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� <br /> APPLICATIG��I FOR CONSTRUCT �t7N PERMIT everett <br /> rhn E�mrgmen TO BE COMPLETEO IN INK—PLEASE PRINT � <br /> CIIY OF <br /> everett HE�TING SYSTEPA: U GAS I]ELECTR!C ❑___/Y���—__� <br /> BUILDING DEPARTMENT �— — — <br /> 259-8810 <br /> � DEMOLITION I 1 COMBINATION y� BUILDING I �MECHANICAL I i pLUMBING I l S1GN <br /> n3rn_n Mnu.nocnes, cnv zm rnor�e <br /> /'/1Z c=sTC/'Lb'3l t.�ck��' r?vE__CG F ETL_2'�'20/ -?s:z=5�9�8 <br /> ILtl�Ill IANLAUDItESS GIIY ]iP PIIONC <br /> MCIIII[C10RDES1' �ER MAIL�DGRESS CI1Y ZIP F110NE <br /> '/� C'L fc/�illE //�520Tu.CA!'E�22BL�YsI//L�E 98�7"� ��Z— �/Uu <br /> (:Cu[RALCONTMCIOR M�ILADDRE55 CIIY ]IP PNONG LICfiNSE/ <br /> Sp���(_`-,,�,�/� C'o�vs7,7i�'c�_/_l1/�rc�'s�ii�E 8z _p G54•-//3/ so,PEive//6/r7i <br /> !d[CII�NICAICONIMCTOR MRILAODR[55 GtY ZIP PIION[ IICENSb� <br /> 1•I.UI.IAINGCON111nC10R �ODR��� �/� CIIY ZIP P110NE LICENSEI <br /> CLnSS OF WOPK <br /> X NEW I I ADDITION I 1 ALTERATION I I R[PAIR I I DEMOLITION I I WOOD�TOVE�FRPL INSERT ❑ BUILDING RELOCATION <br /> CON7ACT PEIi50N�N�PIIONE NO <br /> coNinnCT PRICE OF WORN <br /> DC SCRIOB WO�N ANO SOUARE f00T�GE INVONED <br /> Co11LT��//� / /�l�N! x��Ri4"GE <br /> �'ftOPO5EDU5EOFBUIL0ING i HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> /�J/n/Z� .� O G E APPLICATION AND KNOW THE SI1ME TO BE TRUE AND CORRECT.ALL <br /> LF.O�L DESCRIP710NOF Pfi0�E0TY(S110WN0ElOW OR ATi�C11 fOUi1 GOPIfS� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> �� �/I/E��� I � WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ior�� t'�ocn o� 1� �� NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> —��7 n��� �/� �U���� OTHE-R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> "" �Y PERFORMANCE OF CONSTRUC710N.THAT I AM AUTHORIZED BY THE <br /> OWNER OF TIi15 PROPERTV TO PERFORM THE WORK FOR WHICH <br /> _ APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> - CONTRACTORS LAW 1827 PCW AND 296.200 WAC. <br /> sicr+ntuneorca+rnnctononnunwnaeonceNr onre <br /> /So�O E / ,cG��.lO.. X �� /�'L � C� <br /> PPOJF.GTADDRE55 <br /> #� pPPLICWiSCIlYOU'[SSLICENSENO.�NDBUSI .SSNAM[ <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATEFl CLOSET(TOILET) �/p�(/�� NC—NHNDLG UNIiS—H.P. � <br /> —'—— <br /> BATHTUB ��_ FORCED AIR SYSTEMS—�.T.U. M E.A. � <br /> �.AVATORY(`NASH BASIN) � UNIT FiEATERS—B.T.U. M � <br /> —~ CLOTHES DRYERS ' <br /> SHOWER � <br /> — ' VENTILATION FAN � <br /> KITCHEN SINK 8 DISP � � <br /> DISHWASHER —�— R�NGE HOOD ' <br /> LAUNDRYTRAY ; WATER HEATER � <br /> CLOTHES WASHER —�_ WOOD STOVE � <br /> URIN�L MET�L FIREPL/�CE&CHIMNEY ' <br /> i <br /> ORINKING FOUNT/�IN i fIf1EPLACE INSERT <br /> FLOOR DRAIN � HEAT PUMP ' <br /> \ ' G�S PIPING � <br /> BACKFLOW PREVENTERS �.T_ <br /> ROOF DRAINS—R�INLEADERS � EXHAUST F�N ' <br /> � <br /> SINK(SERVICE—DAR,ETC.) � � <br /> � <br /> — � � i <br /> __ —��—_ i <br /> — — --�— —'— <br /> SUB TOTAL $ ; SU�TOTAL $ ' <br /> PERMIT $ � PERMIT $ � _ _ <br /> TOTAIfEE 5 ' TOTALFEE 5 ' <br /> FOR OFFICE USE ONLY: <br /> (RONLS[iBnCR REMSEIDACN SIDGSGiO�CN PLAIIGII[CHNl1Atp[R ff:E RELEIPiNO. <br /> 9'//L�G / y s L • ,. ,- y � G r-�' <br /> usrzor+e iornnen vncnutsne FEES VALUATION FEE <br /> BUILDING � �/� � }1ac� 3i 7 "n <br /> IYffOft����SAlL01YABLF 7YPEOiCONSi.AG7U�l OCN�Kv u�nrmN�uxcuun5 � <br /> ��� �_ � .� PLUh101N.r, �_ <br /> � <br /> SRGOFOLDG. NO.OPSTORIES DAS[MUlt MECHANICAL � <br /> zo ;p � � l NON� ' <br /> xCUrnucrlonD FlnESrnrvNlEnSneO�n i�[icmin.uinual �DDITIONALPLANGIIECK � <br /> � � � <br /> N [� O1H[fl <br /> � <br /> IICASpN FOfi 5V011MLE115 <br /> srnTe oui�ouuc sunc��n��e y �S-Ti <br /> � <br /> inrnKc or rinNsnrrnoveoor CITY OF EVERETT PU�UC WORHS � <br /> i LOCAL SALES � <br /> ���� TAX COUE IS 3105 TOTAL ,3,�� ; SD <br />