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APPUCATIG_� FOR CONSTRUGT.JN PERMIT '"'''°" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> ; , <br /> everett - - - � <br /> � r:°ATING SYSTEId�. J GAS J ELECTRIC J <br /> 6UILDING DEPARTMENT � -- --- - ----- ------ -- --�—� <br /> 259-88�0 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> O�Y�E�i MAiLApDRESS CItV I.n r��,y- <br /> �rt„ �,�,/...r� UI'I �/77 - 5:, �=�w G✓y rJf 5'; 3C-'7�j <br /> ilN�Ni M41LAppRESS GiV ZIP PHON[ <br /> ���� •��'CCiORDE5IGNER M�ILR�DP[55 GITV ZiP FHONE <br /> . .i �rq�pNiBRCTOB 1AAItRODRE55 CITY ZIP PIIONE UCENSE� <br /> �•� ��nN�GnICONiRPG10R MA�LADDRE55 / CITv Z�P PHONE I�LENSE• <br /> � Ci1 � �U �J. 1✓;.}�. ✓<�1 .� �3f1 U - lfi� � (a✓r f�✓� /�yZO l 7��7 �5f17� �I,ICr�r�//pi �L <br /> 14uMB�NGCONTF�CTOA M�RADDRE55 CRv IiP PHON[ LICENSEr <br /> � � '�T. ���///cl<SS OF WOPN <br /> y y y /v' NEW ADDITION ALTERATION REPAIF DEMOLITION WOODSTOVE;FRPL INSERT BUILDING RELOCATION <br /> H� � � ( ���i CONUCTPWSOHRNDPIIONENO <br /> y �"� lONIH,ICT�RiCEOFWOFN /��S <br /> OL SCRIOE WDRN AND SOWR[FOOT�f.E INVOIVE D <br /> �C y � / <br /> � N � � i�/3 .0 n � e�nd ✓� <br /> V7 H[� �rnuaoseouseov0uiioiNc I HFREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br /> � �1 3 Jn'�l �'��II APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �'� � � �ecn�o RIPiIONOFPRocarviseowrvee�owoaen�cNrovacoaiEsi PROVISiONSUFLAW5AN00RDINANCESGOVERNWGTHISTVPEOF <br /> W'ORK WILL BE COMPLE7ED VlITH WHETHER SPECIFIED HEREIN Ofl <br /> H <br /> �y �ot e�ocK � NOT. THE GRANTING OF A PERIdIT DOES N0T PRESUIdE TO GNE <br /> M� [�+] p AUTHORI7V TO VIOLATE OR CANCEI THE PROVISIONS OF ANY <br /> �` nCC OTHER S7ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> x H 3 PERFORMANCE OF CONSTRUCTION.THAT I AIA AUTHORI2ED BV THE <br /> � y �:� OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> H y _. . APPLICATION IS MAOE AND I COMPIV WITH 7HE STATE <br /> ty y CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � H S�GNa�un[orro!rtnqctoao�nuir�o:�R[oaG[rrt om[ <br /> O C7 fn <br /> �� � --- -- X " L - -- <br /> F3� U] rnnrtC�nDtmts; �� . �htill <br /> ��� �� � �� nPPL� �NISCrtv(3UbW 56UCE�A�tlO �Nf��J�ML5511FUE <br /> PLUMBING MECHANICAL <br /> � N0. TVPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WAT[R CLOSET(TOILET) A�C—AHNDLG UNITS—H.P. <br /> � BATHTUB ( FORCED AIR SYSTEMS—B.TU. M E.A. � <br /> 'i LAVATORV IWASH BASINI UNIT HEATERS—B.T.U. M ' <br /> �� _ SHOW[R CLOTHESORVERS �__ _ <br /> KITCl1EN SINK 8 DISP VENTILATION FAN <br /> DISHWASHEq RANGE HOOD . �� <br /> LAUNDRY7RAY WATER HEATER � <br /> iCLOTHES WASHER _ WOOD STOVE . <br /> �� :iRINAL ME7AL R{7EPLACE 8 CHIMNEV <br /> DFi1NKING FOUNTAIN FIREPLACE INSERT ' <br /> FLJOR DRAW HEAT PUIdP <br /> �ACHPLOW PREVENTERS ?� GAS PIPING ' <br /> �� RCOF DRAINS—RAINLEADERS EXNAUST FAN <br /> SIIJK ISERVICE—BAR.ETC.) J <br /> 1 <br /> —— <br /> I _ _ SUB TOTAL 5 SUB TOTAL S � . <br /> I ��� PERMIT $ PERMIT $ �_ <br /> �. TOTALPEE 5 TOTALFEE 5 '_ <br /> 1� <br /> FOR OFFICE USE ONLY: <br /> IP09i'ifTPACK REFRSEiORGN SIpE5E10�GN PLANCNEf.KNUTAp[fl ffF. RECLIPINO <br /> i�;sr,omc �orAr�en WCANi51iE FEES VALUA710N FEE <br /> OUILOING <br /> � ���4(Ir�tgµ�pWpBIE LYPE Of CON51 0.�IpAl accuv�x[r iup IX owun'.c.ti�� — —- - <br /> c>ouo p�UM01NG <br /> '':i 2�B�OG. NO oF SIDFIES B�SEMENL MECHANICAL s� - <br /> � . .'�.�°m�CrIOAD FlFESPRNKLERSREOD HBGMlnnrtntloN ADOITIONALPLANCHECK <br /> OTHER <br /> r[r..on fOP SPRINrclEPS r <br /> STnT[DUIL�MG SUl�CHAqGE I <br /> n�inveor curvsnrrnovcoer CITYOFEVERETT put�ucwoi�Ks '� <br /> LOCALSALES <br /> TAX CODE IS 3105 TOTAL j Gu <br />