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APPLICA�IVN FOR CONSTRU(, i ION PERMIT <br /> everetl <br /> tnr e,n�yecn � <br /> �ITY G�' <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDIWG /MECHANICAL PLUMBING SIGN <br /> OV:NIB MA�lA0GRE5$ CILV LP v��ONEp , <br /> 9 ir � � "� f� "� 1 7 �� '� C(V� %�92U ; l��J G���° <br /> ` )/'��/ � i.7i�/ /'/� `5� v 'Ct� 1 .Pi b''= C-"UCl c <br /> iENANT M�R�ODRE55 C�iY 2iP ONE <br /> pRCHIiCGTORD[SiGNEN IARILl.O�RE55 QTY ZIP PMONE <br /> pp,_qqICONTR�LTOR MAILADDRE55 CITV 2iP PHONE LICENSE� <br /> I.R�',�WUL"UNTRACTGi MI.ILA��RESS CIiY ZIP PNONE LICENSE• <br /> � � � �,� �„a-�i �-��,1. �1EE7/�CT�IG J�/// y/11��5 ���T,r/,�/� �.4c'[i/ c'Sc'3/l� C�BrP(SS�Z/ �'? <br /> YLUIIt]iNGCONiRACTOR IAAILADDRE55 UiY 21P PNONE LICENSE� <br /> ay <br /> A �1 ;t7 <br /> t" �y cus�oFwonH — <br /> H �� NEW . ADDITION �ALTERATION REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> H H iCq4ryTIMPPOVEMENtORIH1[ ORREM09ELONlV CONiALTCER50NANOPHONENO <br /> � �-3 "�.tl ccr�.nnc*caicEOFwoa�: �? � /�1e.�GiVc:/F 6,[� 77FGf� `fL�:•U6�.E.' <br /> ee�=crioewoaK�No�sounr,:rooucEwvavEo ��� �JJ <br /> � � � YG�Qii//�CC L��r– .� — <br /> y ar;oreseouseoFeuaoir�c I HERFBV CERTIPV THA? I HAvE READ AND EXAMINED THIS <br /> x n � ��i ' APPLICATIOIJ AND KNOW THE SAA1E 70 BE TRU[AND CORRECT.ALL <br /> �` �c,���C� PRO���SIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE nF <br /> p� � �y icr.a�oescnirnoNOFveorenrlsrwwneE�owoanitncHvouncoPie51 y./ORK WILL G[ CUMPLETED WITH WHETHER SPcGFIED HEHEIN OR <br /> H [i] O ioi BiaK oF NO7. TH[ GHANTING OF A PERMIT DOES NOT PRESU1dE TO GNE <br /> 4�� O AUTHOF7ITV TO VIOIATE OR CANCEL THE PROVISIONS OF ANY <br /> z y � _ OTHEfi STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TNE <br /> q � —. PERFORMANCE OF CONS7Rl1CTION.TNAT i AM AUTHORIZED BV 7HE <br /> �'� OWNER OF THIS PROPERTY TO PERFORM THE WOAK FOR WHICH <br /> !�/� y <br /> � APPLICATION IS MADE AND I COMPLY WITH THE A <br /> H CONTRACTORS LAW 1827 RCW AND 296200 WAC. �/�,��� � <br /> (7 b V1 9GNATUREOFCONTRACiOCORAUi11GRREDPGENT OATE <br /> �� [sf I ^ � <br /> y � � t�l�['.ICCTA0DRE55 � y,����—� <br /> ���/ / ' .^� �_��� APPUGAtdiSCiTV0US6f5$UGENSEN04NOBU911[SS�NIAE <br /> 1 <br /> ��� PLUMBING MECHANICAL <br /> NO. TYI'E OF FI%TURE OFi ITEM FEE NO. 7YPE OF E�UIPMENT FEE <br /> i WAiER CLOSET�TOILETI A:C—ArHNDLG UNITS—H.P. <br /> BATHTUB FORCED AIR SVSTEMS—B.T.U. M E.A. <br /> � f�� _ UNITHEATERS—B.T.U. M <br /> ' LAVATORVIWASH BASIN) <br /> �� — CLOTHES DRYERS <br /> SHOWER _ <br /> KITCHEN SINK 8 DISP V[N'ILATION FAN <br /> DISHWASHER RANGE HO00 <br /> ' 'i� WATER HEATER <br /> LAUNORYTRAV <br /> I �s' CLOTHES WASNE(i WO'JD STOVE <br /> UF7INAL METAL FIf7EPLACE 8 CHIMNEY <br /> FIREPLACE WSERT <br /> DRINKING FOUNTAIN _ --� <br /> �. '�� FLOOR DRAIN HEAT PUMP <br /> � �, I BACKFLOW PREVENTERS / GAS PIPING <br /> ROOF DRAINS—RAINLEAOERS EXHAUST FAN <br /> SINK(SERVICE—BAR.ETG) y— <br /> �� <br /> � SUB TOTAL 5 SUB TOiAL $ S'-D <br /> ��1 I. _ PERMIT $ PERAIIT S i( <br /> TOTALFEE 5 TOTALFEE $ �f ' <br /> FiiONTSETBALN REARSETOAGN 90ESELBALK PUNQ�ECNNOM�EH FEL PECBPLNO <br /> u:�,emrve �oT�Aea vncnutsrte FEES VALUATION FEE <br /> ' . YES � N� pUILDING <br /> h'�'[Of LON51�IlOW�9lE LYCF Oi CONSt ARORL acuru.xcr xo p crniu�xcuvns — � <br /> ceou� PLUM�ING <br /> vZ[OF BLDG NO.CF STOPIES BPSEMENT MECHANICAL G�i G U <br /> �. -�, VES L! NO .. <br /> OCGUaANGYLORD FiR�SPRNKLER5RE0D NEIGMTLiMiTAiION OTHER <br /> '. 1 VES . NO STATE BUILDING SURCHA(iGE <br /> _ �- <br /> RFPSON F)fl SFRINKLEHS <br /> STATEENERGYSUFCMARGb <br /> A����ir�tiONaCCl3v PtANSAPPROVEDOv CITYOFEVERETT PUBLICWORNS <br /> LOCALSALES <br /> TAX CODE IS 3105 rotn� �S� ' ��' <br />