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ppPLIC�►TIOti FOR CONSTRUCTI�.N PERMIT `'``'"'" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> n.,,,t��r�n,��an <br /> Gliv Of — — <br /> everett HEATINGSYSTEM IJGAS fJELECTRIC J —___--� <br /> BUILDING DEPARTMENT <br /> 259-8810 I�MECHANICAL �PLUMBING SIGN <br /> DEMOLITION COMBINATION BUILDING Grp p,,o�+E � <br /> jIP:NE❑ lAAILA�DR[SS , CITY , .._._`._._ .. <br /> i 1�� � I� r��" j.� f�; ;� -;-� c �� � � �L � 1:�� � <br /> � � I 1 �I l � �� � �I � �— Y 2 P PHOtIE <br /> iLNANi AIAILApDR[55 <br /> ,�r,:;�ul[CiOR0E5�GN[P MRiLFD�RESS <br /> CIIY 21P P��ONE <br /> C1L� Z�p PNONE LILENS[� <br /> GLLEIiALCONiPRGTOfi MAIL�OORCSS <br /> GITV 21P PHONE LICENSE� <br /> VLOI�NiCRLCONiRFCiOR MRILAD�R[55 • � �1 ��;k� � ���.) �� ���%<���� '���/�,,,�.k, �' <br /> '� ct�.� ��I'i / Illt � >I ��� ��� �ll � ��lY_•T�� r � — <br /> y� pLUl,l�?rt:GGONIRACWP M4ILADDRE55 <br /> CrtV ZP P10NE IICENSE <br /> �OX10.�1 �.>���� 1 � , <br /> � y � ci ssorwonK <br /> � NEW ADDITION ALTERATION REPAIR � DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> � CONiACf PERSON RND VHONE NO <br /> - � � �f � � I �. �� -� <br /> K y� co+rnnc*aaicE oF vo�'�( (� �� � <br /> DESfRiOE WORK AND SOU/HE FOOTAGE INVOLVE� ��� %�i %� _?_�' <br /> �i1Fi �il � �,-" '1 � �� ( k� -� ��� .l A�1 �_�l � (: l. . . , . <br /> y�"� � I HERE� CEFiTIFY THAT I HAVE READ AND E%AMINED THIS <br /> F�x r PNcI'osFousEc'BU�Io� c , ( , , <br /> x �� , � _. , -1 r � ` �; , c� � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> ��,,,� iecn�o�s r.ia�ioN anover+Tr�5N WNDELOW OB ATTRCH FOIIRCOPiE51 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS NPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �y NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> H Ci] O LO� B��N �F AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> H` � ..I ��,y{= LI 3� �._ �I�� ��.��— �^ ''� S' OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> S� � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> 9 H � OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> t� H y APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> �y y CONTRAGTORS LAW 18.27 RCW AND 296200 WAC. <br /> O H SIGNALUAEOPCONiRAGTOROBR11iHOR12ED�GENi DAiE <br /> C] CN <br /> �� r � � —� <br /> ki. HN f � �1�� 1l ��'�� �-:� � ' �%,S :�C'� �"��'l j Zi�(`�t ' '�7Z) 1 ��l�� •/t�1i /C. <Ic �/. <br /> HOV1 PROJFCiADDRE55 APCIICANiSCIiV�U51NE55ULEN5ENOAND0U5�NE$SNAAIE <br /> � pLUMBING MECHANICAL <br /> FEE NO. TYPEOFEOUIPMENT FEE <br /> � Np, TYPE OF FIXTURE OR ITEM q;�C—A'HNDLG UNITS—H.P. <br /> WATER CLOSET(TOILET) <br /> � BATHTUB fORCED�IR S`!STEh15—B.T.U. M E.A. <br /> ' ._�1 _ LAVATORY�WASHBASIN) UNITHEATERS—B.T.U. M __�__ <br /> L� SHOWER CLOTHESDRVERS � <br /> KITCHEN SINK 8 DISP VENiILA'(ION FAN __� <br /> DISHWASHER RANGE HOOD <br /> � WATER HEA?ER � <br /> ' �� IAUNDRY TRAY ' <br /> i �� CLOTHES WASHER rWOOD F ROC-PLACE 8 CHIMNEV —'— <br /> URINAL <br /> DRINKIYG FOUNTAIN FIREPLACE INSEPT <br /> FLOOR ORAIN <br /> HEAT PUMP <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> � �� E%HAUST FAN <br /> � ROOF ORAINS—RAINLEADERS — <br /> SINK(SERVICE—BAR,ETC.) — <br /> — T <br /> 71_I �_ <br /> SUB TOTAL 5 SUB TOTAL $ /ti ' — <br /> 1� PERMIT 5 _ PERhiIT 5 —��h �� — <br /> _�' — — TOTALFEE S iOTALFEE S '7'I "— <br /> FOR OFFICE USE ONLY: aEceiPrNo <br /> FRONTSliOACN REARSETOACK SIOESETORCK PIANCHECNNtIldB[R �EE <br /> �J'� �7 h <br /> 16E20NE IOiAREN <br /> yp�pNT51TE FEES VALUATION FEE <br /> BUILDING <br /> iMEO�GONiSAIIOWABIF iVPiOF[ONStALtUAL Ocmav<r xoqPn'nuncunns <br /> PLUM9ING <br /> SREOiBIOG NO OFSTORiES BRSEMEHT MECHANICAL � <br /> OCCUPANCYIOAD FlRESPRNKLERSFEOD H[iGlrtli�lrtAtION <br /> ADDITIONAI PLAN CHECK <br /> OTIIER � <br /> nr,nsor+FonsrniHKiens <br /> STATE DUIL�ING SURGHARGE <br /> wtnrceov �'�.^�s^P���°�D0`' CITYOFEVERETT PuoucwoFKs <br /> LOCAL SALES <br /> TAX CODE IS 3705 TOTAL <br />