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APPLICATIUN FOR COPISTL�t1C � IQN PERMIT <br /> �,-��«« <br /> t � n� � <br /> Cnvo� <br /> everett <br /> BUILDING DEPAfiTMENT TO BE COh1PLETED IN INK—PLEASE PRINT <br /> 259-8810 <br /> BUILDING MECHANICAL PLUMBING SIGN <br /> DEMOLITION COMBINATION __;'L.__--_—- ,t� <br /> �- n��o•.i ��_�� -L <br /> rwr.E� e�nanoun[ss nr �� `. ' �7�� � <br /> L���_- � ���I�P,S ��%15 /�i�`� � 1�1-�� �, <br /> ������ (�/���A1 i FDORE55 <br /> CILY 21P PHONE <br /> ni'�zHitFCiORDESiGNER MP�LAO�RE55 CiTv ZiP PMONE <br /> ��J� 1 PHONE If,ENS J <br /> 4t Fj�AL � AGLOR AAILA�ORES � ' J'� ��� /�(i � � //J � � <br /> y �� v �(l 1����1e �,I��'� "� % � v � — <br /> PMONE LIC ' <br /> � [SJ !'fCM4NICPLCONIAL�ON MAILADDRE55 � � <br /> y L��L��� � , s L <br /> �1 PnONE L� NSE� <br /> CrG� H vW;13�HGLOKiRPCiOR MPIL��DRE55 2� <br /> C' �iy <br /> yx LLASS OF WOPN <br /> K y� NEW ADDITION �ETERATION REPAIR DEMOLITION WOODSTOVE'FRPL INSERT BUILDING RELOCATION <br /> Q� H� iL11ANiIMPPOVEMENTOFINiERIORRElA/O ELONLY_-` <br /> CON ULt PEA50'1 AND PH'vNE NO <br /> yH C`rytqAGiPR�CEOFWOflN: `�' ClJ <br /> y x GLS`y__q19EWOfjK NDSQ��'1EF OiAGEIN%LYE� � N�� <br /> [ Q p q�� 1� <br /> � y d rnoaoseouse�w�owc ��/� i HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS <br /> . 1_� , AFPLICFTION AND KNOW THF.SAME TO BE TRUE AND COFRECT.ALL <br /> � ; g _ r — PpOVISIONS OF LAWS AND ORDINANCES GOVERNWG THIS n'PE OF <br /> y�„ n �ecn�oescaivt�onocvaoaea*vis�owr+sewwounrrncnwuar.oviEsl y�ORK WiLL BE COMPLETED WITH WHETHeR SPECIFIED HEREIN OR <br /> F-� or NOT. THE GRAN7ING OF A PERtdIT OOES NOT PRESUMf_ TO GIVE <br /> a H� �or e�ocK — <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> t^ z OTHER STATE OR LOCAL LAW REGULATING CONSTFUCTIO�OH THE <br /> H H PERFORMANCE OF CONS7RUCTION.THAT I AM AUTHO't12ED BY THE <br /> g� OWNER OF THIS PROPEfiTV TO PERFORM THE WORK FOR WHICH <br /> H <br /> p Cy p1 APPLICATION IS MADE AND I CUMPLV WITH THE T <br /> �� � GONTRACTORS LAW 1827 RCW ANC 25��.200 WAC. <br /> S�GNAiUHFOFCONIRPCIORORAl114CRIZ[OAGCN' OAiE <br /> HOfyi� X l� r <br /> nn / /, ��}' /'� 1 �I <br /> (� (��) ��I�]�.`l.t��,.`!-1.�sr. nNnaus�rus��sr.��.:�L1-- <br /> � i�uo�rcr nooqess ��C� �1 `l'.� Y� r h,,nr i �i. t�u. . <br /> MECHANICAL <br /> PLUMBING FEE <br /> � TVPE OF FIX7URE OR ITEM FEE NO. TYPE OF EOUIPMENT <br /> NO. A C—A HNDLG UtJITS—H.P. <br /> � '�� WATER CIOS[T ITOIIET) <br /> ��' BATHTUB FORCEDAIRSVSTEMS—B.T.U//��ht E.A. <br /> LAVATOFY(WASH BASIN; _ UNIT HEATERS—B.T.U. M <br /> CLOTHES DRYERS <br /> SHOWER — <br /> ' '�� KITCI _N SINK 8 DISP VENTILATION FAN — — <br /> � DISH\N�SHER RANGE HOOD <br /> � �� — <br /> LAUNDRY TpAV WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> — METFL FIREPLACE 8 CHIMNEY <br /> '��+ URINAL -- _ __ <br /> , �1 1 DRINKING FOUNTAW FlqEPLACE INSERT <br /> H°AT PUMP <br /> FLOOR�RAIN <br /> BACKFIOW PREVENTERS G4S PIPING � <br /> R09F DRAINS—RAINLEADERS __ E%HAUST FAN - <br /> ='�' SINK ISER\�CE—BAR.ETC.) _ _ <br /> — —�_— <br /> _! � <br /> !�I. - SU670TAL 5 / ;�_ <br /> SUBTOTAL 5 <br /> — PERMIT 5 _ PEPMIT S /h�_ �,L,_ <br /> — TOTAL FEE 5 TOTAL FEE 5 �) � 'G � <br /> I�i0Ni5ET0ACA !1[ARSETOALK 510[FETOAGN <br /> PLANGMELNNUMB[R 4EE RLCEIPi1.J <br /> USEZONE <br /> iOTAqE� vacnrvTsi� FEES VALUATION FEET <br /> YES N� BUiIoiNG _ <br /> irre�rcor+sr.aimwRme rvreovmxsc�cn.�nt «c�=.•�.+ Noo��•.m.��.s:,�=,.��� -- <br /> cnou= PLUMBIN^, <br /> SiZEOFBIDG. NOAiSiORiES �AS[M[NT MECHANICAL ��"1��'L� <br /> VES NO <br /> OTMER _ <br /> OCC�PANCYlORO FtRESPRNKLERSflEO'D HE16HiLIUrtAibH _— <br /> i �. YES . . NO STATEBUILDINGSUFGHAflGE <br /> 9[ASONFORSPRINNLER4 <br /> STATE ENERGV SUflCHARGE _ <br /> nrrocanor+<ccav a�nnsnarno��mnv CITYOFEVERETT PuauCwonks <br /> LOCALSALES - <br /> �TAX COOF.15 3705 rorn� �%:, ''���� <br /> b <br />