> H C+7 O �y,K,�a�_y7��j S� S'�/.1�G�/�CJaL <br /> H` n r�ovoseouseoFeu��o��c '�� / I HEREBV CERTIFY THAT I HAVE READ AND EXAMINED TNIS <br /> 9 y� `� APPLICATION AND KNOW THE SAME TO BE TRUE A��D CORRECT.ALL <br /> rH� t[�AtoESc�iPTiO'+oFPROP[nN�SHowtaoEio�voaatrnn�Fuunr,co, s�� PROVISIONSOFLAIYSANDORJINANCESGOV[RNINGTHISTYPEOF <br /> / WORK WILI BE COMPIETED WITH WHETHER SPECIFIED HEPEIN OR <br /> ty y H �cr—`�}�J�S�S� eiocK � oF ,(F.v����K�DO— NOT. THE GRANiING OF A PERMIT OOES NOT PRESUME TO GIVE <br /> n d N S'/OF 7J AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STAiE OR LOCAL LAW REGULATING CONSTRUCTION OH THF <br /> PERfOFIdANCE OF CONSTFUCTION.THAT I AM AUTHOR2ED BY THE <br /> �� OWN[R OF THIS PROPERTY TO PE(iFORM THE WORK FOR WHICH <br /> y �� APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> — CONTRACTORS LAW 7027 FCW AND 2962001NAC. �� y O <br /> �;N4iUPCai GONiPnCiOli0QAU1HO�lIEDA6B1i DAtE Y �/V <br /> _�72 3 /ylEk_'�Lfflwll_���_._ — X ��%�-Ft.c�c� ,_/,J__ _�_Qa-y�c.�.,_ <br /> n�+oi[ctaponess — � �.. essr�aniE <br /> nPR Cn1.iS Ciiv pJS4651�C!HSE N. 4':D[Ws rv <br /> .�..� <br /> PLUMBING MECHANICAL <br /> I � NO. TYPE OF FIXTURE OR ITEIA FEE NO. TYPE OF EOUIPMENT <br /> WATER CLOSET ROIL[TI � A�C—A HNDLG UNITS- H P. � <br /> ____— __-_ .--. __.. —_—___._... _ ___.. <br /> BATHTUB _ FORCED MR SVSTE!.1S--U.T.U_ A1 E.A. <br /> ��' � LAVATORY(WASH BASIN� _ UNIT HEATERS-6.T.U. 1.1 �_ <br /> �� SHOWER CLOTHES DRYERS ' <br /> KITCHEN SINK 8 DISP VE�TILATION FAN _� <br /> DISHWASIiEN RANGE HOOD _ <br /> LAUNDRV TRAY W�TEI7 H[ATER <br /> � � CLOTHES WASHER WOOD STOVE <br /> URINAL METAL FIREPLACE 8 ChIMNEV <br /> '� �PINKING FOUNTAIN FIREPLACE INSERT �_ <br /> !( � FLGOR DRAIN HEAT PUMP <br /> BACKFLOW PRLVENTERS GAS PIPING _ <br /> ROOF DRAINS—RA�NLEADERS EXHAUST FAN <br /> y — � <br /> ��� _ SINK(SERVICC—BAR.ETC.) , <br /> i <br /> --r— <br /> — — � <br /> ' '~ SUBTOTAL 5 _____, SUBTOTAL 5 --� <br /> PERMIT 5 —T— PERMIT 5 <br /> . TOTALFEE S � �Z TOTALFEE S —� <br /> (Rpmi SElOALK AURSPP��N S�C SETORC� P�cN GH! .H I+u6 E f C4 � RECFIPi NO � <br /> Z0� 7.0 5 `rc��27�C':� //7— , <br /> us: or+ �mniar.n vncnNtsire FEES VALUATION FEE <br /> d,,.� N ��_ � ' YES N� OWl01NG <br /> h'fEOFCONS1.AllOW�BIE �VP[O�Ct].SIFLIUAI x���qcv xOfetwl t't:�'at <br /> ��°' �� PLUMOING � <br /> p- tii v-,v <br /> , <br /> 92COFBlb6-D`wry NO.OfSiORI[5 OASCMCM �,�[CHANIGAL <br /> ��.?� !� �rt � � , YES � O ' <br /> OCGIIPANCYLOAO FIRESPRNNlEP5Rf00 HEIGIITU,NItAiION <br /> OTI IER ' <br /> � <br /> YES ✓NO�� ,�t!J. STATEOUILDINGSURCHARGE ; <br /> —__� <br /> R[ASONFORSPRMKLEBS � <br /> STATE @NEf7GY SUFCHARGE <br /> APPIICPTIONRCG.�Y PLRNSAPP��Ovf.l�Or CITY OF EVERETT Pl10LIC WOHK$ <br /> ♦ <br /> LOCAL SALES <br /> ��C— TAX CODE IS 3105 rora� <br />