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� '. <br />-- �-_------ _...._ <br />-- --Y- <br /><<'.y5 ,� tir; <br />APPLICATIOIi�II FOR CONSTRUGTIJN PERMIT everett <br />���� E�,���,� TO BE COMPLETED IN INK—PLEASE PRINT � <br />CI7 Y OF <br />everett HEATING SYSTEM: GAS O ELECTRIC U <br />BUILDING DEPARTMENT <br />259-8810 <br />� DEMOLITION I I COMBINATION <br />ow/IG <br />�� <br />unn.no�ness <br />[G10RDES�GNEO MNL�p�OESS <br />Mf.C11ANI��IWNtU�C10R IA�iLTD0AE55 <br />PlUlA01NGCO111MCiOR M�ILAODfI[55 <br />c�nss oF NronK <br />' � NEW I� ADDITION � ALT i <br />ca�inncrrn�ceorwonK I ✓t-��.` <br />PItOPoSEDUSF.OF[IUilOI�lt � <br />�, ircnioescmm�ouorrnorcnrv�sro <br />LOI OLOLN <br />Pl101fG1 �DO/R�C <br />I <br />PLUMBING <br />NO. <br />BATIiTUB <br />LAV�IORY (WASH BA: <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRY TRl1Y <br />ROOF <br />SINK 1 <br />I I BUIIDING (�; <br />� cit�✓� V � �� <br />tnv zm <br />rn� <br />L ❑ PLUMBING ❑ SIGN <br />r-tJf a��-�05� <br />PIIONE <br />PIqNE <br />i�c.� �rS'� r`�- <br />PIqNE v�—� Ij[/ � . ' <br />L /\ �7 <br />I I REPAIR I � DEMOLITION ! I WOODSTOYE/FRPL INSERT ❑ BUILDING RELOCATION <br />CONLAti PERSON AHO PIIONE N0. <br />I/� I HEFEBY CERTIFY THAT I Hl1VE READ AND EXAMINED THIS <br />�- �PPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />�owonnnnci+Founcon�sr PROVISIONS OF LAWS AND OFlDINANCES GOVERNING THIS TYPE OF <br />WORK WIIL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />or NOT. 1HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION qR THE <br />PERFGRMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNE'i OF THIS PROPERTY TO PEFFORM THE WCPK FOR WHICH <br />— APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTf IACTORS LAW 1827 RCW AND 2962J0 WAC. <br />sicr+nrrneorcor�mncrononrun�onrzeoecer+r o�te <br />•PPUCPNiSCI�US 'SSL� O.AN�BUSINESSN M� <br />f (.(_� � i� . <br />MECHANICAL <br />�R ITEM FEE NO, TYPE OF EOUIPMENT FEE <br />� NC—NHNDLG UNITS—H.P. , <br />; fORCED AIR SYSTEMS—B.T.U. E.A. �— <br />—�— UNIT HEATERS—B.T.U. M � <br />� CLCTHESORYERS � <br />; VENTILATION FAN ; <br />� AANGEHO00 —� <br />_ �_ � WAiEFi HEATER � <br />� WOOD STOVE ' <br />� <br />' MET�L FIREPLACE 8 CHIMNE`! —T— <br />i FIflEPLACE MSERT ' <br />—"— i <br />; HEAT PUMP i <br />_ i � GAS PIPING � <br />i <br />RS i EXHAUSTFAN —;— <br />� TOTAL <br />FOR OFFICE USE ONLY: <br />rnor+rsctoncK nennsetoncK <br />USf ]ONE lOT ARG <br />fYf( Of CONIS. Al10WAp1[ IYPE Of CONSf RLIUAL <br />sve or Atoc. i�o. or siomcs <br />OCcuMNcvLono I rinE <br />n[ nsou von trrnr�a.a:ns <br />ininrrov �inNsnrrqpvEonv <br />PLnNCNECKtlUMOER <br />BUII�ING <br />ffT�Iv�Nfr NfIM[MIlI�NGlMilS <br />f9�m PLUMBING <br />On[EMCNt MECHANICAL <br />nE���rtlnalrniroN ADDITIONALPLANCHECK <br />OTHER <br />STATF. BUILDINO SURCIIARGF <br />CITY OF EVERETT ruoucwc�Ks <br />LOCALSALES <br />TAX COUE IS 3105 TOTAL <br />PERMIT $ <br />TOTALFEE 3 <br />fE[ I RECEIPTNO <br />�S <br />