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yx C�H <br />C�7 Cs1 � <br />>�H <br />U7 <br />1 <br />/� � C] <br />H xl <br />"�9 H ^il <br />y[nH <br />[�7 O � <br />OH� <br />��g <br />�� n <br />�H� <br />HH <br />g`� <br />H <br />oC[n <br />��� <br />zH[n <br />HO[n <br />I `� <br />�� <br />APPLICATIO�. FOR CONS'T�cUCT6�i� PERiI'lIT '"�`"'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />..,,.,� ::,.. -- - <br />c.nvr,r --- ---�-- -- <br />everett [ HEATING SYSTEM ,�,AS J ELECTRIC U_—_--- –____�i <br />BUILDING DEPARTMENT / <br />Zyg�g'O COMBINATION KBUILDING MECHANICAL PLUMBING SIGN <br />DEMOLITION --- v„ovE <br />— — psincoaess o�v nP <br />S,....��: C� (�� �:,'tir4! �1f1c3 252-�11�/� -- <br />'���-f P�,�„ _ �oZ� �_��. ��,Y ,,,: ��a.E <br />R1A'L AC[lRI.55 <br />�.��..',1CC.TORDESIGN[P AIAIIA�D�65 CIIV ]iP PNOYE <br />_n;lnc•a ��,f�;ny 172oL/1�715tn �G °K�Z2yR.�/r�d �I�4�52 v86S-�ss-� i uy . — <br />GCN[fiPICONiNACiOR MdIL�DDRE55 e7 <br />� .. .i n .,. _ 7i„c_...th 5..���+�4� ��Zpl `.LS�"�[H3—PR/l � 7r - <br />VfO�NIiCALGONiPAC10R AIAh <br />1 �,1"!IIING LONTRRCiOA <br />Cl �'SS OF WOAN <br />NEW XADDITION ALTERA7ION REPAIR <br />".1 ,/�� /�-�+s.f �L �2/ f.?� <br />�/.tt-� �%'� ,�T <br />C:`Yl(iAGI iRiCEOfWORK <br />f I SCIiIBEl �1YOA`K PN� SOUAFE FOOiAG[ INVOLVLO <br />A nll/.�Y!...-. 3 �� SL4cr_l. <br />BWLDMG <br />t LGAL D[SCHIPt/JN OF PROP! <br />LUi S � ALOGK <br />$o2a �u�cw D <br />, �. n r,� non��[ss <br />PLUMBING <br />NO. TYPE OF FIXTU <br />_ WATERCLOSETITOILE <br />BATHTUB <br />LAVAiORV(WASH BA51 <br />SHOWEii <br />KITCHEN SINK 8 DISP <br />DISHVJASHER <br />LAUNURYTRAV <br />CLOTHES\VASHER <br />URINAL <br />Gi <br />�� � J� e,� /%c rcS <br />FOR OFFICE USE ONLY: <br />IIIGN1SEiOFGK PEARSE18AC8 <br />Z"� r -- . zc� � <br />USE ]ONE ���� A���A <br />�- 1 . v.��.r <br />lri'f OfCONI� PII�WFBLE IWE Or WN9 ALIUAL <br />�J� _ -/J <br />s ZE OF BI�G NOAF SiORIES <br />ocrurnrvc �ono r�n�srnr�kius <br />�[ASONfOR:PRiNNLCRS� �� <br />TOTAL S <br />MI7 5 _ <br />4L FEE S <br />SiDE 5[i9nC <br />����N� re <br />�o <br />MGU�6YLv <br />cnm: <br />BA�[tII <br />t�r <br />DEMOLITION WO�OSTOVElFRPI.INSERT <br />� COrv1ALiPEn50NANDPNONENO <br />i�cEr�st:. <br />L�LEY.SE • <br />BUILDING RELOCATION <br />I HEREBV CERTIFV iHAT I HAVE READ PND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL BE COtAPLETED VJITH WHEiHER SPEGFIED HEREIN OR <br />NOT. 7HE GFANTING OF A PERMIT DOES NOT PfiESUML TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH[ <br />PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHORIZLD BV TNE <br />OWNER Of THIS PROPERTY TO PERFOR1d TNE WORK FOR WHICH <br />APPLICATION IS tdADE AND I COMPLV W�TH THL STA7E <br />CONTRACTORS LAW 182%FCW P.ND 296200 WAC. <br />.,:GuntuFl[o�coNlPncroa011nur��cial!onGENT onTE <br />X ��,,,,(�h 3 - / - 4' <br />ni i.ic�irveas�v�ssucrrsi.i�o�r.oeuswessunue <br />MECHANICAL <br />FEE NO. TYPE OF EOUIPh1EN1 <br />A�C-ANNDLG UNITS-H.P. <br />FORCED AIR 5`.'STEb1S-B T.U. M E.A. <br />. uNIT HE�TERS-8 T.U. M _ <br />P�nN <br />OUILDING <br />,�,���niv.n:,, — <br />� PWMOING <br />NNGHi IIMIiPI lON <br />zs� <br />r�rnKeer �A11°°t°�'° CITYOFEVERETT <br />l LOCAL SALES <br />3/�3 TAX COOE IS 3105 <br />� �� —_--�--�— <br />MECHANICAL <br />_ fIREPLACE 8 CHI EV <br />LACE INSERT __T <br />PUMP <br />'IPING . _ <br />UST P <br />SU�TOT�L 5 <br />PERMIT S <br />TOTALFEE 5 <br />c S'. 4 n <br />ueen r i i � r,eccir, uo <br />�s5 ' .�.�Gu� v57Y� <br />g VALUATION FEE <br />�IU ASi� �� �' : �`-� _ <br />AODITIONAL PLAN CHECK <br />OTHER <br />STPiE f3UILDING SURCIi4fiGL <br />PUOLIG INORKS <br />IOTAL <br />�,S- ;:�a <br />