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` APPLICATI� �OR CONSTRUCT'�N PERMIT everett <br /> � rn.e�ro�a«� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> : cin oF <br /> ; everett r HEATING SYSTEM GAS U ELEOTRIC U _ <br /> + BUILDING DEPARTMENT <br /> � 259•8810 <br /> ifJ DEMOLITION I I COMBINATION I 1 BUILDING �MECHANICAL I I PLUMBING L] SION <br /> �fp M�IL�UDRE55 CI1V 21� ��E <br /> � �� CIiY 7iP PNONE <br /> TEH�NT A1�LL�O�RE55 ,�/-y�� T�,/� � �r\��� <br /> x � / /t 1-� /.��11 \0�21P p�E V <br /> �qGHITEGTOli0E51GNEN M�IL�DDIlE55 ���Y <br /> OEHEMLCONTR�CfOR ����ADDNESS Cliv 21P VHONE L�CENSE� <br /> � — CIiY 21P PII E l� �SE� <br /> MECN�ML�'�.LONiRhC70R A1 ADORE55 t <br /> (��;1�l� Co � �w� ''�XJ� S�✓ LY�11.1Wa0P qt30 � �' - 1 - y Lo P O <br /> p�UMBMlGCENliRl1CTOR � MML�D�PE55 ❑v 21P MONE �LICENSE� <br /> ClASS OF vroRK <br /> ' 1 NEW I I ADDITION �ALTERATION i I REPAIR I I DEMOIITION I I WOODSTOVE/FRPLINSERT I_) BUILDINGRELOCATION <br /> � CONI�CI PERSON/�ND PIqNE NO <br /> n7 j7nh C.l-.jP l��L�(� �1�,- <br /> Cp17MCT FfiIGE OF WORM —J��-� ��7r+� J"�'~"M'�•a � <br /> pEBGRIBE WdiR ANO SOU�AE FOOT�f.E INYOWEO � <br /> �� uA1IT WITH h►�w c-.F�S - <br /> rnoroseouseoaeunon+ca �UpJ,,� I HEREBV CERTIFV TNAT I HAVE HEAJ AND EXAMINED THIS <br /> � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �EO�pESGq�p}pry pp PROGER7Y IS��OYM BEIOW OR ATT�CN FOOfi COPIESI PROVISIONS OF LAWS AND ORDINANCES 60VERNIN6 THIS TYPE OF <br /> WORK WILI BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or e�ocK � NOT. THE ORANTING OP A PERMIT OOES NOT PRESUME TO 41VE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> OTHER STATE OR LOCAL LAW RE(3ULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BY THE <br /> OWNER OF THIS PROPEflTY TO PERFORM THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPIY WITH THE STATE <br /> CONTRACTORS LAW 27 R W AM1J 2%200 WAC. <br /> SiGN�TUREOF OHT �CT AU IZEDACENT D�TE <br /> /IIO.IECTAUO'IESS �pp��A CI Y USINE SL SENO.�N BU:'�NESSN�IE � � <br /> ��M�� MECXANICAL <br /> Np, TYPE OF Fl7fTURE OR ITEM FEE NO. TYPE OF EOUIPMENT �E <br /> WATEH CLOSET(TOILET) � A/C—NHNDLG UNITS—H.P. � <br /> � FORCED AIR SYSTFMS—B.T.U. M E.A. ' <br /> BATHTUB � . <br /> UVATORV(WASH BASIN) � UNIT HEATERS—. f.U. M � <br /> SHOWEH <br /> � CLOTHES DRYERS ' <br /> KITCHEN SINK 6 DISP VENTILATION FAN � <br /> DISHWASHER RANGE HOOD � <br /> LAUNDRY TRAV ; WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE ' <br /> URINAL ' METAI FIREPLACE 8 CHIMNEY ' <br /> DRINKING FOUNTAIN � FIREPUCE INSERT � <br /> FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS ; 6AS P�PING <br /> ROOF URAINS—RAINLEADERS � EXHAUST FAN ' <br /> SINK(SERVICF.—BAR,ETC.) � � <br /> � <br /> � <br /> . � <br /> � � <br /> SUB TOTAL E SUB TOTAL S <br /> PERMIT $ PERMIT S � <br /> TOTAL FEE E TOTAL FEE E ' <br /> FOR OFFICE USE ONIY: <br /> RECEIPT N0. <br /> ppppT$(TBACK REIIFSETB�CK SIDESETBACN PUNCHECNNUMpEti FEE <br /> useior+e LOIARE� V�CIINTSITE FEES VALUATION FEE <br /> BUILUING � <br /> T�'Pf Oi LONIS.AIIOW�BLE 7vPE Of CON51.ALN�I aN^�Vcr xa a vnlluxtuxns � <br /> i <br /> cnar pLUM�ING ' <br /> i <br /> 61ZEOFBlDO. NO.OFSI0R�E5 BASEMENT MECNANICAL � <br /> � <br /> � <br /> AODITIONAL PLAN CHECN � _ <br /> OCCUPANCYtO�D FIpE5Pf1NRLEfiSREOD HE�GHfIIMIf�710N -�— <br /> � <br /> OTHER <br /> —�T— <br /> REASON FOP SPfiiNNlE05 � <br /> STNE BWLDING SUF7CHMGE ' <br /> iNr�e e+ PLANS RPPRO�EO DY CITY OF EVERETf rueuC wonKs � <br /> LOCAL SALES � <br /> TAX CODE IS 3105 To*�� � <br />