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r� <br /> APPLICA► 10N FO'R CONSTRUVTION PERMIT <br /> evereet <br /> Mo Evwgmen � <br /> ciTv or <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> I � DEMOLITION LI COMBINATIr;� I � BUILDING I �MECHANICAL I I PLUMBING i i SIGN <br /> ow/rv�cn\ _a.c� I` f MAi�rooaess {a�rv zm a���r��(� <br /> I_1 1D�cr� n I ��1�� �St 1�1Q S rC ✓-1��-�-L'�LLY��_���-�3�� <br /> iC/IANi <br /> AIAR�DORE55 Llfv 21P ��1 PboNe <br /> �I1C1111 iOf10[S�GNEfi 'U�}�LA�Dn[Ss� �C ��� 1 21P f'110NE <br /> �� � ,(�S )iC�1'/lu ' - <br /> cer�r.nn�cor+tnncton um�n oness i —� IP P��ONE LICENSEt <br /> ��"' �1 I-v� r�le� ��o:'� l`�! e, S� 4'.,U��-��- ��S=�3�;�, <br /> 9H MECII�NIC�LLJNi��G10� MAILr1U0l1[55 CIIY 21� P��ONE LICENSE• <br /> m."'b.��. . . <br /> 9lj�/1 PWAIOINGCONIO�GiOfi ! MRILP0011E55 CIIY IIP P11011E LICE�U`E• <br /> H �� <br /> y �H CLASSOF WpPN <br /> K y� �- NEW I � A�DITION I, ALTERATION I�I REPAIR I J DEMOLITION I I WOODSTOVE/FRPL INSERT I.1 BUILDING RELOCATION <br /> � H� lE1NNTIMClIOVEMENTOFIN'[R108fiEMpOELONLY CON�ACIPEPSON�NDPIIONENO. <br /> y~ CONiPAGi PR�CE OF WOPN: � <br /> H — <br /> x O OESCPiBE WORK PN SOUAlIE 1'ODLAG/���JJJ,,,1VOLVEO - <br /> O H� rnor ouseoFou�mr+c _� I HEREBY CERTIFY THAT I HAVE READ nND ExAMIHED THIS <br /> � (��1(/ �PPLICniION AND KNOW THE S�ME TO BE TRUE AND CORrIECi.ALL <br /> tEeniocsc i��Pn�Entr� ��owrio��owon,pin ,� uncomes� . , PROVISIONS OF LAWS AN�ORDINANCES GOVERNING THIS TYPE OF <br /> a y� � <br /> ,� / WORK WILL BE COMPLETED WITH WHETHER SPEGFIED HEREIN OR <br /> ioT oiaK or J c1 � Y NOT. THE GRANTING OF A PERMIT DOES NOT PRESUPAE TO GIVE <br /> r y AUTHORITY TO VIOLATE Ofl CANCEL THE PROVISIONS OF ANV <br /> � N N � n Q � • �����_� ? P' OfHER STATE OR IOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED B1'THE <br /> n Cy y OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICII <br /> C �� APPLICATION IS MADE AND i COMPLY WITH THE STATE <br /> � CONTRACiO LAW 1027 RCW D 296200 WAC <br /> z yy smr�ntunr r r��inctorwnnuu�om cona +r on�[ <br /> y O[/i <br /> PR0.1ECi40DI1E55 ppP�14Ni5CITY USINESiiCEN5EN0AN0 USiNE55NAlAE <br /> / o o — �' `s't� <br /> � PLUMBING MECHANICAL <br /> TYPE OF FIXTURE OR ITEM FEE NO. PE OF EQUIPMENT FEE <br /> WATER CLOSET(TOILET) � NC—NHNDLG UNITS—H.P. <br /> � �r � FORCED�IRSYSTEMS—B.T.U. M E.A. <br /> � = BATHTUB _T—— <br /> LAVATORY(WASH BASIN) _ UNIT HEAT[RS—B.T.U. M <br /> SHOWER CLOTHESDRYERS <br /> fe' KITGHEN SINK 8 DISP VENTILATION FAN _ <br /> .� DISHWASHER RANGE HOOD <br /> LAUNDRV TRAY VJATER HEATER <br /> CLOTHES WASHER _ WOOD STOVE � <br /> URINAI METAL FIREPLACE 8 CHIMNEY <br /> �. .�. — � FIREPLACE INSERT � <br /> DRINKING fOUNTAIN --� <br /> fLOOR DPAIN HEAT PUMP <br /> .� BACKFLOW PREVENTERS _�_ GAS PIPING <br /> �.',� ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—�AR,ETC.) __� <br /> — —� <br /> � � � <br /> � ----i— <br /> SUB TOTAL $ SUB tOTAL 5 <br /> —�— PERMIT $ <br /> ,� I PERMIT $ _ <br /> TOTAL FEE $ TOTAL FEE S <br /> fflONi5E1B/�CK fi[Afi5Ei0ALN SIDESEIUFGK PIANCII[CYN01A0[R FEf` �ECE��TNO <br /> �; � soa� � � �� � <br /> ' ' J — <br /> useavnE LOiPR[A ��GANTSIiE �FEES '/ALUATION FC�E � <br /> � — � v ti � c.i Ll ves � 'No aw�oiNc� � <br /> IYi'[OfLON9.AllOW�BLE �YPEO CONSIACIO�L ocarerCv NOIXuniluxr,urn5 — — <br /> ��— � <br /> cnar PLUh791NG <br /> I i <br /> srzcoro�oc. �,h r+o.oFstomes onsen��r+r r.iccnnNicn� <br /> S — j,,7 I IJ YES JrJ NO <br /> OCGUPNICYLUAD fI11E5PPNNlEf15PE0'0 I�EIGIILLIAlIT4LI0N <br /> o711[R <br /> I I Y[S �' NO � �. SiATEOWIUINGSURCHnRGE � i�,(} <br /> —�--r�e� <br /> nensor+ron srni��nt[ns � <br /> STATE ENERGY SURCIIpRGE � <br /> nrrucnno�+nccov rur�s�rrnoqroor CITYOFEVERETT ruouCwo�ks � <br /> /�/lY LOCALSALES <br /> �/ �U TAX CODE IS 3105 TOTp� � � ��7 0 <br />