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APPLICATIC _J FOR CONSTEiUC7 .JN PERMIT ''`'`'"'" <br /> r����r�.��n��=r�� . TO 8E COMPLETED IN INK—PLEASE PRINT � <br /> • <br /> r.nvoi <br /> everett I IiEATINGSYSTEM JGAS JELECTRIC J _ _ -- � I <br /> BUILDING DEPARIMENT � <br /> � 259-8810 � <br /> DEMOLITION COMBINATION BUILG�NG MECHANICAL PLUMBING SIGN I <br /> U�Y [R MAII n00R[55 LIiV 2P PIIONC <br /> �G��D �J`ti5a.n �etz /�o� �i�c%f Filefell' 9�ao/ <br /> .���qy� MAILpDDR[55 GTY ZIP PHONE <br /> � <br /> <.n��ii�ClOfi�E9GN[t1 M4LLADDRE55 GIiV Lv �HONE I <br /> l�J�� — — <br /> :tt+LnALCONiRAGtOR MAILRODPE55 CIiV IIP PNONE LIC[NSE� <br /> ��H �P � Lat'S�'i1.�'�Z����/-2�s�� m�K�yt'J �I4�?.� '�ri��`/75G CfI/ZLLCZl60NN �i <br /> 9Hy UECIIANIGICOtI1RAGiC9 M1IAILP DR[55 GITY ZIP PMONE LICENSE• <br /> H ��` -- - GTY ZIP PHONE IICENSE• � <br /> 1� xH i�iui�piNGCONiRACiOR MALA�ORESS <br /> M� C'J <br /> H�1 <br /> a nss nr WcaK <br /> � V1 H NEW ADOITION X ALTERAiION X REPA.+ DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> � z� '�O� ��/ �n � CONLACT PERSpN AND PIIONE NO — <br /> � G — <br /> � COMRACi PFICE OF WORe Y � C 7 <br /> OH�y /,(pCSCR�O[WORKANOSOLAIiEFOOIAGLi�VEO -�- � � � <br /> H ['�qO 'll�eYylE' V1� � ni5 �1 — ��!'F/�)<�t_�, i, �� � � . ' : L� 1 ' .. ��,7 / -/ <br /> �• n rJ�roseouseoremiowc I H RE�Y CERTIFV T,�HAVE RE D AND EXAMINED THIS <br /> zy� �/�5,i nP � c,�� APPLICATION AND NNOW THE SAME TO BE TRUE AND CORRECT.ALL . <br /> � I� a PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE CF <br /> .z ieanioescamnouoFvnovcarvts�owr+ �i �rouncories <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> � �y «;�����(_� �3ioc.�, �F T c-' p I C NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE �� <br /> Fy J AUiHORITV TO VIOLAT[ OR CANCEL THE PROVISIONS OF ANV � <br /> � d y ��0� �O �Je r e� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION('R THE I <br /> � �� PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE ; <br /> OWNER OF THIS PFOPERTY TO PERFORM•iHE WORK FOR WHICH <br /> yHOy pPPLICATION IS MADE AND I COMPLV WITli THE STA;E <br /> CONTRACTORS LAW 1827 RCW AND 29E200 WAG� �O_�� , <br /> S�GNAiUREOF�ONiHACiORORAU1110N4[DAG5M DATE <br /> L Lf12�L i7J G��T�ICcTIC�I/� � <br /> — - ,��_t_�l�—.C.l�__��'�✓� S�C� �, <br /> J v1c.�_r�� ' <br /> rra�ci noontss � <br /> ) A F�iLANiS CItY OUS4[55 UCENSE NO AND BUSMESS NNlE <br /> n /C.CC_.�� <br /> PIUMBING MECHANICAI • <br /> NO. TYPE OF FIXTUriE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> � � f — ti'C—A�HNDLG UNITS—N.P. ' <br /> � � � WAT[R CLOSET�iOILE7) _ ; <br /> BATHTUB ! FORG[D AIR SYSTEMS—B.T.U. M E.A �_ <br /> LAVA70RV�WASH BASIN) UNIT HEATERS—B.T.U. M �_ <br /> f�'" + _� SHOWEFi i�'— CIOTHES DRVERS ( <br /> � � KITCHEN SINK 8 DISP VENTILATION FAN � <br /> DISHWASHLR RANGE HOOD � <br /> L�UNDFYTRAY WATER HEATER � <br /> ' "� WOOD STOVE ' <br /> I � CLOTHESlN�SHER <br /> � — METAL FIREPLACE 8 CHIMNEY <br /> URINAL ;— <br /> ORINKING FOUNTAIN FIREPLACE INSERT <br /> T <br /> ;�i FLOOR DRAIN _ HEAT PUMP <br /> - BACKFLOW PREVENTEfiS GAS PIPING <br /> ROOF DRAINS—R�INLEADERS EXHAUST FAN <br /> / SINN�SERVICE—BAR.ETC.) — � <br /> � � <br /> —i— <br /> �'� SUB TOTAL 5 �; — SUB TOTAL 5 ' <br /> P[RMIT 5 PEIiM1T $ <br /> TOTAL PFE 5 � ' i��1 TOTAL FEE 5 � <br /> FOR OFFICE USE ONLY: � <br /> iNC.NiSETpACK REAfISRBACN SIpE5C�113ACH �lFNG11ELNNOMflU1 H'L REClIPiNO � <br /> red,vor�r. �ot nnu VALPNi SrtE FEES VALUATION FEE I <br /> �UILDING _ ����'� <br /> IJf01rON1$ALLOWh9lf LYROlLOtI5i�C1UAL MCuv�Ftv XOpvxin'�h::�.p.�:s <br /> �°0j° PWM�ING � ��J L <br /> 5i1[OFBIDG NOAFStOFiES O�Sf.MeNT MECHANICAL _ i <br /> OGU1PpNCYLW� FIRESPPNKLERSRE00 H[IGNTtIMIiAiION — ADDIT�ONALPLANCHEGK I <br /> OTHER � I <br /> n[nSON POR SPR�NNLEFS —T <br /> SiA7f.C1UILUIHGSURCH�FiGG _ , � 1� � <br /> bn�hiov ��A�z^�'�'��'������ CITYOFEVERETT r�uoucwoi�Hs � <br /> LOf,ALSALES , <br /> TAl(CO�E IS 3105 TOTA� ;(� I `�r� <br />