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APPLICATIO.. FOR CONSTRUCT�.�N PERMIT `'``�"�" <br /> ..,.r��,,:���,-� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> arvoc ----_� <br /> everett HEATING SYSTEM .1 GAS U ELECTRIC 'J ------ <br /> BUILDIPJG DEPARTMENT � <br /> 259�8810 SIGN <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL PLUMBING <br /> n�:uee ,��/ `/ /'� �'7� /� <br /> nuanoceess cirv ziv vHor+E <br /> �/ ✓C C Gw•'WT' �F�� ����}Vi� ��iC� G✓�L�� (oc'`'� �yy •��iL� <br /> 1•,NANi <br /> MAILADOR'.SS CITV 21P PHONE <br /> AI4G��ILECTOROESIGNER MAILADOFE55 <br /> CITV jIP PNONE <br /> cL�.ERALLO1lTRACtOR MAIL�ODRE55 <br /> qTv ZiP PHONE UCENSE/ <br /> S/!1/ — PnONE IICENSE� <br /> �!LLHANIC�LCONiPAGTOF/ MRiLADDPE55 ��T� 21P <br /> � �,� —,�`�t-✓, � 1T�4�v< loY��o S3 �J /1'I c��G r`�r-?-,S �'3-3�S�S' �A✓�rb9 9T c <br /> ��t� Zip FNONE L CENSE <br /> VLUAI�MGGOYiPALiGR MMI�OpRSS <br /> p� x <br /> G y � c�nssoFwo�K <br /> q NEW ADDITION �LTERATION � REPAIR DEMOLITION WOODSTOVFJFRPL INSERT . BUILDING PELOCATI <br /> H �'3' CONTACiPER50N�NOPNONENO <br /> CON R Cl PR C[O�WORN <br /> ����, <br /> � y � otSC E W�AK ANO SOUARE�OOiAGE iNVOlVEO <br /> � rxi � � 7�u�✓G f�,rFS �k'E7�u?�E <br /> V1 H <br /> y r rnoaosEousEovnmiowc I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI <br /> x 3 S� APPLICATION AND KNOW tHE SAME TO BE TRUE AND CORRECT.ALL <br /> � y d PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> O H i��A�oescniarior+ocvaocearv�sr�owNeE�owoar,**na�vouR�oaiesi yrORK WILL BE COMPLETED WITH WHETHER SPEGFIEO HEREIN OR <br /> H � g ior eiocrc oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> �� n AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> p.� OTHER STATE OR LOCAL LAW REGl1LATING CONSTRUCTION OR THE <br /> Z H� PERPORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> ,�,� y x OWNER OF THIS PROPERTY TO PEFFORM THE 1VORK FOR WHICH <br /> �..�y APPLICATION IS MADE A'JD I COMPLY WI7H 7HE STATE <br /> t7 N H CONTRACTORS lAW 1027 RCW AND 29G2�9 VdAC. <br /> �� � SiGNnTUPEOFCOrv19ACTORONAULHORi2EDnGf�rt Dnt[ <br /> l�� t�n X �� ~,L� <br /> z N �n _ -' �"— — <br /> 1-30 (A FROJECTAODR[55 _/�n I/n pppLlLPt SCITVO �NlSSUCENS H NDBUSMESSNAME <br /> � ��V L' V /"� � <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM17 FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET�TOILET� h�C—a�HNDLG UNITS—H.P. <br /> � BATHTU6 FORCED AIR S`.'STEAIS—B.T.U. M E.A. <br /> �� LAVA70RY(N/ASHBASW� UNITHEA7ER5—B.T.U. M __� <br /> '�� SHOWER CLOTHESDRVGRS <br /> KITCHEN SINK R DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> ' ,�� LAUNDRV TRAY _ �vATER HEATER <br /> i ��I CLOiHES WASHER WOODSTOVE <br /> URINAI METALFIREPLACE&CHIMNEY <br /> DiiINKING FOUNTAIN FIREPLACE WSERT <br /> �� FLOOR DRAIN HEAT PUh1P - <br /> �14 BACKFLOW PF[VENTERS GAS PIPING <br /> qOOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(�ERVICE—BAR.ETC.1 <br /> —'— <br /> �1� — �i� <br /> I _ SUBTOTAL S 'S ' <br /> SUBTOTAL 5 <br /> � — -- PERMIT g "f� <br /> _1�� TOTALI'FEE 5 TOTALFEE S .i - <br /> FOR OFFICE USE ONLY: <br /> �ROHTSE��ACK HiAli5H0AGY SiDESE1pACrc PLANCHECNNIIMOER <br /> fEE RECEIPiNO <br /> 35037 <br /> usezoNe �otanea vnu�+�si*[ FEES VALUATION FEE <br /> OUiLDING <br /> iYPEOiCONiSAIIOWABIE iYPEOiLON9-ALiUAL o¢p�p[v M�otOutum�uxn5 <br /> P�UM�ING <br /> SREOFBIDG NO.OFSTORIES BASEMENT MECHANICAL � <br /> OCCU�WCYLOAD FIRESPRNKlER5RE0'0 HEIGHTIIMITATION �DDI110NALPLANCHEGN <br /> UTNER <br /> REASON FOfl SPPi���'RS <br /> STATE BUILDING SURCHARGE _ <br /> �„�r�„i,n� rinr�snrv��oe�cocv CITYOFEVERETT puoucWor�Hs — <br /> LOCALSALES <br /> TA%CODE 15 3105 T07AL v ;o� <br />