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l'J �a � <br />A7�x <br />'�." H <br />9Htn <br />y <br />y�H <br />�H� <br />HyC~" <br />�x <br />HC7 <br />��g <br />(�]Y (❑�] <br />> H [+1 <br />Y <br />t ti H <br />gN <br />Ot7N <br />��h <br />yo� <br />��� <br />�� <br />� <br />��1-� APPLIC�►Til .V F9�R CON�Tt�UCT �ONi PERMIT <br />«,� �,,.,q,� �., <br />��t�oF <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />DEMOLITION COMBII�ATION dUILDING �M�HANICAL <br />,�,NEq raeanoracss �'L' <br />�nh 1�.�, ���u�-t- -ac e� U" � lrt��� r1l( -ii>c�t tl �< <br />TENAt I ^M <br />IAqilAODiVE55 C117 21P P <br />LVV '\�� <br />pRCNRECTOR0E51GNER MAILAD�RE55 CITV ZIP P <br />PLUMBING <br />�- <br />�- ,�>>� y <br />C1A550F \YC�s <br />NEW ADDITION LTERATION REPAIR <br />IENANi IMPROVEIdENi OR INiIER%iO/R �R�EMO�lL ONLY <br />COII AGTPP'[OFWO�N• ^j �'",��CID <br />C[�PI�J T�i�l�l UA�� L� IN! IL�,`CC ��I"U. <br />i <br />rFoacsFousEOFauaoM . �l�,p�� <br />�� 1L / <br />LEf.AL OESCRIPTION OF PROPERLV ISHOWN �ELOW OR �TTAGN FOUP COPIES <br />l0i _ BLOCK OF <br />�R�JECTADORE <br />-�C'�` l �I r� <br />PLUMBING <br />NO. TYPE OF FIXTUFE OR <br />WAiER CLOSET (TOILE7) <br />BATHTUB <br />LAVATORVIWASH BASW) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR ORAIN <br />BACHFLOW PRF�ENTERS <br />ROOF ORAINS—RAINLEADER <br />SINK (SERVICE—BAR, ETC.) <br />fP0!JLSETOACN <br />US[ZOrvE <br />M[ o� LON51. AILOWABIE <br />SiZE OF BL W. <br />pCC11PANCVLOPD <br />4�EASON FOR SPRiNNLEPS <br />qrp�ic.nnonnGc ur <br />SUBTOTAL <br />PERMIT <br />TOTAL FEE <br />PEARSEiOACrc <br />IOTRREA <br />ttPE Oi CONSt I.LiIIRI <br />NO OF STORiES <br />FlRESPRNrcL[RSi�[OD <br />YES NO <br />rinus nrrnoveo ur <br />S��E SET9ACN <br />VALANTSRE <br />DEMOLITIOtJ WOODSTOVE;FRPLINSERT <br />I CONiALT PERSON AND �NOrv[ NO <br />BUILDING RELOCATION <br />I 11EREBY CERTIFV TNAT I HAVE FiEAD AND EXAMINED THIS <br />APPLICATION AND KNOW iHE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LALNS ANO ORDINANCES GOVEfiNING THIS TVPE OP <br />WORK WILL BE COIdPLETED WITH WHETHC-R SPECIFIED HEREIN OR <br />NO7. THE GRANTING OF A PERMIT DOES NOT PRESU1dE TO GNE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATWG CONSTRUCTION'`9 THE <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED .,I7HE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18.27 RCW AND 296200 WAC. <br />SIGYAiUf1LOFCONiRACtORO�AUiHORi2lDAGCNi DA1E - <br />���C-�-`��� �� k���1c������ <br />nh��'ChYiSGivt3u3'!C �VR1+SLt10 A'+�Cusil�EsSunlAE <br />A C—hMNUUi UNI <br />FORCED AIR SYSTI <br />UNIT HEATERS—B. <br />CLOTHES DRYEFiS <br />VENTILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />METAI. FIRE <br />FIREPLACE <br />HEAT PUMP <br />r�ar+crccrc HuraaEa <br />8 <br />, . YES NQ BUIL�ING <br />occunvc. xa a wvmrocexns <br />cnau= p�UhIflING <br />Ons[MENt MECHANICAL <br />VES NO <br />HEiGMiuunni�ON OiHL(i <br />_ STATL BU4DMG SURCHARGE <br />SiATEENERGVSURCHAqGE <br />CITY OF EVERETT ruouc wonKs <br />LOCALSALES <br />TAX CODEIS 3105 rorn� _ <br />� <br />SUB TOTAL 5 �G'✓ <br />PERMIT S � <br />TOTALFEE 5 — ; i <br />iEE aEc�mrr�o. <br />VALUATION FEE <br />�� ��L_— <br />� <br />