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APPLICATIO.J FOR CONSTRUCT.JN PERMIT `'``'"'" <br /> p�„r,���rn,���•�� <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> Citv ot� --- <br /> everett ------- - - <br /> ---- — -- —1 <br /> HEATING SYSTEM: G�S J ELC-CTRIC 'J __----- -- --- �-- <br /> BUILDING DEPARTMENT —�— <br /> 259�8810 <br /> DEMOLITION COMBINATION �2 BUILDING �MECHANICAL PLUMBING SIGN <br /> tmi noon[ss ^UC�l1' ��''�--`� ziv r��aNe <br /> ` '.� " y Ev�yg.aoi as� -�L�9� <br /> �{'y�{Gs F. I�o.o�J ���lo�= .�„ ����a��� <br /> ,� ..;,, <br /> ,.,�„�o„�,�,, �:�,. <br /> — - -- u*r Zm a�wr+G <br /> ,� ,.��nc�onurs�r�+cn uniinooqEss <br /> �.�^"CBA�l�C"ON1MnC�1011 � � MA�IIA"DO"RE55 UiY IIP PIIONE LIlENSE• <br /> _Y_u.u_e 1 rC�G,�t,u.L��� [--.�u9n.l.l' R-��,E✓e�ZGt 48�� �5q-599.2 VA�LENb IS�LI <br /> �•i r��n�nc � aa+rrincron �.�an nooncss <br /> a�v z�r aror+E uccr+se. <br /> �r np -- cnv zia ano�ic ucer�se. <br /> �yqy r�u•,tnr+aconrnncwn nmi�nooness <br /> i0 R1]C - <br /> ❑ � l:14i50FWOHK <br /> r NEW AD�ITION ALTERATICN REPAIR DEMOLITION WOODSTOVEiFRPL INSERT BUILDING RELOCATION <br /> COrvinC t PERSON AND PHONE k0 <br /> H 1�-i � / �O � <br /> fC y � .•tnnu vmct or v�onrc So <br /> pt 6(',n�oE WOR[RI�SOUAnE f W 1aGE���YOLVEJ <br /> �y� z�skc,l�_ �,y -Furnac� an wat,�- <br /> y r cnovosc�sEOFo�wr�c I HEREB� CERTIFV THAT I HAVE READ AND E%AMINEfi THIS <br /> CO'.L' 3� 4 APPLICATION AND KNOW THE S�ME TO BE TRUE AND CORRE:T. ALL <br /> y PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS T'PE OF <br /> ir,-,nieExaianorroFaaoPenrv�sHowneeiowonnnncNiouacoviesi WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HER'IN OR <br /> H �C ��„ yiocK ov NOT. THE GRANTING OF A PEFi1dlT DOES NOi PFiF.SUME T�) GIVE <br /> � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS �F ANV <br /> QV � <br /> �.,� C OTHER STATE OR LOCAL LAVJ FEGULATING CONSTRUCTION 9 TH <br /> 7.,y 3' PERFOFMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED B1 "'�E <br /> CZ OWNER OF THIS PROPERTY TO PERFOPM 7HE 15'OFK fCR WI,I��, <br /> p,�y APPLICATION IS MADE AND I C01dPLY WITH 7HL RTATE <br /> ly VJ CONTRACTORS LAW 1827 R�W�ND 296200�v�C <br /> O H sic+n*u�eoFca�rnarronarvnun�on¢eoncer�r rn,i <br /> C]CN <br /> � X���—�{�[�j!—�/��//�/�l/� �L� d��C�U2L�_�7LL� <br /> y Vts1i _ — --- Y ,�y��� . <br /> Q [/� fiIOJCCIAD��1E5ti ' 4�PLiCA41SOtYAU51.E5`_ �C[NSLNO A��� NSSNh4L <br /> � � i _ _� �i � — r <br /> PLUMBING MECHANICAL <br /> NO. TYPE FI%TURE OR ITEIA FEE NO. TYPE OF EOUIPMENT FEE <br /> bVATER CLOSET ITOILET� _ A�C—A�HNDLG UNITS—H.P. <br /> � BATHTUB FOqCED AIR SYSTEMS—B.T.U. M E.A. <br /> I �� LAVATORY I�VASH BASIN� UNIT HEATERS—B T.U. M <br /> SNOWER CLOTHES DRYERS <br /> ' KI7CHEN SINK 8 DISP VENTILATION FAN <br /> OISHWASHER RANGE HOOD <br /> � ._� LAUNDRV TRAV � WATER HEATER <br /> I I�I _ CLOTHES WASHER _ WOOD STOVE <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> ' ORINKING FOUNTAIN PIREPLACE INSERT <br /> FLOOR DRAIN HEAT PUMP <br /> � ' BACKFLOW PREVENTERS GAS PIPING <br /> � E%HAUSTFAN <br /> ' ROOF DRAINS—RAWLEADERS <br /> SINK ISERVICE—�AR,ETC.) <br /> 1�� <br /> SUB TOTAL S SUB TOTAL o �O <br /> �'� PERMIT 5 PERMIT 5 /.S <br /> �- 70TAL FEE 5 TOTAL FEE S Yf <br /> FOR OFFICE USE ONLY: <br /> rno��rsern�.cK ncnnsei�acK soe5�rencK �i��+n�ECKr�vunrnr �EE nECEivrr.o <br /> � �3��aJ <br /> usczoN� iornnea VACANi5i1E FEES `/ALUATION FEE <br /> w <br /> euaoiNc <br /> imco�caxiseuowaeie nacorcaxs�ecmai «c��.�o �oaa�<<<�.,�:��'s -- <br /> �°1yJ° PWMDING <br /> ;¢E OFBIUG NO Of STORiES B�SEMENt MECHANICAL - yC " Y� ' ^ <br /> p��uoANCYLOAp iiRESPRHxlEN5RE0'0 NEiG�rtLlurtRTiON <br /> ADOIIIONAL PLAN GMECK <br /> OTH[H <br /> T <br /> lil P SON�C.�.PPiNFi Flati <br /> SiATE BUILDING SURCNARGE <br /> ;:,,.�, ,. �,,,•r:n�=��oveuo� CITY OF EVERETT PUBLIC WOflKS ; <br /> LOCALSALES <br /> TAX CODE IS 3105 T�TA� y S I <br />