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%�'CJc� <br /> � , �� �,���«�« <br />' AP�LICATIO►. �OR CONSTRUCTI�N PERMIT � <br />, � TO BE COMPLETED IN INK—PLEASE PRINT <br /> rnn 6�rrgrrrn <br /> CRY Of —� <br /> everett HEATING SYSTEM: ❑GAS bELECTRIC J _ <br /> BUILDING DEPARTMENT <br /> 259-8810 PLUMBING SIGN <br /> DEMOLITION COMBINATION � BUILDING MECHANICAL <br /> C�TY Z�p PMON[ <br /> 0'.VNER 1l41LADDR[55 L _ , <br /> � �aChe.'C1 WP q5Lo3 �SS- Iq_Q^ <br /> ��[�rt�V Rek��c.� _ 21�0 1`n 4 � ciTr ziP PHONE <br /> J�Nq��i IAAiLA0DRE55 _ <br /> ��T� Z�p PNONE <br /> .�,C���iECiORDESiGNEP MRILAD�NE55 <br /> e W Ne 2 ��n, Z�p PHONE IICENSE� ' <br /> ��y C2a[RALWNTRRCTOB MRILAODRESS <br /> C� piV Z�P PHUNE UCENSE� <br /> ��� !q<;��nt1iCALCONtRRCTOR MRILAODRE55 <br /> C p-� PHONE LIGENSE• <br /> t'1 �N Grv Zir <br /> vW'A�INGCONTAACiOR MMl/DORESS <br /> y zH <br /> K y� a+•ss oFwoFK`/ � REPAIR DEMOLITION WOODSTOVEFRPL INSERT . BUILDING RELOCATION <br /> NEW /. ADDITION ALTERATION <br /> CONiRCT PE�SOH AND PNONE NO <br /> � yH �<-.. �- ,/��--r ��y y� 1 1 • 3SS4 9') ��. , ��oo <br /> � z� ..f�NiRALT PRl OF WORN O�� <br /> O pE SCLiOE WORK FND SOUARE fOOiFGE iNVOIVE� <br /> Ht7 p �� _ 3ZU S Ft <br /> �y rnovoseous�ocew�oir�c I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> Q C�. `� /_ L APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> q']�O �CIQ I'1001Y� PROVISIONS OF LAINS AND ORDINANCES GOVF.RNING THIS TVPF OF <br /> H C. �cen�oescr�ic.ionoFrrorer�iri,��owuoeiowoa�ruaiFouaGoa�Es� yyORK WILL BE COMPLETED WITH WHETNER SPECIFIED HEREIN OR <br /> z H 3 NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ,�„� HC+x7 ior Y+�' r�.ec.e�V, ov <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> H H OTHER STATE OF LOCAL LAW REGULATING CONSTNUCTION OR THE <br /> g � __ PERFORMANCE OF CONSTRUGTION.THAT I AM AUTHORIZED BY THE <br /> H <br /> n d y OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR W <br /> G C� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> � ��i� CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> .� y� SiG!lAiU4C0�CONiRRC*ORORAUi110HIZE0AGENi DAt[ <br /> H O Cn p <br /> --_..—. X . .��/� .i/ i%G%+// -- <br /> { )�.tCiAfO�ifl'�ti :.i�'l...nY.'i. ..ittLu5i1�[5 UCENSENU.RNDBII9NESSNAAIE <br /> 7 � �� �)?o /J�C'o E. <br /> P�1[.s.- MECHANICAL <br /> FEE NO. TYPE OF EQUIPMENT FEE <br /> NO. TYPE OF FIXTURE OR ITEM �C-ANNDLG UNITS-H.P. <br /> .�. � WAT �R ClOSET�TOILET� - - - FORCED AIR SYSTEMS-B.T.U. M E A. <br /> � I BATH UB UNIT HEATEFS-B T.U. M ' <br /> LAVAT Y1W�SH OASINI � � <br /> �— CLOTHES DR�ERS <br /> SHOWER VENTILATIOV FAN <br /> �� � KITCHEN S K 8 DISP <br /> �° ! DISHWASHE RANGE HOOD <br /> LAUNDRY TRA1 WATER HEATER <br /> —'— WOOD STOVh <br /> CLOTHES WASH METAI FIREPLACE 8 CHIMNEV �� <br /> ,� w URINAL FIREPLACE IPISERT <br /> �RINKING FOUNTAI HEAT PUh1P � <br /> FLOOR DRAIN GAS PIPING <br /> � Q'' BAGKFLOW PREVENTE E%HAUST FA�! <br /> ROOF DRAINS-��AINLEA RS - <br /> SINH(SERVIGE-�AR.ETC., <br /> R_. ,,� _ __ ; <br /> �"�� — --� <br /> SUB OTAL S _ SUB TOTAL S /`�' - <br /> �.� - PERMIT S _ — -- 70TAL FEE 5 i� � <br /> -- TOTALPEE S <br /> FOR OFFICE USE ONLY: _ __. _ -- ��E necemr No <br /> r�va�rseroacK eenHsetuncK ��,a�,csein�ca- r�nne��ecknu�.�nu+ /d �- 3o ,S3/9 �- <br /> 7p , Zo , S — � a7as'� <br /> us[zo �oinn[n <br /> vnene�r srte FEES VALUATION FEE <br /> ��7i '..5.�� N� nuaoiNc ----- ��}�`� /!s'� � OJ <br /> acurn4�.� naa�enre+:.,!.•. i <br /> iMEO�GON15>IIOWABIF IYPFO�GONSI.AGIUAL �q,��' , p�UM01NG � <br /> � _��� <br /> J <br /> SiZ[OFpLUG. NOOFSiOFI[S BFS[M[NT MECHANICAL ��� I /)J <br /> .3,� , A � o ' <br /> OCCUPANC/LOAD FIPESPRNNLENSREO'0 ME�GtliUMITATION <br /> AUDITIONAL PLAN CHEGN ' <br /> . �J 28 OTHER � <br /> i�Ensor+Fon SPRiNNIERs STATE BUILDING SURCHAfiGE SJ <br /> iNiAKEP1' PLANSAPPROVEODY CITYOFEVERETT PUf3LICWORK$ ' . <br /> .,I LOCALSALES <br /> TAX COOE IS 3105 TOTA� ��� �–r' <br /> �l'� aJ:ti J ��■ <br />