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APPLICATIC.1 FOR CONSTRUC'P.JN PERMIT `'`°"'" <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> .„[�r,rnoi� <br /> CIiV OF _ .— — -- __� <br /> everett ( HEATING SYSTEM ,]GAS J ELECTRIC J _--- - - - <br /> BUILDING DEPARTMENT <br /> z59'88�0 '�MECHANICAL j�' PLUM�WG SIGN <br /> COMBINATION BUILDING <br /> DEMOLITION Z,p a��oyE `, - <br /> MMLAOORESS \� ,. G�1� � - .. 1 1� <br /> 0�1'N[R ( �� \� � � �� � " � 1 �_ ��� `A 1 <br /> � �� �� � � � nr� ,����P �� � �� � ����� �t �i . � �,Lf � i- POE � <br /> i���q��t MM�AOUF65 <br /> ��r ZP <br /> nqC��ItELiOfi�ES�GN[R MARADDRE55 <br /> CITV 21P �MONE <br /> Z�p PNONE LICLNSE� <br /> epl[RPL CONTRRCiOR <br /> MAIL AOORESS QiY <br /> ICENS • 7n.—) <br /> � ��tl �,��(;�t�11��ti� ��,�Y�E� ��� � fjl � �1���f� Z����'rP � ���. r�331 �,i�7�'�,��1�0��-=-_ <br /> PWMOINGCONiPACiON MAILAD�RE55 <br /> C i Z P PMONE � <br /> C�H <br /> I-i � <br /> H N �cFnssorwoAK <br /> y�M � NEyy ADDITION ALTERATION REPAIR DEMOUTION WOODSTOVEiFRPLINSERT BUILDINGRELOCA I <br /> CON1ACi PERSON AND P110NE NO <br /> q} � (X'�� 1(�JI� <br /> �y� cONiRnCiPRICEOF\VORN ly� !, . ` `-� — <br /> �H� �LSCI110E1YON R OSOUPRELOOl INVOLVED { <br /> a,N �' " 1� 11'1 3 �� 1� '�C�{. �./ <br /> x'2,'� P oroseou [or ib � � � I HEREBY CERTIFY THAT I HAVE PEAD AND E%AMINED THIS <br /> tl�^tl R l ^� � � ��n n� �I APPLICATION AND I<40W THE SAME TO BE TRUE AND CORfiEC7.ALL <br /> � � 11 <br /> P R O V I S I O N S O F L A W S A N D O R UINANCES GGl'ERNING THIS TYP <br /> C �E���or� �i�nor+oFvnoc¢nrrisr�ovrt BElOWOliATiAGNiWRCO°iC51 yypRK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> NC�+1 O iar e�ocK _ or NOT. THE GRANTING OF A PERMIT OOES NOT PFESUME TO GiJE <br /> y�� n�+ AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> z M 3 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> � PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> �i y Y OW�ER OF THIS PROPERTY TO PERFOFM THE WORK FOR WHICH <br /> HH AFi'LICATION IS MA�E AND I COMPLV WITH 7HE STATE <br /> gy CONTRACTORS LAW 1827 FCW AND 296200 WAC. <br /> ndN sior+ntur�eormr�rnrcionounun�ovamncn+r onie. <br /> �o� X , l�:f��fr-' --- • ; ,� <br /> rR � cTA ➢ Ess � �� _f � nV'hC�c/Mrsclt. eUSiNtTSLiL NSENo/��oouSiHEssKn!'t <br /> � �'�I�'��� � ��II�� �I � �I•t �\���.. I MECHANICAL <br /> PLUMBING TYPEOFEOUIPMENT FEE <br /> TVPE OF FI%TURE OR ITEM FEE N0. <br /> ; N0. p-C—A�HNDLG UNI7S—H.P. — <br /> 1 _ WATER CLOSET ITOILETI � <br /> BATHTUB FORGED AIR S:'STEMS—B.T.U. M E.A. <br /> �� _ LAVA70RV IWASH BASINI UNIT HEATEPS—B.T.U. M <br /> SHOW ER CLOTHES DRYERS { <br /> VEN7ILATION FAN <br /> KIiCHEN SiNK 8 DISP — qANGE HOOD � <br /> _ DISHWP.SHER � WA7ER HEATEF ' <br /> I _ LAUNDRYTRAY _ WOODSTOVE � <br /> �� CLOTHES WASHEP <br /> METAL FIREPLACE 8 CHIMNEV <br /> URINAL FIREPLACEINSERT <br /> pqINKMG FOUNTAIN HEAT PUMP � <br /> �1_1 _ FIOOF DRAIN GAS PIPING � <br /> BACKFLOW PREVENTERS EXNAUSTFAN <br /> ROOF DRAINS—RAINLEADERS <br /> SINK(SEFVICE—BAR,ETC.) <br /> !1� <br /> —_ _ " ' •� <br /> SUBTOTAL 5 SUBTOTAL 4 � <br /> �I I — PEPMIT $ _ PERMIT $ �-� <br /> - TOTAL FEE 5 TOTAL FEE 5 � p,C� <br /> lY <br /> FOR OFFICE USE ONLY: necerr No <br /> fPU'USEi9�GN R[ARSEiO�CK SIDESRBAGN <br /> P�MILNEGNNUMOJI FEE <br /> uSfZONE LOtAREA VALANTSRE <br /> FEES VALUATION FEE <br /> BNIDING <br /> irriOfCONiS.AILOW�BIE PIFEOf[ONSLACIOAL a6P�'��� xoa�'<<��'��°°15 PLUMBING / ' <br /> �--r�' <br /> S�I'OFBLW NOOiStORIES BPSEMENL MEGHANICAL _ v���` <br /> � pc;r.U�'ANCYLOAO FlIIESPRNNLERSREO'� NEIGNTLOAIiPlION <br /> pD�ITIONAL PLAN CNECN <br /> OTHER __�� <br /> ut ntiorv FOn SPRiNHlERS STATL BWLD�NG SURGHARGE ' <br /> ir�rAKE nr v�nr+snrv�ovr.o m 1 CITY OF EVERETT ruouC WoaKs <br /> LOCALSALES � <br /> TdX CO�E IS 3105 TOTAL N S���� � <br />