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APPLICATIO�OR CONSTRUCTILN PERMIT everett <br /> m�e�e�4,��� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv or <br /> eve rett HEATING SYSTEM ❑GAS U ELECTRIC ❑_�1 OLV�_ <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> I DEMOLITION I J COMBINATION �( BUILDING I i MECHANICAL I I PLUMBING ❑ SIGN <br /> owr�cn renanooness cnv zm PIIONf: <br /> /'�, �s%� /83�'k�/'��UF --CG�IS'ETj_`)�'2v/ z�:z-�9.�8 <br /> �B�n1r M6�I.nounEss cnv nr p��orlc <br /> A11C11RLCTOfi�E51GN[fi hINLA00FlE55 CI7Y ZIP P1101lG <br /> 'R_ ���cele �/��Q1�.9,�E W���BRV�svi��te 9��7G� G5�- 9ivu <br /> GCIlE114LCONiR�CiOii AUILP�OR[55 CItY ZIP PIIONE UCENSEe <br /> s���.�.v� �oNs7z�.��1�r1�s�v�i�� 9��7c �sQ�-�i��/ So�eE.vci��lr�� <br /> G1fC11AlllC4LWN7R�C70R MNL�DDRE55 CIiY ZIP PIIONE IICENSE� <br /> �o,n�x 3�� <br /> ri.ur.�oi�wcw+�nncion I.IMLADDRE55 CILY ZIP PHONE LICENSE� <br /> CLASS OF WORN <br /> X NEW � � ADDITION f ! ALTERATION I I REPAI(i ! I DEMOLITION I I WOODSTOVE/FRPL INSERT IJ BUILDING RELOCATION <br /> GONTACi PERSON AND PIIONE NO. <br /> COtliRACT PRIC[Of WORN <br /> DESCRII3E WOI1N�NIt SOUARF FOOT�GE INVOLVED <br /> _�oN�TRC�c T /f�1�d/1 s7��n,A6'E <br /> rnoroseouseorom�oir+c � HEREBY CERTIPV THAT I HAVE READ AND EXAMINED THIS <br /> � � O " G E APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> i.ecn�oescnirrior+oFrnorearr�si�owNoe�owonnnncurouncorm�si � PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> ior�� o�ocK �_ o� ����E�IL._ �/ ^[. .� WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> /J AUTHORITY TO VIOLATE OR CANCEL THE PROV�SIONS OF ANY <br /> _j1 J�/�/T/U1V �O CUL���J_ OTHGR STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFOfiMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTR�CTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SIGNNU�EOFWNfR�Ci000RAU1110RITGDAGENi UAiG <br /> �> cL � J/Ll/c�+<✓ �//Gc✓�✓ � \.}''�f�. �{�l t �W<.Q <br /> PROJECiADOPE55 g�13�i— �� ��"`' __ <br /> YE APPLY'ANTSCIlYOU ESSLICENSENO ANDOU51 SSNAMC <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR I7EM FEE NO. TYPE OF EOUIPMENT FEE <br /> _ WATER CLOSET(TOILET) _ �//��/L�_ _ NC—NHNDLG UNITS—H.P. �_ <br /> BATHTUB ; FORCED I11R SYSTEMS—B.T.U. M E.A. <br /> LAV�TORV(WASH BASIN) UNIT HEATERS—B.T.U. M ; <br /> SHOWER � CLOTHFSDRYERS � <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN ; <br /> � T <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TRAY ; WATEfi tiEATER � <br /> CLOTNES WASHE-R �— WOOD STOVE � <br /> � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEY � <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN (��__ HEAT PUMP � <br /> BACKFLOW PREVENTERS � GAS PIPING ' <br /> ROOF DRAINS—RAINLEADERS —� EXHAUST FAN �— <br /> SINK(SERVICE—BAR,ETC.) / � <br /> � r i <br /> _ _ � � <br /> i <br /> i _ <br /> �-- <br /> � <br /> SU�TOTAL $ ; SUB TOTAL S ' <br /> PEAMIT $ —� PERMIT $ <br /> TOT�LFEE $ ; TOTALFEE $ � <br /> FOR OFFICE USE ONLY: �y�.,;� <br /> fPONI5Et0�CH (1EMSETOACK SIU[SET[14CN PIANCHF.CKNUAN[fl fEE 11[CEIPiNO. <br /> y� �c y�� r ys-6. 6� ysG �S` <br /> 11^.f:7.ONE �oTnnEn V�C�NT511[ FEES VALUATION FEE <br /> T <br /> i <br /> �UILDING 1z 7 � .yy;o� <br /> IYP[0(CONI.S.ALLOWADLE IYPE Of C@�Si.ACIVAI nctuf�r¢r uo IX o-xrtuMcumfl � <br /> y� � �_ �I cnpm� � ALUMDING i <br /> .�^ <br /> S2f:O�OLOG. NOAFSTORIES UASFMENf � <br /> �/� ' •tv� � M[CHANICAL � <br /> —/s 's`� I`• � <br /> OCCUPANGYLOnD FltiESPRNKIERSflEO'0 HEI�fRLI1.11I�IlON �DDITIONALPLANCHECK � <br /> � <br /> �I O ___ O1HER � <br /> i��nsor+ronsriar+kicns — —T-- <br /> STATE�UILDIIJG SUfiCI�lnfiGE c�/ ;S � <br /> ItIIAN[BY PIANSAPPROVEDDY CITYOFEVERETT PU�LICWOHKS ' <br /> � LOCAL SALES � <br /> �.Zt— TAX COOE IS 3105 TOTAL � � � <br />