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APPLICAT�� FOR CONSTRUC7.JN PERMIT <br />�m• c�n�e���� i O BE COMPLETED RJ Ii�K—PLEASF. PRINT <br />c�rv oF <br />everett <br />BUILDING DEPARTMENT <br />259-8610 <br />HCNi ING SYSI �M: `J GAS U ELECTRIC `.J <br />DEMOLITION COMBINATION BUILDIN�; )CMECHANICAL <br />OWVF.R MAII RDU�[55 Grtv ZiP FNONE <br />I�/�//` �I� /'�. i�._ L"; ✓�I� � ,a -C",-. <br />I -. L�i��,���_- �_'�1�''��Y � i '( ; � ���. �1 - - ! � , � <br />iGNRIi }/ 1 MAILRDDHE55 GiY ZIP PMONE <br />� V �/r^ l <br />M�II PUUHtJJ <br />LIY YMUNL <br />PLUMBING SIGN <br />.�4;� �;�`''/ <br />Gf FCRAI LONTRACT0IYNLLC� I'^��'�EJ1�lI Ipp. G iV ZIP / FNONE UCENSE • <br />�59�5492 — 355�77' {I J 0Y v� L ��-�� �, lh���•Z S- =�l � ll <br />.e➢=747-19µ — <br />M(CMnMLAIGONiRaCTOP 2[O�J��B�d[$$�� LItV ZIP PMONE -- LICENSE� <br />ug <br />Everott, Washin¢ten on�n� <br />>WMBiNGCONTRaCiOR nUaA�pRcES GTv ZiP PMONE LiC[NSE� <br />�'EW . AUDITION <br />CONTR�Gi PRIGE OF WpRN I <br />UESCRiBE WORn �ND SOUAAGFi <br />� i�, <br />aROFO /OUS[OFBUiLDiNG <br />LE WL UESGRiPiqN OF PR01'ER <br />lOT OLOCK <br />rao�ecrnooaess `i ` <br />! <br />PLUMBING <br />NO. TVPE OF <br />WATER CLOSE7 <br />BA7HiU8 <br />LAVATORVIWAS <br />iEN SINK 8 <br />NASnEP <br />DRV TRAV <br />HES WASH <br />:RATION REPAIR <br />C� <br />ieo� <br />� , �� i_�� Cai� <br />�� <br />.OW OR ATTeCN FW q COPIES� <br />OF <br />I <br />� �L� l `^_ <br />DEMOLIT104 WOODSTOVEiFRPL INSERT BUILDING fiELOCATION <br />I CONiALiPER$ONANDPIIONENO <br />I I',EFEBV CERTIFV THAT 1 IIAVE READ AND EXqMINEO THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORHEC7. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH VJHETH�:R SPECIFIED HEREIN OR <br />NOT. THE GHANTING OF q pERM1T DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE GR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL V+W REGULATING CONSTRUCTION OR fHE <br />PERFORMANCE OF CONSTPUCTION. THAT . AM AUTHORIZED BV THE <br />OWNER OF 7HIS PROPERTV TO PERFORM THE N'ORI; FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br />SiGNRTUREOF�ONiNAGTONORetliHORl2[OAGENi OATE <br />X,��i� �����_�.��i , i�,, �, ���(- � r,� �� ���� � <br />A�'PLiCPNt3 GIl V 3USW ESS IICENSE NO ANO BUSINE55 NAME <br />K7UHE OFi I7EiN FEE NO. 7YPE OF EOUIPI'ENT <br />)IIET) _ NC—lVHNDLG UNITS—H.P. <br />FORCED AIR oYSTEMS—B.T.U. :AA E.A. <br />lASIN) UNIT HEATERS—BS.U. M <br />CLOTHES �RVERS <br />iP VENTILAT:ON FAN <br />� RANGEHOOD <br />' DRINNING FOUNTAIN <br />' PLOON DRAIN <br />BACKFI.QW PREVENTERS <br />,�_ _ ROOFD(iAWS—RAINLEADI <br />' SINK ISEF.VICE—BAR. ETC. <br />�I �_ <br />�1� FOR OFFICE USE ONLY: <br />rnoHrsoe�.c� � aenn�. <br />USE 20NE lOT �f <br />1VP(OfGONiS.AIIOWABIF iYPE01 <br />512E OF BIDG N0. OF <br />OCGUPqNLYLORD FlRES <br />—� <br />NE450N FOR SPflINKlERS <br />INLAK[ BV � PIRN$ <br />METAL FIREPLACE 8 <br />FIR'-PLACEINSERT <br />H[�T PUMP <br />GAS PIPING <br />E%1{AUST FAN <br />SUBTOTAL $ <br />�ERMIT $ <br />TOTALFEE S <br />siocsctn�cK r�N�cr+ecrcNwnnca ree <br />vecnHrsrte FEES <br />BUILDME <br />oc[wwGr xomowuinr..��:'s — — <br />�pWe pLU1dBING <br />B�SEMENT MECHANICAL <br />NEiGMi LIMnATION A�DITIONAL PLAN GHECK <br />_ OTHER <br />STATE BUILDING SUIiCI:nRGE <br />CITY OF EVEFEIT PUBLIC WORKS <br />LOCAL SA! ES <br />TAX CODE IS 3105 rorn� <br />TOTAL <br />NEC[iPl NO <br />FEE <br />>> <br />G <br />� <br />!'a��t <br />� <br />