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i <br /> � APPLICATIOC+� FOR �G`ONSTRUCTI.�N PEF;MIT everett <br /> �E���� TO BE COMPLE7ED IN INK—PLEASE PRINT � <br /> CITV OF <br /> everett HEATING SYSTEM: I,GAS U ELECTFiIC U <br /> BUILDING DEPARTMENT <br /> 259•8810 <br /> �7 DEMOLITION i I COMBINATION ✓BUILDING I I MECHANICAL I I PLUMBING I_I SIGN <br /> OWNER LAOORESS QiY 21P PHONE Y <br /> CRa�?3 /�nkse �.vE/�s ��o� 2lor9�ur-�� C✓�.�t 98u� `�-sy`�.s� <br /> TEN�Ni MAILAOpRE55 CIiV EIP PMONE <br /> ��Oc�.4�.a.t <br /> AR�CT�UESIGNED� Mr1119D��E55 w��� . ��rY�., z!�' vHONE <br /> !�o T6 �S ���'jG/ 'f-�3 52-9.�z <br /> OENERRI GONTRACTOR MAIL�OORE,� CITY 21P PIIONE �CENSE• <br /> �! v N(G1 C✓D� C o vLs�i„c. a o,,,�v A✓� ��.T 9�i�i <br /> ' ME N�NICRLC iR�Ci R MRILAUORE55 CI�Y 21P �NONE UCENSEI <br /> �� <br /> PLUMBINGCONTR�C10(1 MMLRODRE55 CI1Y 21P PHONE IILENSEI <br /> ��+ <br /> CLASS OP WORK <br /> I 1 NEN �ADDITION '� � ALTERATION ! � REFNR ! 'i DEMOLITION I I yy00DSTOVE/FRPLINSCFIT I.i BUILDINGREIOCATION <br /> � C�NUCT PERSON�ND P110NE NO <br /> , CONTR�CTPRICEOFWO� ����G�O � �� �� , I <br /> � U�EpSCRIBEWORI(QANDSOU�REFOOT� EINVOLVED /� � <br /> ' �D1[14�j ONNlr�A(LPJ�?T I7v� <br /> PPOPOSEOUSEOFBU�lOiNG I HEREBY CERTIFV THAT I HAVE READ AND E%AMINED THIS <br /> 7�.p���f � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �`n"' PROVISIONS OF LAWS AND ORDIIJANCES GOVERNING THIS TVPE OF <br /> ' LEO�LDESCRIP�IONOFI•ROPERiY�SIIOWNBELOWOl1RTTAC11PoUfiCO�'IES� <br /> WORK WILL BE COMPLEiED WITH WHETHER SPECIFIEO HEREIN OR <br /> � �or BLOCN or NOT. THE GRAN?ING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> S �-0�T Or I�6(i f= �'S OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> . — PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> . � p � �� /� ��1', /_���HG/rE�� OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> p(� nr APPIICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. � <br /> � �L�'r 0% �Ve�.�hL� 516N�fUREOfCON111RCIOf10q�Ut110RIZED�GF.Ni onte�/�/ � <br /> �� ot=�c�'rs �ft6'E lo/ S�� X <br /> � PROJECS ADOf1E55 <br /> � pPPLICA� SCITYOUSINESSLICENSENO BVSINESSNAME <br /> c.K <br /> PLUMBING MECHANICAL <br /> : NO. TVPE OF F�%TURE OR ITEM FEE NO. TYPE OF EdUIPMENT FEE <br /> . WATER CLOSET(TOILET) !VC—A�HNDLG UNITS—H.P. � . <br /> � BATHTUB ; FORCED AIR SYSTEMS—B.T.U. M E.A. � <br /> LAVATORY(WASH BASIN) i UNIT HEATERS—B.T.U. M � <br /> —� <br /> � SHOWER ' CLOTHESDRYERS ' <br /> KITCHEN SINK 8 DISP i VENTILATION PAN __�_ <br /> DISHWASHER RANGE HOOD � <br /> LAUNDFY TFiAY _�_ W�TER HEATER ' <br /> CLOTHES WASHER � WOOD STOVE � _ <br /> URINAL METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOVNTAIN FIREPLACE INSERT i _ <br /> FLOOR DRAIN � HEAT PUMP <br /> BACKFIOW PREVENTERS __� GAS PIPING � <br /> EXHAUST FAN —_r <br /> ROOF DHAINS—RAINLEADERS — <br /> SINK(SERVICE—BAR,ETC.) � — <br /> � <br /> � <br /> — <br /> --T— <br /> � _ <br /> — � � <br /> SU8 TOIAL $ SUB TOTAL $ ' _ <br /> PERMIT $ PC-RMIT $ _ <br /> TOTAL FEE $ TOTAL FEE $ _ <br /> FOR OFFICE USE ONLY: _ <br /> FRONTSEIB N �E4RSGif1AGN SID[SE70 K CIANCHECHNUMf1ER FEE RECEIPTNO. <br /> h D' _�i �"d `4u/� s-v,r 3.Go 3a �oY <br /> us=_z / ioinnen� vncnursne � FEES VALUATION FEE <br /> TYPEOF�S.�IIOWABIE IVPE�LONSL�AL atur�xtt xoaw�twxGUonS BUILDING 'y s I <br /> —t_� <br /> �� rnnvr PLUM�ING i <br /> ,,L- rl � � <br /> 512EOFBIDG NCAFSTO IES O�SEMENT� MEC(H�-A�NICAL � <br /> � �a 5� U �.! S ��S <br /> OGCUPANCYlORO FIf1E5PRNMLE115Pf.0'D NEIGIIIUMI1�ilON DIIIpNA�NC E(.� <br /> �. �� , �JTNLRa{ ' <br /> — _ � <br /> REASON FOR SPRINkLEf15 <br /> STATE BUILDING SURCHARG[ <br /> INT�NEBY PL�NS��PROVED�Y CITYOFEVERETT PUBUCWORKS � <br /> �� LOCAL SALES � <br /> TAX COOE IS 3105 TOTAL ;7j5 <br />