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� <br /> APPLICATIOhi FOR CONSTRUCTI.�N PERMIT ��`''�" <br /> �E�o�� TO BE COMPIETED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: ❑QAS ❑ELECTRIC O <br /> BUIlDiNO DEPARTMENT <br /> 259-8810 <br /> I I DEMOLITION fl COMBINATION f I BUILDINGI �ECHANICAL ❑PLUMBINa I l SION <br /> OVMER 1M0.AUp1ES4 CITY ZA P110NE <br /> � S�,P(Z�.T SUS �'� S�X370?, `7`�'�,-, ,- ;.� q�1�'�' <br /> TENIWt/ W1lAD�D11Eyfi9� ��.��{ CIIV ZIV � PIIONE <br /> G� iW.� Yv�JI ��� <br /> APCNITECTOR S�ONEH MUKMD�EBg <br /> GIfY SIP %KK� <br /> OENEMLCOHTMC70R IMILAOOPE88 <br /> CIiY 2A PIqNE LICENSE/ <br /> �fliu�� yati c _ , � �t�.� <br /> CNMIICALCONtNACTqI WYLMDREBS <br /> � � CO. fb U�D� C1TM c� �512 ���762-3'�I IYd:(��I�3kr�372N0 <br /> �p� WpGp/1RAGi011 WR�ODf1E33 <br /> cirv zm v� ��ase' <br /> Clil55 OF VqRK <br /> ' ' NEW �ADDITION I.1 ALTERATION IJ REPAIR I 1 DEMOLITION l 1 WOODSTOVFJFRPL IN3ERT ❑ BUILDIN(3 RELOCATION <br /> caducr rensa+�wo r�r+o <br /> ��,��.�,�E�„� � SCUJ <br /> DESLRISE YY014f AND 6OWRE FOO 110E WVOLVE� �� <br /> vaoroseouseoveutiora I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED 7HI8 �I <br /> 1 ��1 �,�j APPLICATION AND NNOW THE BAME TO BE TRUE AND CORRECT.ALL <br /> �Ep,LL pESCp�ptqN pf pppiENTY�5110�M1lE�O�Md1�TT�CN�WR CAF�B� PROVISIONS OF LAWS AND ORDINANCEB 60VERNINO THI8 TVPE OF <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEflEIN OR <br /> �or e�ouc � NOT. THE aRANTINO OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW RE(3ULATINO CONSTRUCTION OR THE <br /> PERFORMIINCE OF CONSTfiUCTION.THAT I AM AUTHORRED BV THE <br /> OWNER OF THIS PHOPERTV TO PERFORM 1HE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIV WITH THE STATE <br /> CONTRACTORS LAW 18.27 HCW AND 298.200 WAC. � <br /> ewutunEorcartiuctonon�utwa+�o�r o�re Ei <br /> E rl <br /> �y� `` <br /> X n n►��1 �a a _ .��5�� _ <br /> P{10JECT�UO�� 55 �I 11PP WlUSdEBSLICE NO.M/DBUBNEBSN�ME <br /> IV <br /> vwwnw ��� <br /> FEE N0. riPE OF EWIIr1AE11T FEE <br /> Np, TYpE OF flXTUHE 0!I ITEM �y��NDL6 UNITS—H.P. ' <br /> WATER CLOSET(TOILET) � <br /> BATHiUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> LAVATORY(WASH BASIN) � UNIT HEATERS—B.T.U. M � <br /> SHOWER ' CLOTHES DRYERS � <br /> KITCHEN SINK 8 DISP i VENTILATION FAN ' <br />� DISHWASHER � fiANOE HOOD ' <br />� LAUNDFVTRAY ; WATER HEATER � <br /> CLOTHES WASHEH � WOOD STOVE ' <br /> URINAI ' METAL FIREPLACE 6 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPLACE INSERT ' <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACNFLOW PREVENTERS ' �P�P�� , <br /> ROOF DRAINS—RAINLEADERS � EXHAUST FAN ' � <br /> SINK(SEHVICE—BAR.ETC.) � � I <br /> � <br /> � � <br /> _— i � <br /> SUB TOTAL S ; SUB TOTAL f � . <br /> PEHMIT i � PERMIT I � <br /> , TOTALFEE f V ' � <br /> TOTALFEE i <br /> FOR OFFICE USE ONLY: �� qECEIFT <br /> PlN1CXECNIKMlER� f ZC <br /> fppNTSE�BACM NE�P6ETBACN 6WE6ET&1LK L � <br /> fEEB VALUA FEE <br /> WEZONE LOTARE� VACN�T61fE � <br /> BUILDINO � <br /> � <br /> irPEdtoNISULUWMIE tMaWM51kIWl � �a������� p�UMBINO � <br /> SIZE OF BLDO. NO.OP 6TIX11E9 BASEYENT MECHANICAI � <br /> ADDIT UNCNECI£ � I' ' <br /> OLGUPANCY LOAO FIPE 6VRN1(lER9 RE00 11EqNi LNITl1TI0N �� Ar �S i d J <br /> HE�l•�" � *'-�J�J s S .� <br /> �E�5p1pp116P�INNLER4 6TAT BUIL INaSUNCHAROE ' <br /> p���NE BY ruNservnovEoer CITY OF EVEREiT PUBUC WORKS � _ , <br /> LOCAL SALES � <br /> TAX CODE 18 3105 TOTAL � <br /> � <br />� <br />