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APPLlCAT101. FOR CONSTRUCTI..N PERMIT �'``'"'" <br /> t a TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cnvoF <br /> everett HEATINGSVSTEM JGAS JELECTRIC J .� "' ' __ __ ___� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOUTION COMBINATION �( BUILDING MECHANICAL PLI�MBING . _. �� S�GN_ <br /> owr,Ea .. r.ui�nuor,ess' -- _ crr zir mior+E ,�. c.� <br /> . .. ;- �.� • � i 1 �.- 1 ,i I ' . 1. �� .�:f '�1 . '� � .. . . <br /> � ..1�� (� n _ .. <br /> 1[NANL MNL�OOR � � CI Y TIP •PHONE ' <br /> nROn1ECTOR0E51GNflR MAILADDRESS CILY 2iP PHONE <br /> �IN�� <br /> GCNEPAICONiRACiO�� MAiLpDDR[55 CITY ZiP PNONE LILENSE/ <br /> v��!�1 r�--- <br /> 1,If.CIIANICALGONIHAGIOR MRILqDDRE55 CITY ZIP PHONE IICENSE� <br /> 1 � <br /> h3 (7H v�.NdOWGCONTRAGIOR MNl�00RE55 Ci1Y ZIP PNONE LICENSE• <br /> '.r. C 'i) :� <br /> C�l Cs7 'l <br /> c�nss or wonK <br /> C �� �d NEW ADDITION ALTERATION FEPAIR DEMOLITION . WOODSTOVE/FRPL INSERT BUILDING RELOCATION <br /> y CONIDCi VEBSDN AND PMON[NO <br /> � SI52 �,cr,, "�o ,� %� �-�J.— ' � `� ? <br /> y � N CONYRnCiPRiCEOi WOPK — —y—L <br /> FC n D[SC Iry�'1YOIiN ANO SOUARE FOOTAGE INV�I V[D ,� � � <br /> y r'x1 - 16�V� /. <br /> oyN C�� � . 322 <br /> anoros�ouseoremiortuc � � I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> � ,�� __�,enAGl� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> p iEcntoEScnirtior+oFvaov[arvisNowNec�o'�.unnnaci�Fouacovies� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYFEOF <br /> y d WORK WILL BE COMPLETED W�TH WHETHER SPECIFIED HEREIN OR <br /> p H ioT r� oiocK N-37 oF � o�r EJ � NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> N �l7 � AUTHORITV TO VIOLATE OR CAI�CEL THE PROVISIONS OF ANY <br /> �� � E� �Q�S �'�T- ��`.N OTHEP STATE OR LOCAL LAW I cGULATING CONSTRUCTION OR THE <br /> G PERFORMANCE OF CONSTRUCT.'1N.THAT I AM AUTHORI2ED BV THE <br /> 7, N 3 OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> �y y z APPLICATION IS MADE AND I GOMPIY WITH THE STATE <br /> �..� y CONTRACTOFS LAW 1827 RCW AND 296200 WAC. <br /> UJ SiGNALUREOFCONTfinCtOROHAUi��ONiZE�AG[Nt DAiE <br /> H �f-/9- �l'/ <br /> o ��' ,�( -�� �/ +. <br /> J � ,� i ; <br /> � y� PRJJECTRO�RFS; ApPLILANLSpiY� S!N�UCENSENOr1N0�JY11E55NM1E <br /> Horn 111 RoG � E a= <br /> PLUMBING MECHANICAL <br /> �' NO. TYPE OF FI%TURE OR ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET� � AD—A�HNDLG UNITS—H.P. <br /> BATiITUB FO ED AIR S`.'STER15—B.T.U. M E.A. <br /> � LAVAT Y(WASH BASIN) � UNIT TERS—B.T.U. M <br /> I �� SHOWER CLOTHE RYERS `_ <br /> ��' KITCHEN SIaK 8 DISP � VENTILATIO AN __� <br /> DISHWASHER FANGE HOOD <br /> LAUNDRY TRAY � WATER HEATER <br /> ' �� CLOTHES WASHER i WOOD STOVE <br /> i '� UP.INAL / _ METAL FIREPLACE 8 NEV <br /> DRINNING FOUNjAIN FIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> � BACKFLOW P EVENTERS GAS PIPING <br /> , ' 1�� ROOFDRAIN —RAMLEADERS EXHAUSTfAN <br /> �. SINK(SERVICE—BAR,ETC.) <br /> --� <br /> '�1� — —� <br /> SUBTOTAL 5 SUBTOTAL 5 <br /> PERMIT 5 PERMIT 5 <br /> � TOTAL FEE S <br /> TOTALFFE 5 <br /> ��t�. _ <br /> FOR OFFICE USE ONLY: <br /> rRONTSEL�nCK RE4q5E16nCN SIDESEt9ACK PLANLM[C.NNUMOEP FEE P[LEIPiNO o <br /> �� �' � :7�7��3 J``�.�' S✓ �s.j/.I�o <br /> u�[zoH[ �ornnen vncnr�rsrt[ FEES VALUATION FEE <br /> 2- Z 3 3� �.� � a���o�N� �s;s z �l � c i <br /> liv[p4CONt5ALLON0.01E 1Y1'EOFCONSIALNAI Oc[uoar:v Nom��tuam�vi5 <br /> ccoer p�UM�ING <br /> - - � R-3 <br /> 9i1EOF�LOG NO.OFSLOBIES BASEMENi MECHANICAL <br /> 322 SF r� <br /> OCCUPANCYLOAD FIRESPRNNLERSREOD HEIGNiIINITAi10N AODITIONALPLANCHECK <br /> �ID �� OTHER � <br /> Rf.A50N FOIISPRINNlERS --� <br /> STAi[BUILDING SURGHARGE � �� (� <br /> �urnHeov ainr+snrrnqveoov CITYOFEVERETT PU[3LICWORNS %ri ����I <br /> ry� LOCAL SALES <br /> ��Zi TAXCODEIS3105 �o�A� /(� '/ , `l ' <br />