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,� <br /> APPLICATIO.d FOR COIVSTRUCT.JN PERNlIT �'`''""' <br /> , „ TO BE COMPLETED IN INK—PLEASE PRINT � <br /> i �ri <br /> everett - - ----- ------ --- ---- <br /> DUILDING DEPARTMENT f HEATING SYSTEA9: J GAS J ELECTRIC J _____ _ _ l <br /> zss-saio <br /> DEMOLITION COM8INATION BUILDING MECHANICAL PLUMBING SIGN <br /> -,:�� — vni�.mo��[ss � civ 7ir w�oQs� � �-� <br /> �� �I�C�K.Ih ��I'1- I�'J �y:� 1 1 A . ��J i��L1 I�ili. _ �_ �7 ` �{` <br /> 1� <br /> 'f.NANt A141LADORPS CILY ZiP CHONE <br /> tqi.111TECTORD[SIGNEN MAILPpDRESS CIIY ZIP PMON[ <br /> .��IL[SaLCONiPAGTOR MAILAODRG55 CILY ZiP PNONE I.ICENSE/ <br /> VIC��ANIULGONiRT'lOR 1 MAIIR�DRE55 GiY tZIV PHONE LIC[NSE�•l <br /> [*1 [rTl� 1.r0_��=� ��� � �{� SI� �.: � J��� Ll �' �� r�1- �O.�Q�� �`�,`,� � 73I /,t�r�.�i-� �lUlw��l'�i�i) <br /> i'iVS���itlGLONiFRCfOR hI4iLAD�RE55 CItV pIP PHONE IICENSE� <br /> O �x <br /> C� H �.;1A550F WOFK <br /> -�i y y NEW AD�ITION ALTERATION REPAIR DEMOLITION WOODSTOVE�FqPL INSERT BUILDING RELOCATION <br /> ~ �� ` -� coNrncr rEasor�nHo vi�ovE r+o <br /> O r�O �:O•IiRACiPRICEOF WORK � /J \ _ <br /> DCSCPIpE WORN AN�SOUM[fOOiAGE INVOlVEO <br /> /Q r <br /> �U1 N �' �7 L I.'�[ L� ^_Ll � . <br /> H � 4�r;ocaseouseoFowio�N� r-/� I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> O y� C�J-(,[�' _ APPLICATION ANU KNOW THE SAME TJ BE TFUE AND COFREC7 ALL <br /> ircnioescnicnonovpaovta*vi5��owruoe�owonnrmcr�rom�towEs� PFOVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COAIPLETED V✓ITH W4ETHER SPECIFIED HEREIN OR <br /> � � g ior aiacn or NOT. THE GRANTING OF A PERIdIT DOES NOT PRESUAfE TO GIVE <br /> H� n AUTHORITV 70 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSTRUC710N OR THE <br /> �x H PERFORMANCE OF CONS7qUCTION.THA7 I AM AUTHORIZED BY THE <br /> H y ���9�� _ "')L'T . L+'1/�, � J`� �7 OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> �y � ' �> > APPLICATION IS MADE AND I COMPLY WI7H THE STATE <br /> O �H CONTRACTORS LAW 18.27 RCW AND 296200 WAC <br /> OCJ�/1 S:G1lAipREOFWNiOPCtORORPU�NON/I�ZLOAG[NT p4if <br /> � � [if V ! � I <br /> 7. /\ <br /> HOb� rv:o�[r..nacn�ss ��i1i'� � ' �����,/—�y��LL- <br /> L•�6�l±r,;� '�r'�'� � 1 � � ��'i'uC�(N SGivflUS�YESSl4EN5EN0 AItU01]SINESSNn�AE � <br /> ��-�] PLUMBING M11EC ANICAL ` <br /> N0. TYP[Of FIXTURE OR ITEh1 FEE NO. TYPE OF EOUIPMENT FEE <br /> Y✓lifER CLUSEI �TOIIET� A C-A NNDLG UNITS-H.P. <br /> � _ --_— <br /> �A7HTUB FORCED AIR SYSTEMS-B.T.U. M E.A. <br /> � ,_� LAVA7GRV�WASH BASIN� UNIT HEATERS-B.T.U. M <br /> f�e� SIICWER CLOTHE3 DRVEPS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> ' �� LAUNDRYTRAY WATER HEATER <br /> ' !w� GLOTHES WASHER WOOD STOVE <br /> I - <br /> URINAL METAI FIREPLACE 8 CHIMNEV <br /> DRINKING FGUNTAIN I PIREPLACE INSERT <br /> '� _ _ FLOOR�RAII� HEAT PUMP <br /> �_ BACKFLOW PRCVENTERS GAS PIPING <br /> FOOF DRAINS-RAWI.EqDERS E%HAUST fAN <br /> SINK(SERVICE-BAR.ETC.) <br /> � 1= — <br /> �'�, ' -_ — SUP TOTAL S — SUB TOTAL 'y <br /> PERMIT 5 PERMIT S <br /> TOTAL FEE 5 TOTAL FEE 5 �— <br /> FOR OFFICE USE ONLY: <br /> ����rrtseiur�cre neai�;er�vncK sinE,:roncrc r�nr�cnEcnr�unmea v[e Hete.vr��o <br /> ����'� � <br /> ���rzorve iornnie uncni�rsrte FEES VALUATION FEE <br /> OUILDING <br /> f'!C(CONiSAIIOWFBIC lYi'EOfCUNSiALNAI amrua NOnowILL�Hcu4a5 -- - --- _ _ <br /> csav p�Uh1PING <br /> I ��;CofBtDG NOOFSTORiES pASEAiENT MECHANICAL <br /> ,'�".CUPAHGYLORD FIflESPRNNIEP<REOD NEiGNiLIM11ATION AODITIONALPLANCHECK <br /> OTHER <br /> ����SON FOP SPRINKlENS _� <br /> STATE OUILDING SURCHARGE <br /> ���,�n�euv Pi.nHsnvr��oFrnn.- I CITYOFEVEHETT PU�LICWORKS <br /> LOCALSALES — <br /> � TAR COOE IS 3705 TOTAL <br />