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ppPLICATIG.J FOR CONSTRUC7.JN PERMIT <br />TO BE COMPLETED IN INK—PLEASE PRINT <br />Ihe Eve�g�een <br />CI1Y OF <br />everett HEAT�NG SYSTEM_ IJ GAS IJ ELECTRIC I„J __ <br />BUILDING DEPARTMENT <br />259-8810 <br />i i DEMOLITION __ COMBINATION BUILDING MECHANICAL <br />---- --- — <br />_— ___ .. .._ __. .___- ruoNr <br />MMlnD11R[SS I�Iv )m 7 / <br />OWNER � 1 �j J �� l <br />f tAr�a l�� � sll,� -� �, 2 �,.� � l�„ ,1 � r �� �_--- - — <br />�,� <br />� — ---�— � --�- -� - �.nv 7n rnoue <br />1[NANT MN140DIIP. <br />e� erett <br />� <br />� � PLUMBING i SIGN <br />� 14' <br />APCIIIIEGTOfiDE51GN[It AI�ILAO�PC55 <br />----r,nr 7�r rNrn1E <br />GENEMICON�fUCi0i1 MA�I.�ODf1ES5 <br />cnv --- ���'--- rrwne LILENc[• <br />MECNRNICALCON1q�ClOt1 MNLl�UORESS <br />--- CIIY 21P P110118 IICENSE� <br />I / / I r.c .b� C�—_��1�� _,%f1 trii A�<�,1/.a/�/�.')iil� <br />.l✓. ��:�Y`—�iir �.li�__�/L _�1�--�---t r.nr � �m � -----runr�r uceruse� <br />riuMoir+ccomm�cioii unu nonness <br />-- ----- �--- <br />� ---_..__. --- <br />------------ - <br />a�ssorwone � I BUILDINGRELOCATION <br />�' .'NEW '� ADDI110N � AlI[RATION REPAIfi UBIAOIJ710N ' WOOUSTOVE;FfiPLINSERT <br />.____.. ...._._ _ <br />—" -- ' � _ _ ._ ruu�n[�rfns�nlnNurnurutNo <br />/ /f.� <br />CONTR�CI PRICE O� WO�K �/ �'�' -- ---- — "'-- -- <br />�/y—_�—_ <br />DESCRIOE WORN �ND SOU�PE (OOr�G[ IHVOIVFD <br />bRpPosEo u5E oP eull�ma <br />L E��E/COIPt lptl Of 1`f10�fNY ISIIOLYN PBIO W OR <br />lol _ PIOCN ___.. or — <br />1•OOJGCT 411011[SS - _ <br />"Z 1 i j ._ 6.�. �iv.r. <br />CI7CHEN SINK 8 <br />JISHWASHER <br />_AUNDRY TRAY <br />�LOTHES WASH <br />JRINAL <br />DRINKING FOU� <br />FLOOfi Uf7AIN <br />BACKPLOW PRE <br />ROOF DRAINS- <br />SINK (SEf7VICE- <br />FI%TURE OR ITEM <br />(IOILEI) ____.__'___ <br />I IIERE�Y CEfiTIFV THAT I HAVE READ �NU EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO EE TRUE AND CORRECT. ALL <br />— PFiOVISIONS Of LAWS AND ORDINANCFS GOVERNING THIS TYPF OF <br />WOf�K WILL F3E COMPIETEU WIiH WHETHER SPECIFIED HEREIN OR <br />IJOT. iHE GRANiING OF A PERMIT DOES NOT PRESUME TO G�VE <br />AUiHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />O7HER STATE OR LOCAL lAW REGULATING CONSTRUCTION OR THE <br />— PERF0f1MANCf OF CONSt{7UCTION. THAt 1 AM AUTIiORIZED BY THE <br />OWNFH OF TIIIS PROPERTV 10 PERfORM THE WORK FOR WHICH <br />APPLICAIION IS MADE AND I COMPIY WI1H THE STATE <br />CONIf1ACTOf75 LAW IA27 RCW ANU 296200 WAC. <br />SIrNn1111�rUrf.CNtIIDCInIIo��nu1110���1PUn0EN� tMiG <br />� - /�� �l''=-'- -�- - --------- <br />A' AI`I'IICANI51;11Vfl11.•:IIlf�IIf.RlSFIIDANUOIISMf55N4M[ <br />, MECHANICAL <br />FEE NO. TYPE OF EOUIPMENT <br />AiC-MI�INULG UNIIS--H.P. <br />- FORCEUAIRSYSI�EMS-D.T.U. M E.A. <br />— ; UNI1 HEAtERS-B.?.U. M <br />CLOTHES URYERS <br />VEN71LA710N FAN <br />—�-�'— RANGE HOOD <br />� � WATER NEATER <br />—�'— WOOD S70VE <br />� METAL FIREPLACE 8 CHIMNEY _ <br />FIREPI_ACE INSERT <br />HEAT PUMP <br />—�--- ----- -GASPIPING —_ <br />— � ' EXHAUST PAN . <br />_--__ -;— <br />___ _ __ __ _ _i— _ <br />SUl3 TOTAL $ <br />PERMIT 5 _ <br />- iUTALFEE $ <br />FOR OFFICE USE ONLY: <br />FRONTSEIB�CN Rf.M15FID�Clc <br />_ — _I__— <br />❑SG <br />lni �Ilf� <br />r.orns nuawnmi � i�n m <br />SRE OP OIOf. � I NO Of SIOIItfS <br />occurnNr.vionn � nnesriar�niensnenn <br />REASONFOR <br />INIANE UY <br />SIDP.SEIB�CN <br />VAC4N1 SIII.---- <br />Iv:fl�ll.y1'� 1 i� ill f��5'Ill"1��:1�'liit <br />I.lil�lil' � I ' <br />P�:;I�.Idf N I <br />n[inn i imm�uou <br />CITY OF EVERETT <br />TAX CODE IS 3105 <br />SUB 70TAL S <br />PEFiMIT 8 _ <br />� TOTALFEE S <br />Nuunrn riE nECEmTNo <br />PUILOING <br />— _ _.. � <br />PIUMI3WG <br />MECHANICAL <br />ADDII IONAL PI AN CHECK <br />onirn <br />STA1E AUILDIIJG SIIRCHARGE <br />ruoi.ic wonres <br />10TAL <br />i <br />O <br />