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�� <br /> APPLICATIONJFOR CONSTRUCTIi�N PERI1h�T everett <br /> �E���� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ' CITV OF <br /> , everett I HEATING SYSTEM: _ GAS U ELECTRIC U <br /> � BUILDING DEPARTMENT <br /> i <br /> 259-8810 <br /> � I I DFMOLtTION ! COMBINATION ' BUILDING �MECHANICAL PLUMBING ! SIGN <br /> ' �„wucw �IL�I1D11E55 r.nv � 7m ,-Ct�2r+E �.'l' � <br /> I1_![i— �--br �; �.�".c_�� —1°I�� �:t;c �.� �_._i c�� Ic�-_�l_ � �--_< �>.�-� f " �., , --_� �l � - <br /> TENANI MNI �DDf1FSS GIY ]II` 1'IIDNF <br /> I <br /> � NtiL�; � --- -- <br /> I nncNrtectonoesicr+en n�nanuuness arv rm f110NE <br /> ctt�enntc NtnnC�on�/�\ 1Mdlt4 .[J ESS lj1r/�iv �� /Zm.. ,- / rno -� t 5n � <br /> ME II�NI���� nC1Dfi^✓l�-nDDRES.S� .. ."�I`�'� 1 // Il'v �V�'``'✓'_�1�� " �".��i. PIIO�-'% /�C�N�`� � <br /> -- -- ---1.��_�L���-L;/.S:�L:i �� �'��� <br /> PWMflINGCONiR4Ci08 MNL�IlDf1F.55 C��Y 71P PIIo11C UCENSEt <br /> _ __'_--__- <br /> ��.�enrwonK , <br /> ' I NEW ' � ADDITION 1��� ALTflRATI^P! � PFPMR _ ' UEMOLI110N ' WOODSIOVE/Ff7PL INSERT �' I BUILDING REIOCATION <br /> ____ _____—.____.— ___._ _.__—_______ _-____'---- <br /> co��,nr.�rmson nrm rnnur un <br /> ) ��� � <br /> coNTanc�riacE or wonH �"�(�'1 i)I�'�•�Z _ - -------- <br /> oescniee wo K nNo o nn�.�O'incr invoiven � <br /> f{ �,;-��L�� I A�l.� � CC ���!ILt�FI _ <br /> PROPOSEDUSEOFPUIL�ING� �,) I HERFBV CSRTIFY THAT I HAVE READ AND E%AMINED THIS <br /> � �}� {C APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECL ALI_ <br /> iecnioescnirrroNorrnorriarisnowNneiowonnnna�rnuncnriesi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �ot mcxK _ �� — NOT. THE GRANTWG OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTI10Fi�TY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> O7HER STATE OR LOCAL LAW REGULA7ING CONSTFiUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHO'72E0 BY THE <br /> OWNEfi OF TI115 PROPERTY TO PERFOHM THE WORK FOR WHICH <br /> ___—__. APPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 1027 RCV6 AND 296200 WAC. <br /> SIUN�IIII11dOfCONiRACIO11011�UI11/O'112EUAGENI DAIE <br /> �j X I1I �y1-ff^l /�I � Y / j� <br /> PPQIcCT�DlIp[55 I � - _- 11�_ \�1.���I�U/{�/ •� n�lJ�� P I�L"l�I <br /> ��J t.l ' <br /> �� I..� �� � t<, � � �� ( '� APPLIC4MSQIVIIIIa1RS5LIGiiNS[ND �NDNUSMESSN�AIF <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> :VATCR CLOSET(TOILET) A/C—AMNDLG UNITS—H.P. � <br /> BATHTUB ; FORCED AIR SYSTEMS—B.T.U. ' E.A. <br /> LAVATOqY(WASH BASIN) � UNIT NEATERS—B.T.U. M _� <br /> SHOWEfi ' CLOTIiESDRYERS ' <br /> KITCHEN SINK 8 DISP � VENTILAT�ON FAN � <br /> DISHWASHER <br /> —�—� RANGE HOOD --� <br /> LAUNDRY TRAY ' WATER HEA?ER <br /> CLOTHES WASHER �— WOOD STOVE � <br /> URINAL ' METAL FIREPLACE 8 CHIMNEV ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT _ � <br /> FLOOR DRAIN —� HEAT PUMP : <br /> BACKFIOW PREVENT[RS _T_� GAS PIPING � <br /> ROOF DRAINS—RAINLEADERS � EXHAI;ST fAN � <br /> SINK(SERVICE—BAR.ETC.) ' � <br /> —�- — <br /> � <br /> --�- <br /> � — � <br /> --�— ---- - � <br /> _ -__ __ T <br /> SUBiOIAL $ ; ---_-_--., —. SUDTOIAL $ S� ' <br /> PERMIT $ --�---- ��— — PERMIT $ 7 � <br /> TOTAL�EE $ IOIAL FEE $ � <br /> FOR OFFICE USE ONLY: <br /> FRONiSET��CK f1E�fi5E1P�CK SI�ESEIMCK Pl�NC11FCNHOMOFf1 fFE PEGEIPTNO. <br /> usezor+e iornaen VAC�NISIIF FEES _ VALUATION FEE <br /> �UILU W G <br /> 1YPfOff.ONiS.ALIOWAPIf IYPfOlf.01151�L1p�l trrnon�rr immOwtlPxRinnit ----- - ---- - — � <br /> i <br /> --- cnour PIUh1flWC i <br /> __'__.._ . ._ .- . . _ _ _.'_.._. _ _. . ._ __.. <br /> '_-- �_'._._____ _. . ____'_ — ---/ -'-� <br /> SIZEOf111pc: NOOfSIMIIf; P�:R.1'NI �,�fC11ANIf.AI (� � <br /> ... . ._. _"_ " ___. . _"--J__-- <br /> OCGUPANCVlD4U -- ""Ii0f51`IINKIPI1511Et11�.. .- IIGII:HI11l.III�IiON ADI)IIIONAL19�Nf.II1CN-..-_ � <br /> - - — i <br /> _'—_ <br /> . .-__.....__-___'"_- OI I11°fl � <br /> f1EA50NfOR81'11iNNIP.f15 �--""- - - . .. . . ..... . -- '-- "------T- <br /> S IN F 131111J1M17 SI II1CI IAf1c;F i <br /> _'_"._."___".. . . . . _ __-__— • <br /> _-__'______._..._ _ -.__ .___-.-__ � <br /> imnnee� rinnsnrrn�rvrni�v CITYOFEVERETT runnr.woiaKs <br /> L9CAL SALES , <br /> Tf�X COOE IS 3105 to��� `f� � <br /> � <br />