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APPLICATI0;;3 FOR CONSTRUCT:'�N PERMIT e�e�P« <br /> m.e„„p.,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> piY Of <br /> everett HEATIN(3 SYSTEM: OAS O ELECTRIC D <br /> BUILDINO DEPARTMENT ' <br /> 259•BB10 <br /> '7 DEMOLITION ❑ COMBINATION ❑ BUILDINQ 'MECHANICAL PLUMBINO ❑ SION <br /> � W}�D011[Q CITV � iIP plp�( <br /> • �f mnre Y�VP_ ��- I�l��' y8abl <br /> iEMNIT....- ' ' ADOqiN UTY iIP PHONE <br /> .,� '�.i � ;i= ' !li . - <br /> •�a�merwaw�n ►u��oo�es an nv P�qNE . . . . � . <br /> o[�1iwCwrin�ct0n w►�ooneas cm . nr v� uccra[� � , . <br /> COMINC M II I ZIP , PIqNE � NI[1 <br /> V � <br /> �MMG Tql W1�D011EN CIIY ' iIP �Npqf t��� .: .. .' <br /> CIAMOrNdll{ . . � ' � ' ' <br /> . NEW ❑ ADDITION ❑ ALTEHATION G REPAIR L DEMOIITION i_l WOODSTOVFJFRPL INSERT ❑ BUILDINO iIELOCATION <br /> .. O O O CONT�CT PERSpN N!D IMp/[1q. <br /> cartMcr nwa a wowc <br /> onaw w�o roor vEo <br /> , 3 <br /> � I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THI6 <br /> APPLICATION AND KNOW THE 9AME TO BE TqUE ANO CORRECL ALL <br /> a nr r�owon�rr�cH Fwn corKai PROVISIONS OF UWS AND OfiDINANCEB OOVERNINfi TM18 TVPE OF <br /> WORK WILL BE COMPLETED WITN WHETMER BPECIfIED MEREIN OR <br /> �� K� � NOT. TNE ORANTINO OF A PERMIT OOEB NOT PREBUME TO OIVE <br /> , AUTHORiTV TO VIOLATE OR CANCEL TNE PNOVI810N8 OF ANV <br /> OTMER STATE OR LOCAL LAW REOULATINp CONSTqUCTION OR TNE <br /> . PERFORMANCE Of CONSTRUCTION.THAT I AM AUTTi0RRE0 BV TNE <br /> � OWNER OF THIS PROPERTY TO PERFORM TFiE WORK fOR WHICM <br /> APPLICATION IS MADE ANO I COMPLY WITH TME STATE <br /> • CONTFIACTORS UW 1827 RCW AND 2Y8.700 WAC. <br /> �qruninc a canawron on�urwnueo�o[Nr a�a <br /> .. X ��{�1��1, l ;i'I ,��.P,C,� �����1 �l <br /> 1V►LKANT CITV W8WE6{LKEN6E NO.Nq W/MN MA <br /> KlWMO MECIiANIC1IL <br /> N0. TYP!Or FlXTURE OR IT[M fEE NO. TYPE Of EOUIPMENT �EF <br /> WATER CLOSET(TOILET) � NC—NHNDLO UNIT$—H.P. <br /> BATMTUB ' FORCED AIR SYSTEMS—B.LU. M E.A. <br /> LAVATORY(YVASH BASIN) � UNIT HEATERS—B.LU. M ; <br /> BFIOWER ' CLOTHES DRYERS <br /> KITCMEN SINK i DISP � ; VENTIUTION FAN ' <br /> ' OISHWASHER � RANQE HOOD � <br /> IAUNDRY TMY ; WATER HEATER � <br /> CLOTME8 WASMER � WOOD STOVE , <br /> �R��� ' METAL FIREPLACE 6 CHIMNEV � <br /> DRINKINO FOUNTAIN � FIREPLACE INSERT ; <br /> FLOOR DRAIN � HEAT PUMP � •- <br /> 6ACKFLOW PREVENTERS ; GAS PIPINO ' <br /> ROOF DRAINS—RAINLEAOERS � E%HAUST FAN � � <br /> SINK(SEpVICE—BAR,ETC. ; � <br /> � ; <br /> � � <br /> SUB TOTAL S � SUB TOTAL S ' ^ <br /> PERMIT S � PERMIT S �p O <br /> TOTALFEE S TOTAIFEE . i — ' C <br /> FOR OFFlCE USE nNI.Y: <br /> F�7Nft�1MCK REMiEiMCK SIDESETBACN Plu1CNEC1cNUMBER FEE RECEI►Tlq. <br /> uRip�E LOT�REA V�GVJTSITE FEES VALUATION FEE <br /> BUIlDIN6 i <br /> 1Y/fdCplfl./iIlOWA1tf 1YPE01COMS1.ACtIIAt oRwuitr ppowlu�MGwnS � <br /> � PLUMBINO <br /> � <br /> � <br /> 81i[OiK00. NO.OFSTORIFS BASEMENT MECHANICAL i <br /> � <br /> OCCUMNG�LOAD RRE6iWMtlERSREO'0 NEqNTtyAITATION ADDITIONALPUNCMfCK � <br /> ^ � <br /> � OTMER � <br /> NEAfON FOR{►NNIaCRB � <br /> STATE BUILOINO SURCHAROE � <br /> INT/�l(E�Y PlANSAPPROVEDBY CITYOFEYEREIT PUBLICWORKS ' <br /> LOCAL SALES ' <br /> TAIf CODE IS 9106 �ou� f <br /> �N�MhM�NN.� n� .w��� . . . . . <br />