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APPLICATI�..� FOR CONSTRUCT.JN PERMIT <br /> ux�Eva�pmm� everett <br /> CIIY OF � <br /> everett <br /> BUILDING D[PARTMENT <br /> 259-8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION BUILDING 1`MECHANICAL PLUMBING i I SIGN <br /> -- - -- _ – - - <br /> ovmen u+n �no�a-�z: nir rm - �h�nui <br /> �"''�—�/Si��'�r-1 j/C�'[�r,i1t,�?C _<'l�/'- z5�-1.��— <br /> 1'NANI u,w .mncss cnv � im- -- r�nor�e <br /> 6RCHIlEGiORDES�GNER IAAII Ap�RGSS f.11V 211' � PIIONE <br /> GENERM CINiR�C10N IA�iI AODIIL55�-'�-".. .'--"�- -'- CIIV -'�-" 211' --_�'- 1'11011F I ICENtiC r <br /> MECIUN�C�ICd�iMCT011 MAIIApOR[S5�-� ' �' �� �- � CIIY -"" -�--_-211- ---���_-1'b0!1[_�-_�—_IILGNSGI <br /> 11G�._cuef�$_t.li�� 'L�z![c�_l��L `�, �-l�f ��;�<< _ ���`L_S�'31_nt.iL+�c�13.��s <br /> PlUA1BINGCONiR�f.IOR M�II ADpR1�55 Cilv IIP PIIONI�. lICC115G1 <br /> ________ " -___ -_ ____ ._ <br /> G111550F1N7fIN .. . -_-���-�— <br /> D<NEW : i ADDIIiON �. ACTERATIQIJ HhPAIH � OLAIOIIIION . � W(X7US70VEiFHPLINSERT I I BUILOINGRELOCATION <br /> _'__-___-_.____ .._ .-_ '-__ __' . __'__.' __._ <br /> TFNAN7 1MPROtlEMEN1 OR INiCfihJN HLMOOU.WII Y CONI�C I PL HS�NI ANU PIIOIlE NO <br /> i) �1`� <br /> CONiR�LTVRIGEOFWOIa: `'� �_ _. _" . . ___-' _- ___ <br /> DESCRIBE WOPN�ND SOII�RC f001�fiC INPCX VlU - " - "� -'---_—�- " -� <br /> � ./ 'S�(� C>i.t.1 CL//�LY1� __L%.LZLVL:�--"_ .. . ._ .__ ___ ___. __— <br /> PROPOSEOUSEOFBUIIDMG I IIENEBY CERIIFV THAi 1 HAVE READ AND EXAMINED THIS <br /> C�yl� �jY��. ,..,_ „ « ____ APPLICATION AND KNOW THE SAME TO OE TRUE AND CORRECL ALL <br /> ir`aucEscprrior�ove �enivisuowuneiowon�rucurrnmr.o�ns� PHOVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br /> - WORK WILI_ BE GOMPLETED WITN WHETHER SPECIFIED HEHEIN OR <br /> ior _ uia:K 'ar ___._________ _____ NOI�. THE GRANTING OF A PERMIT DOES NOT PRESUME TO �IVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTI�IEF STA�E OR l OCAL LAW qEGULATING CONSTRUCTION OR THE <br /> - �- -� ��� ��-- --�-� ------ PERPORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV TNE <br /> OWNER OF TIIIS PROPERiV TO PERFORM TNE WORK FOR WHICH <br /> ------...___ .. APPI ICATION IS MADE AND I COMPLY WITH TFIE STATE <br /> CONiHACIUHS lAW IB27 HCW AND 296200 WAC. <br /> Sli{IlAI I tlll.UI f:Ulll NAI.IJH UII�III I IUIO[LU�fiLNI ORI! <br /> ��l�t�� �-�C_�_.__ �"L�.� _ - X �" � . , <br /> PIqJE.TADURESS .••.1 _�/( L ______ <br /> nP IIUNiSUtYpII51Hf.551�C1115C RN01111SiNLSSN�MG <br /> PLUM&N6 MECHANICAL <br /> NO. TVPE OF fll(TURE OH ITEM FEE NO. TVPE OF EOUIPMENT FEE <br /> WhTER CLOSET�TOILET) A'C -A�IINDLG UNITS-H.P. <br /> - . ._. ._______._'___ ___.' --________-_-- �- <br /> AATHTUB FOflCED AIR SVSTEMS-B.T.U. M E.A. <br /> _ _ __.___. ___..--�- _-_.- _.-___-__ - � <br /> LAVATORY(WASH BASIN) i UNIT HEA7ER5-B.T.U. M i <br /> _-" _ _ _- T_ <br /> SHOWER � CLOTHESDRYERS <br /> KITCHEN SINK& DISP VEIJTILATION FAN � <br /> DISHWASHEN —�- RANGE HOOD � <br /> LAUNDRV TRAY ' WATER HEATER ' <br /> CLOTHES WASHER --i- � WOOD STOVE i <br /> _ --,- <br /> URINFL METAL FIHEPLACE 8 CHIMNEY ; <br /> DRINKING FOUNTAIN ; FIREPLACE INSERT ; � <br /> __ ____-_- -_- _-. -�- <br /> ____--_- <br /> FLOOR ORAIN � II[AT PUMP ! <br /> — _ -'-_..-.__. . _. . . <br /> . _�_ . _ _. _. . _ _ . _ .__ . _�_ ___--___ — <br /> BACKFLOW PREVENTERS � GAS PIP'^r'i ' <br /> __ ----.._. __._'_____�-_- '. - _-__' ' ___--____- �-'- <br /> ROOF DRAINS-RAINLEADERS _ . _ � EXHAUS f FAN _ __ <br /> SINK�SERVICE-BAR.ETC.) <br /> _____-�- __- - <br /> -___—i_- __._ ___ i <br /> i <br /> - --__—�—_ ___- -_ �— <br /> SUB TOTAL $ SUB TOTAI. $ <br /> PERMIT S- -���_�'-�--�i-�� ����-� _ PERMIT $ .__y_ <br /> TOTAL FEE $ TOTALPEE $ <br /> fRONi5E1Bl.CK NCANSLIOACF SIUGSLIINLH I'IAI�OII:GKIIUtd6CH If6 RWHPiNO <br /> usezoN� iotua.� vni.nui�ni. FEES VALUATION FEE <br /> — -�- <br /> ..... ' ' YBS I � NO B;uIPWG i <br /> ____ _ __ - <br /> IYPFOiGON5I�l10WA01[ iVYC01CON5I�LI1IAI �. �r �in�xi.mnixr.uxus _ . _ _ -'_ ---- --"---- ---'- --- � <br /> PLUId131NG i <br /> -- __ ---�— <br /> SIIE OF B�fK NOAF STOHIES OASOALIII MECHANICAL <br /> I � YES ! INO ---- <br /> OCCUPANGYLO,\0 FlRESPRNNLERSPEO'0 IIHGIIi111dI7ATION OTIIER i <br /> I I YES I I NO _ g7p7[pUILDINGSURCHAHGG � <br /> REASOII FOR SPRINNLERS -'---�-- �— <br /> STATE ENERGV SURCIIAfiGE i <br /> i <br /> �PPII:AtIpN�CC.9V PIAIISAPPROVEOBV CITYOFEVERETT PUDLICWOHNS � <br /> LOCAL SALES � <br /> TAX GOOE IS 3105 TOTAL � <br />