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APPLICATION FOR CONSTRUCT10.1 PERMIT °"'`"" <br /> ;no t��<=�nm�•�+ TO DE COMPLETED IN INK—PLEASE PRINT � <br /> cirv or <br /> everett HEATING SYSTEM: J GAS ELECTRIC _J � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL �PLUMBING SIGN <br /> �): � r.�minoun[ss crtv +�P PHO^�E <br /> ��.�� � �� ���� lll�� Lti�r���,r��.� �-�� 9•s,��/ av 9-���i�',� <br /> tF!�nNi MRILRDDPE55 � ��, Qiv ZiP PMONE <br /> ,j{r�17k� J7.� !/f,CJI�� <br /> m+C�niEGtORpESiGHEF MAILRDDRE55 GTY ZIP PHONE <br /> �' <br /> • �L'�t <br /> G[NlRALLONTR�CIOR MAILADOFE55 <br /> CItY ZIV �HONE LiCENSE� <br /> I ' <br /> , �cLr <br /> ��� NCGUNICALGONTRRGTOR N' �ADDPESS QTY 21P PMONE LICENS[� <br /> [� Lsl <br /> p � � ttuU�INGLONiRnC10R UA��pORE55 CITY lIP FHONE UCENSE/ <br /> � i..i �:Lh _ <br /> � y y cinrsovwoAn <br /> N �'.�, NEW �ADDITION ALIERATION REPAIR DEMOLITION WOODSTOVE�FRPLINSERT BUILOINGRELOCATION <br /> H �M CONLA P R`S�ON ANO FHONE RO <br /> � � CUrviRnCiPRiCEOFWOPK ��"NI�� �J/-G��� <br /> � �i� <br /> �IyH ❑FSCRIB[WORNRNDSOUAPEFOOiAGEMVOLVEO �, C/ /✓%`� <br /> � � <br /> � x rroro5eo/uJseoFeui�owr, � �� �^ I HEREBV CERTIFV THAT I HAVE READ I.ND^EXAMWED THIS <br /> �,�, d /�N S�\E^���- ` APPLICATION AND KNOW THE SAME TO BE TRUE Nf1 CORRLCT.ALL <br /> �� PROVISIONS OF LAWS AND ORDINANCES GOVERNING fHIS TYPE OF <br /> LEGnI o[Scniv➢oN OP i'Ron[RiV�SHONM OEIOW oR AttACM FouR coP�E51 <br /> N <br /> N ��1 WORK WILL BE COMPLETED WITH WHETHER SPEGFiED HEPEIN OR <br /> �� ��r eiceK � NOT. THE GRANTING OF A PERIdIT DOES NOT PRESUME TO GIVE <br /> �-nj� � AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> x y OTHER STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR 7HE <br /> � P[RfORMANCE OF CONSTRUCTION.THA7 I AM AUTHORIZEI BY 7HE <br /> h1 y OWNER OF THIS PROPEfiTY TO PERFORM THE WORK FOR WHICH <br /> C7y APPLICATION IS MADE AND I COMPIV WITH THE S7ATE <br /> n d y CONTRACTOFiS LAW 7827 RCW AND 296200 WAC. <br /> �� � — Si.4AtUH[OFrpNiRPGtO�OqAVi1�ONZC�Af.LNT !)A?[ <br /> y \ <br /> H O Vi — �� � �. ��_ � .— <br /> �r�o�ectnooaess <br /> � � nvruaN cirveusir�e .,ucerrse �o n�ronusr��ssr�nrrE — <br /> 5"` PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—A�HNDI.G UNITS—H.P. <br /> 1 �� BATHTUB FORCED AIR SYS7Eh15—B TU M E A. <br /> LAVATORY(V�ASH BASIN) UNIT HEATERS—B T.li. �d � <br /> _� SHOWER CLOTHFSDRYERS <br /> HI7CHEN SINK&DISP VENTILATION fAN _� <br /> ,_ DISHWASHER RANGE HOOD �I <br /> __ <br /> I � LAUNDRYTRAV WATER HEAT2R � <br /> CL6THES WASHER WOOD STO'�E <br /> URINAL METAL F!REPLACE 8 CHIMNEV I <br /> � FIREPLACEINSERT <br /> DRINKING FOUNTAIN --r—� I <br /> FLOOR DRAIN HEA1 PUMP � <br /> . � �ACKFLOW PREVENTERS GAS PIPWG I <br /> ROOFORAMS—RAINLEADERS EXHAUSTFAN I <br /> SINK(SERVICE—BAR,ETG.) ', <br /> � f�1 � <br /> �'� SUB iOTAL S SUB TOTAL 5 � <br /> '� PERMIT 5 PERMIT 5 <br /> � TOTALFEE 8 TOTALPEE 5 �— � <br /> FOR OFFICE USE ONLY: <br /> fP01lLS[IDPCK REApSETBACN SIDESEIBACK PIANC��ECKNUI.IBrq {[L RECEIPiNO , <br /> usczor+e �orneen vac�n�tsite FEES VALUA7ION FEE <br /> BUILDING <br /> 1��[�fCONiS.AILOWI.BIF ttPEOfG�N51.Att0�L aGqW�rc� xauoHuim:�,�.'S — <br /> PL11h101NG <br /> 5¢EOFOLDG. NOOFSTORIES O�SEA:'cNT MECHANICAL <br /> OCCUPANLYLOAO FIPESPRNNlERSR[O'� NEIGMiUMITATION �DCITIONALPIANCNECK — <br /> OiHER <br /> _' ----� <br /> NEASONFORSPRINNIEFS <br /> STAT[�WLDING SURCHARGE � <br /> rt�rn�eer r�unsnrrnoannr CITYOFEVERETT ruoucwoRKs <br /> LOCALSALES <br /> TAl(CODE IS 3105 TO'RL <br />