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APPLICATIL N FOR CONSTRUCti .Q�N PERMIT ''���P« <br /> LheEverpmen TO BE COMPLETED IN INK—PLEASE PRINT � <br /> CITY OF <br /> everett ----- _ _ -------- ----� <br /> I _ __ _- � <br /> FIEATING SYSTEM: GAS IJ ELECTRIC U _ _____ - __ _- ___ <br /> BUILDING DEPARTMENT — - - <br /> 259-8810 <br /> I � DEMOLITION � � COMBINATION BUILDING � MECHANICAL _PLUMBING SIGN <br /> OWNEP h1A1LA�D(iE55 -----� . .._�.._ UTV r �2 _- -PIIOIlF I'- �_ C�. <br /> � =m °� Iti1L�.�--1.`c�:(�h_: _-�_11�� 1_4=;�'� P �i' � � P `�� ,—i'�`> ��_— =��— <br /> T[N�M / RIPII AppRl'S5 GIY 21P PIION[ <br /> l <br /> ANCHI�TOROESIGNER h1Al1ADI1RCE5 ���-- -"— Gllv -- 21P —�-'--- PIIONF. <br /> G[NERALCO TflPLY�L�L' n��LL'�'�p� �AV, I CI1Y 1 21P PII NE l ENSE� <br /> iD9•6192-3554730- 1 1 �/�1�'"� � )�) '� ��'`���� � <br /> ��--��742—•2944 �!�_�J�l A '7 ` �-_ •- <br /> ANICRLGONiRAGTOR� �•�AICOV �� CIiV ZIP PIIONE fCENSEI <br /> Evu�tt, Wafhington 98201 _--_ —- — <br /> PWAIBMGCONTP4CTOR M�II.AODRE55 CIIY ZIP PIIOHE UCENSEa <br /> CUSSOFWOflN -----�_"—_'-___._" "_ ._.'---_"____"-_'_-_-.-'-- <br /> I i NEW I I ADDITION ��-AL��ERATION � �� REPAIR � '� DEMOUTION � � WOODSTOVE/FRPL WSERT ! � BUILDING RELOCATION <br /> — • � ----"— C0�llACi PGR501!AI!!l PIIONE NO <br /> CONiR�CTPRICEOhWORN l�l.y` I �. ��. 1____JJJ������ 1 ___ _--"------"— <br /> DfSCRIfl�WOI1K A1 S01 fi[fOO1PG[INVM V[D' , ' y �`���-- <br /> --1 � _, Q � c��t,(—f �'I,I'__�CI(�, � a_��_ �_ . — ---- _ — -- --------------- <br /> rnoroseouseoFmm �M� �` \_'/, 1 HEHEBV CERTIFY TNAT I HAVE READ AND E%AMINED THIS <br /> / APPLICATION AND KNOW THE SAME TO BE TPUE AIJD CORRECT.ALL <br /> � - ��� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> IEG�LDESCRIPTIONOFPNOPERIY�5110WN0ElOWOqAT7�CHFOIIRCOPIE51 yypRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> ioT m�cK oF NOT. TFIE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTIIORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PEFFORMANCE OF CONSTRUCTION.THAT 1 AM AUTHORIZED BY THE <br /> OWNER OF TIiIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> — APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 10.27 RCW AND 296.200 WAC. <br /> SIGNAIIIliLOFCOM(IRCTORONRI17110H12EDRGENi DAiE /� <br /> , X ? � " / <br /> PRQIEGT RDDRESS . � 1 ��' """ - _ "������� � � ��/ � � <br /> � � � /f) ,[,JI I�1• ��/ pP ICANiSCIiYBUSMF.SS GENSEN . DBUSINESSNFME <br /> K< < � ` <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � WATER CLOSET(TOILET) A/C-A�IiNDLG UNITS-H.P. �_ <br /> � BATHTUB �_� FORCED AIR SYSTEMS-B.T.UJ' � E A. _ � <br /> I LAVATORY(WASH BASIN) �__ UNIT HEATERS-B.T.U. M _�_ <br /> SHOWER � CLOTHES DRYERS <br /> KITCHEN SINK 8 DISP ; VENTILATION FAN � <br /> DISHWASHER --�_ RANGE HOOD ' <br /> LAUNDRYTRAY � I_ <br /> WATER IIEATER � <br /> -- �- WOOD STOVE <br /> CLOTHES WASHER _ _ - — <br /> URINAI METAL FIREPt.ACE 8 CNIMNEY —T- <br /> ; FIFlEPLACE INSERT <br /> - � <br /> DRINKING FOUNTAIN _ _ __ —� <br /> FLOOR DRAIt� I1EAT PUMP _ <br /> BACKFLOW PREVENTERS ; �� GAS PIPIN3 � <br /> ROOF DRAINS-flAINLEADERS �� EXHAUST FAN ; <br /> � _ SINK(SERVICE-BAR,ETC.) __ ___ __�_ __ — -. ---- ' <br /> _— <br /> _ _ _ ' <br /> ' _- _--T_ <br /> __-._--_'_-. ___. _________ _...__--— <br /> _ __--'__—_—_..___._ ' <br /> __.�_ __— - i <br /> _____—'.—_ — � <br /> — � --i— <br /> T�� <br /> 1 <br /> SUB TOTAL $ ; SUB TOTAL S C7 ' 0 <br /> PERMIT $ —�— PERMIT $ �.Y � <br /> TOTAL FEE $ ' TnTAL FEE $ S' ' DC� <br /> FOR OFFICE USE ONLY: <br /> FPONTSEIBRCH REARSETOACN SIOESETORCK PIANG��CLKNIIM1IBER FEE Il@CEIPTNO <br /> usezoNe iornncn �AC�NLSIIE FFES VAWATION F�_ <br /> � <br /> ❑UIIDING <br /> _ '_ _'_ _ —__—_ — � <br /> fYP[Ui!OqI5At10WA01[ IYPLOfCON51ACIUAI txrw�uin NnnmHunr.u�.ns � <br /> ''"'u"• PIU1.1131NG � <br /> ___'__—_" ---�_ <br /> _ __'—_-._-_' _'._ ._....: _'._.___.__... . _ � (�Q <br /> S12EOFOLOG. NOOFS10NC5 Ons@MfiNt �,�����pNICAL � � <br /> _"__--_— i <br /> OGCt1P�NCYI.OAD FlR[SPRNnIERSRCO'D ��EIf+n11IMIfATION — AUDI110NALPLANCHGCK � <br /> _ -- � <br /> O111GR <br /> ____-__— ____ __ —�— <br /> RGSON fOR SPRINNlCRS ' <br /> $1pTE pIIIIDING SURCNAfiGE ! <br /> _. -- __— i <br /> —_ ---___ ".__ .'—'_ '-_ __'-_____. <br /> INTANEBV PI�NS�PI'ROV[OOY CITYOFEVERETT ruiei.icwo�ns � <br /> LOCAL SALES �� i�� <br /> TA1(COOE IS 3105 T(1TAL <br />