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APPLICAT101'v FOR CONSTRUCT�`:iN PERMIT ��""'� <br /> ��r�,,,�,���� TO BE COMPLETE7IN INK—PLEASE PAINT � <br /> <:�7 Y OF <br /> everett f HEATING SYSTEM: ❑GAS ❑ELECTRIC ❑ � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOUTION i ; COMBINATION �BUILD�NG ! �MECHANICAL t7 PLUh181NG I 1 SIGN <br /> py�iir i� UNl nIn/o�/�lJ;/S�/ / 1 f.itr )n` r��oNE <br /> �/t�ni t�_�fo��,��1,AT/FF' .5 ¢ i��`�q�l! cT_1 �� 2iv /� � v����r�� <br /> MAd <br /> ��� nnCw)[GTORD[SIG��FR MRIL�DDf1E55 LOY ZIP PHONE <br /> �� O!e�fl�lCONiMC10R M�iUDDRESS C�1Y 21P PHONE IICENSE� <br /> C�H //(/-�/W', — <br /> ',pH](p �r����nmGnLCONIRGCfC'. MA2pDOPE55 Giiv t? P110NE LICENSE� <br /> rx <br /> H A 3' — <br /> y zH PIU�nOrtlGCprtRnCi011 MAL�O�fiE55 C�iY I�' PNOHE t�GENS[• <br /> �C C9 <br /> H X7 <br /> � H� �.in,sorwonn <br /> y N�� � � NEW ' ' ADDITION ��ALTERATION � REPAIR I I DEMOLITION I 1 WOODSTOVE/FRPI INSERT �i BUIL�ING RELOCATION <br /> � O� 4 .�1 CONiRCiPLR50NPNDP110NfN0 <br /> y Cy cor+tnncr vnic[or wonK {v—VDD � <br /> O H� or_;cnine wonrc nr�u sownr raoucr n+vavvn , <br /> n�"n _�4��712ce�1�D����'ror� .y;���1c�r�r1 <br /> H rnorn,eouseornonon+. � _ � 1 HEREBV CER7IFY tHAT I HAVE READ AND E%AMINED THIS <br /> a y� �(�''1,G_i_���n,� �n� /yiu� t �/pj7r,��:�l�C�/_ APPLICATION AND KNOW THE SAME TO BE TRUE ANO COFRECT.ALL <br /> [+ Z it cni brscni�rior+or rnoremr iy�o�m�n[�i�wonnnec�wneor�e;i PPOVISIOt:S OF LAWS AND ORDINANCES GOVEFlNING THIS NPE OF <br /> i..i y �— R'ORK WILL BE CU�dPLETE�WITH WHETHER 3PECIFIED HEPEIN OR <br /> �y ;p H ior .2 0 moee �_ �r _�_�/�l�/ ��pT. THE GRANTING OF A PERMIi DOES NOT PRESUME TO GIVE <br /> n d� AUTl10fiITV TO VIOLATE OR CANCEL THE PR�VISIONS OF ANY <br /> C, q O1HER STATE OR LOCAL LAW REGULATING CONSTFiUCiION OR THE <br /> 8 C�7� -- — -- --- PFRfOfiIdANCF OF CONSTRUGTION.7Hq7 I AM AUTHORIZEC BV THE <br /> z y y OWNER OF THIS PROPERTV TO PERfOfiM THE WORY. WR WHICH <br /> ypfp _ — APPLICATION IS IdA�E >ND I COMPLV WIiN THE STATE <br /> CONTRAC10R5 LAW 1 B27 RCW AND 296200 WAC. <br /> s��,rmmnecrcomnncion^neuu�owzeonctrrt o�t[ �/7— � � <br /> i�i���iccinooness - ---- X- - -���(_(�fiif97 '�_ -�/Le7? LtJ <br /> ��0� ��L`�(dy.� ^rrn';e'n;o�vousn+�ssi�c[Hserioar�oeusirv[ssrau� <br /> � _ PLUMBING MECHANICAL <br /> I � NO. TYPE OF fl%IUFE OR ITEM FEE 170. TYPE OF EOUIPMENT FEE <br /> WN[R CLOSEI (701LG7� �C—A.'HNULG UNITS—H.P. <br /> OA7H1U� FORCEDAIRSYSTEMS—B.T.U._ M E.A. <br /> ,"� + __ LAVATORV 1W�SH OASItJ) �— _ UNI7 HEATERS—�.TU. M ; <br /> '�. w' SHOWE4? CLOTHESDRVERS —� <br /> HI7CHEN SiNK 8 DISP VEIJTILATION FAN ' <br /> � � DISIiWAS11LR —�— RANGE HOOD --� <br /> I � _ LAl'.lDRV7RAV _ _ __ WA7ERHGAT[R <br /> � CL0IHES WASHER WOOU STOVE <br /> URRJAL METAL FIREPCACG 8 CHIMNEV <br /> '^'� ' _ DRINKIIJGPOUNTAIN _ FIREPLACEINSERT I <br /> FLOOR Uf7NH HLAi PUMP �— <br /> 6ACHfLOW PR[VENIERS GAS PIPING ' ' <br /> ROOF DMINS—RAINLEADERS EXHAUST F�N --r _ <br /> v� � — <br /> {«�� __ SINK�SERVICE—OAR,ETC.) �__ <br /> — i _—. i <br /> — — � <br /> !' � _— _T—— --� <br /> i <br /> SUBTO7�L 5 SUBTOTAL $ <br /> PERMIT $ —� PEFMIT $ <br /> �- TO7ALFEB $ TOTALfEE 5 ' <br /> FOR OFFICE USE ONLY: �'/D. S <br /> II101O5E10�CN PfN15[iO�Ch S:iU[5[ip4CN fI�NCHff.MNUR1pC11 ICE � H[CFIPiNO <br /> � �� �� 2 2 '3/ <br /> ,_ <br /> usr ione iounen vAC4NI511E FEES VALUATION FEE <br /> �'L 3�� � DUILOING �37,�j �y3 'pZJ <br /> �VP(OffON15RIlf,VI�PII 1VPfOf�ONSIALIWI q:LU��Mr Y�P�A11lMLUXiK - i <br /> fB� PWMDING <br /> _�til �"nt P'3 �-- <br /> r.vr or m o, r+o or sroni[; nnsoaern ; <br /> AIGGHANICAL <br /> E�ci3 6 Z �v" — <br /> o�.curnuCvlonD PnESPRrvxt[n5nf.0o n[iGntliMnn�'or� �DDI710NALPLANCHEGK // � �D <br /> ��� _ N� 2B. — o„��� <br /> i�n�or�ronsrnwri[ns �. <br /> STAt[OUILDING SURCN�RGE i/� �' <br /> nunv.env rinu,nrrnovtonr � CITYOFEVEflETT pUOLICWORKS <br /> LOCALSALES � <br /> ��� $�p TAX CODE IS 3105 iorn� �I � <br />