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T.y'-.. <br /> d <br /> � e\'emll � . <br /> APPLIC,AT10`.: FOR CONSTRUCTCJN PERMIT � `, <br /> ��,r r�t„��.,�,� <br /> TO BE COMPLETED IN INK—PLEASE PRINT <br /> CRY OF <br /> everett HEATING SYSTEM �J GAS ❑ELECTRIC ❑ --- <br /> BUILDING DEPARTMENT <br /> 259-8810 pLUMdING SIGN <br /> - DEMOLITION COMBINATION _ BUILDING MECHANICAL � <br /> CITY 2iP PMONE <br /> . �v+�.En rnnanooaess �y hps' 334- 442c> <br /> ' �lL�.�Pr� R�CtiHRRSot� �124 2DT� SE ��/ERcTi� Z1r`Q PMo�+e � <br /> MAiL AODRESS CITY <br /> i[NRNT — <br /> pRCMIiECtaR0E51GN[R MPILAOORE55 <br /> CITV ZiP PMONE <br /> �'�, Z�p FNONE LICENSEt . <br /> y�y G[NERALCONTRPGTOR MAiLA00RE5S <br /> C7 O«JI.7L� ZiP PHONE LICENSE� <br /> A�H iAECMAHIGAICO��iRRCTOR hIRI�A�ORE55 <br /> GITV <br /> 9 y y Zip PHONE LIGENSE t <br /> H '�Y� vWM01NGCONiRACiOF M�II�DORE55 <br /> CITV <br /> y zH <br /> CLASS OF WORK <br /> � N� NEyr . ADDITION � ALTERATION REPAIR �. DEMOLITION . \NOQDSTOVEiFFPL INSERT � BUILDING R[LOCA I <br /> �_��— - CONTALTPERSJNANDPNONENO <br /> �,� 4 �,� <br /> r.y.. �j/�� ;.oNiRACT r.i�cEof wORN� � <br /> C] �{ 0( CRiP'.\YORN AND SOU�RE GOOTAG[RIVOIVE� <br /> 'tl �E2�or- 3 TAC� — <br /> � F"'� I HEREBV CERTIFY THAT I HAVE FEAD AND EXAMINEO THIS <br /> � ng r=�aoseouseorewiowc <br /> � �� ���7AL �ES D � _ AP.^LICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.AL <br /> q PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> zH 3 �ecnioesceianor+oF PaovcarvisNowr+oe�owaannncNvouacoaiesi y,�ORK WILL 8[ COMPLETED Wi7H WHETHER SPECIFIED HEREIN OR <br /> y�:� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��r 3A eiocK ZS �F � — pUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> ��J y y OTHEF STATE OR IOCAL I.J�W REGULATING CONSTRUCTION OR THE <br /> p �..� PERFORMANCE OF CONSTPUCTION.THAT I AM AUTHORIZED B"THE <br /> C1 l7C/1 OWNER OF iHIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> � �� APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTFiACTORS LA\N 10.27 RCW AND 296200 WAC. <br /> 'Y. HV1 S�G4nill�EOiCONiRACLORCRAUTHORi1EDAGENT DA�F <br /> H G tn • <br /> — X (�J' • —u-�, 7— to- 4� <br /> nqp,�ECTPDDAE55 Ai'FLICA�IRCITYBl15'M1(tiSI�CEN5EN0 PNDBUSMESSN�ME <br /> �31Jo EAS� V`1A�14�E V�C� � iv/ MECHANICAL <br /> PLUMBING FEE <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT — <br /> A'C—NHNDLG UNITS—H.P. <br /> (���. WATER CLOSET�TOILET) _—— — -- <br /> FORCED AIR SYSTEMS—B.T.U. M E.A. ' <br /> �= BATHTUB -- UNIT HEATEFiS-8 T.U. M <br /> L�VAIOAY(WASH BASIM CLOTHES DRYERS �- <br /> '�.� _ SHOWER _ VENTILATION FAN <br /> w KITCHEN SINK 8 DISP —� <br /> �. __ RANGE HOOD <br /> DI3HWASHER WATER HEATER — <br /> LAUNORY TRAY yyppD STOVE ---�— <br /> CLGTHE3 WASHER � ! METAL FIFEPLACE 8 CHIMNEY . <br /> 1�► URINAL FIREPLACE INSERT —r-- <br /> DRINKING FOUNTAIN HEAT PUMP — <br /> FLUOR DRAIN � GAS PIPING <br /> � + — <br /> �, � BACHFLJW PREVENTERS E%HAUSTFAN <br /> ROOF DRAINS--RAINLEADERS <br /> SINK�SEF\'ICE—BAR.ETC.1 — � <br /> _ ---T— <br /> ��i — <br /> �__ <br /> ' �— SUBTOTAL i 1 <br /> a'�' SUB TOTAL 5 _T _ PERMIT S <br /> —"— PERMIT 5 -- 70TAL FEE 5 �— <br /> — TOTAL FEE 5 <br /> " FOR OFFICE USE ONLY: neceiP*r+o <br /> fnOH15[TO�CK i1LAR5[TBACN S�DESE10Af.N <br /> f'UNCH[f.KNUAIp[R �[E <br /> IOiAREp VACANi51LE <br /> FEES VALUATION FEE <br /> us[tONL <br /> DUILDING __ <br /> Pd90lCONIS.AILOWFBIF lYPEOitONSi.�C711A1 r�5WPv xawenm'.:�.�"` �LUMOING r <br /> ����� <br /> ;:Rf OF OLDG NOAF STORIES BA.SEMENT M[CHANICAL <br /> ADDITIONAL PIAN CNECK <br /> OCCUPANGYIOA� FlRESPHNNLEBSREQD HE�a111LIMITATiON __ <br /> OTHER _� <br /> nl n50NFOR SPNNNLERS STATE DUiIDING SURCMARGE — <br /> C�innEBY PIANS�PPROVfDOY CITYOFEIIERETT PUULIC140RK$ <br /> � ' 1CAL SALES — <br /> TAl(COOE IS 3105 TOTAL <br />