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pppLICATIONI FOR CON5TRUCl �Ot�i PERMIT <br /> �,-���« <br /> ����,���. , e <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION COMBINATION _ BUILDING MECHANICAL PLUMBING SI <br /> — -n Zi� r �N[ <br /> ;CN'0.G�i ) I.IPIlPDL1RES5 � � �� ,� �f) <br /> z � _/= L f� � I,. , <br /> �1�,� /'/ �_a r �� 2_5/7- � h �� cirv�P� �/1 z P � `�� eHor�e_ > <br /> ��,;�,�r Mni�noo�[ss <br /> n�.:��nEG10P0E51GNER MPR�D�PE55 <br /> cin ziP aNa�e <br /> `+EnnLCOMiR�CiOR � / MAa�DDRE55 <br /> CIiY 2�P PNONE L�CENSE� <br /> �/ �'v PHON[ LICENSE� <br /> ' M�IL�ODPE55 CITV 21P <br /> !�.r CIIANILPL CONLFACTOR <br /> H C� PNON[ 'ICENSE� — <br /> T CITV 21P <br /> (if [iJ �'W1.IpINGLONiHRCTOR MAILADDRE55 <br /> aH �ir ce /� .. � e- — <br /> Q y N cinssoFwoAK � <br /> '� NEW ADDITION ALTERATION ✓REPAIR DEMOLITION WOODSTOVE�FRPL INSERT . BUILDING AELOCATION <br /> y � ipl4NtiM�ROVEM[NiORINTEHIGRPE1100ELONLV <br /> WNIACT PERSON PN�PMONE N0. <br /> �pry}qp�T PRICE Of WONY: <br /> � H7tl <br /> pC;GqiOE WORN�NO SOURRE FOOTAGE INVOLVED <br /> 's1 M �1 <br /> � �"'� I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> Hx z�" cnovoseousEaeuaon+c <br /> O M �j APPLICATION AND KNOW THE SAME i0�E TRUE AND CORRECT.AL <br /> PROVISIONS OF INYS AND ORDINANCES GOVERNING THIS n'PE OF <br /> irca�oescaiPno�+eFPAoe�AT�'�sHowrveeiowunnlT�cHFouFcoaie5� yyORK WILL BE COMPLETED WITH VJHETHER SPECIFlED HEREM OA <br /> �y oF NOT. THE GRANTING OF A PERfdIT DOES NOT PRESUTAE TO GNE <br /> H C�iJ O LOt eL�N — AUTHORITY TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANV <br /> �` np OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> 3, , PERFORMANCE OF CONSTRUCT�ON.THAT I AM AUTHORIZED BY THL <br /> 9 H Z OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> r H y APPLICATION i5 MA�E AND I COMPLY WI7H THE STA7E <br /> �y rp CONTRACTOFS LAW 1027 RCW AND 296200 WAG. <br /> O H 9G!lAiU�i[OfCONLRAGTORORPUiHOF12[DAf•ENt DN[ <br /> �1 d� <br /> ctr�r " <br /> X � �� ,� <br /> � i� � G��` f � —��`_ <br /> HO (�/� r�a��csnncn�s� n�r��" i;c�r�usn+�s�o Ar,00usiN�ssNnrn� — <br /> PLUMBING MECHANICAL <br /> �C�� fEE NO. TYPE OF EOUIPMEHT FEE <br /> .�.r NO. TYPE OF FIXIURE OR ITEM q�_q HNDLG UNITS—H P. <br /> WATER CLOSET ITOILETI <br /> � BATHTU6 FORGED AIR SYSTEMS—B.T.U. M E.A. <br /> I '—�' LAVATORV IWASH BASINI UNIT HEATERS—B.T.U. M <br /> L� SHOWER CLOTHES DRYEPS <br /> KITCH[N SINK 8 DISP VENTILATION FAN <br /> RANGEHOOD <br /> DISHWASriER <br /> ' '��. LAUNDRV TRAY VJATER HEAi[R <br /> i �I CLOTHES WASHER WOOD STOVE <br /> � METAL FIREPLACE 8 CHIMNEY <br /> UPWAL FIREPLACE INSERT — <br /> DRINKING FOUNTAIN HEAT PUMP — <br /> ' � FLOOR DRAIN GAS PIPING <br /> �1 I BACKFLOW PREVENTERS E%HAUSTFAN <br /> ROOF�FAINS—RAINLEADERS <br /> SINK(SERVICE—BAR,ETC.) <br /> � 1 _ <br /> SU6TOTAL 5 SU�TOTAL 5 i_ <br /> PERMIT ? <br /> 1 PERMIT 5 �— <br /> �� TOTALFEE S TOTALfEE 5 <br /> iRONTSETBACR REAPSETBnGrc Si�ES[L0AC1: <br /> PLANCHECNNUM�L❑ fEE I1EC0CTN0. <br /> vncnHtsire FEES VALUATION FEE <br /> USEZONE IOTAREA , <br /> � VES N� BUIL�ING Lo��^'d J -� �j � <br /> — wcwexcr xo m nxeuwr,ux�x <br /> 1rPE0fCON9.�llOW�BLE 1YPEOfWNStAtiuPl csoop pLUA781NG <br /> 5¢E OF BIDG. N0.OF STOP@S BASEIdENT MECHANICAI -- <br /> VES NO <br /> OTHER _ � <br /> OCCUP�NCYIOAD fIRESPFNNlER5PE0D HEIG1rtUMITATION � <br /> ' . YES NO STATE BUILDING SURCHARGE `� �f�_ <br /> i <br /> REn50N FGi SPRiNH1ER5 SiATE ENERGV SURCHAP.GE _ <br /> �„�,—i,,��i��.�;,�� �v rinisncrnnvioov CITYOFEVERETT PuoLiCWOHNs <br /> LOCRL SALES � -� ; � , <br /> TAX CODE IS 3105 rorn� - <br />