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APPLICATION FOR CONSTRUCT. �N PERMIT `'`''"'" <br /> �•e, , . <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> arvc;.,.., -- - �— ---� <br /> everett � HEATING SYSTEM:�1�]GAS J ELECTRIC J -- - <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> OWI:I�� MAILAD�R(55 . <br /> Citv l�P CNOYE <br /> �1'L .. � .l 1 L . <br /> '�i ���C ��� ��.J '� 'I� G�i�' di11 JI',: ./< . 1� � , _ � i <br /> �i.�p��� MAILAD�AE55 <br /> CrtV ZIP PNONE <br /> �in, Zip F�IONE <br /> n���m1ECiORDESiGNEP A�A�IADDRE55 <br /> �in, Z�p PHONE LIGENSE/ <br /> :�.E�+iiiPLG09TRPCWii MRRAD�PE55 <br /> � � �„� - V�ANICALWNLRAGiOR AUILADDRE55 QTY 21P VNONE LICENSEt <br /> � � � Litv Z�P P��ONE LICENSE� <br /> p �� PtU�A�INGCONiPACtOP M�II��OPE55 <br /> �y y cinssorwoan <br /> �-I�,7I �\ NEW ADDIiION ALTERATION REPAIR DEMOUTION WOODSTOVE�FRPL INSERT dUILDING RELOCATION <br /> j � CONLACiP[PSONANDVNONENO. <br /> �/,,, � �So a <br /> G x O covin>r.rvr+�ceorwonK u�G�-�'� <br /> 'Q M'{I resce�ee won�nr+�o�Qouan�vooincc iHvo��eo <br /> -_� N �'�!'a-µ- 'N� /LR LCJ <br /> �y e <br /> �e+� � *� vnoaosEouseoFouiioivc I HEREBV CER7IFV THAT I HAVE RFAD AND EXAMINED HI <br /> l�1 � APPLICATION AND KNOW TNE SAME TO dE TRUE AND CORRECT.ALL <br /> LEGALDESGiiIPTIONOFPROPERTV�SHOYAIOELOWORAl1PCNFOVRLOPIES) PROVISIONSOFLAWSANDORDINANCESGOVERNWGTNISTVPEOF <br /> WORK WILL B[ COMPLETED WITF1 WNETHER SPECIFIED HEREIN OR <br /> H <br /> �� � �pT e�p�K or� _ NOL THE GRANTING OF A PERMIT DOES NO7 PRESUME TO GIVE <br /> �^ AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OP ANV <br /> ~7,I-1 3 OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> � H z PERFOR�dANCE OF CONST.iUCiION.THAT I AM AUTHORIZED BV THE <br /> N y OWNER OF THIS PROPERTY TO PERFOFitd i HE WORK FOR WHICH <br /> ty(p H APPLICATION IS MADE AND I COtdPLV WITH THE STATE <br /> ��y CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � SCd�AiU?CU�CONiRACLORORAUiHOHIZID<GINt DATE �/2/!/ <br /> � � J y <br /> O�A �X'�C/�2��Z�L( _ G <br /> 1'FOJEGI Ap09E55 / ��Ft'�UNiS Pf V l3USi:CSS IJGf I15[NO M�D flU5ME55 NAME <br /> � �oaa GU�7�,�0��. <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVF�OF E�UIPMENT FEE <br /> ! N'ATER GLOSET�TOILET) A C-AHNDLG UNITS-H.P <br /> ( �� _ BNNTUB � FORCEO NR SYSTEMS-B T.U. Id E.0. _ _ <br /> LAVATOHV 1WASH BASIN� UNIT HEATERS-B.T.U. M <br /> SHOWER _ GLOTHESDRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN --. <br /> DISHWASHER RANGE HOOD , -.. <br /> i ,_� WATER HEATER _ <br /> LAUNDRYTRAY <br /> �� \NOUD STOVE <br /> CLOTHES WASHEF <br /> . URINAL METAL FIREPLACE 6 CHIMNEY _ _ <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FIOOR DRAIN HEAT PUh4P <br /> . �� GASPIPING <br /> �� OACKFLOW PREVENTGRS <br /> ROOF DRAINS-RAINLtADEfiS E%HAUST FAN _ <br /> SINK�SERVICE-BAR.ETG) — <br /> I `� - -�-- <br /> 1 1�1 SUB TOTAL 5 __T _ SU8 TOTAL 5 = <br /> ` � PERIdIT 5 PERMIT 5 _ <br /> � TOTALFEE S TOIALFEE 5 <br /> FaR OFFICE USE ONLY: <br /> �RONi5Eti1RCN REAHSETBAGK <br /> SiDF.sEIUACK rinNcnLGnuU4nE� FEc qECEi�'iNo <br /> ns�zorve �oreae� ��c�r+*sit[ FEES VAIUATION FEE <br /> DWL�ING _ <br /> IYVEOfCONiS�IIOWABIE irPEOiCONSi�GNAI cccu�pt+" xoqw.Ruxcux+s <br /> PLUMOING <br /> 512EOFBLOG NOaiStORIES B�5[MENf MECHANICPL __ <br /> � ADDITIONAL PLAN CHEGK <br /> OCCUPRNCYLOAO FIRESPNNkLERSPEO�C NE1GMilIMIiRT10H — <br /> O7MER � <br /> �—�—— <br /> P[RSON FOR SFRINKLERS <br /> STATE 6UILDING SVRCHARGE _ <br /> iN1AKF fiv PLFNS�PPROVf f�fl� CITY OF EVEHETT PUBLIC WORK$ <br /> �LOCAL SALES <br /> TAX CODE IS 3105 TOTA� <br />