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APPLICATIO.� FOR CONSTRUCT. .1N PERMIT �'`�''�'" <br /> ,�,E e,�,a�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> GTYOF �C.'�l �- � ..� <br /> everett , � I HEATING SYSTEh1 �GAS J ELECTRIC J � <br /> BUILDING D�PARTM[NT ;1. - <br /> 259-8810�'�� <br /> DEMOLITION COMBINATION BUILDING �MECHANICAL ,�PLUMBING SIGN <br /> �yq MniL AD�RE55 CIl\ Z� �NOHE <br /> r'.iC��' l'�� ic.� ��7�'i .SI1E�Z�, �1��> r`-���tr,cr ��P�3 33��2_ <br /> iE�UNt MAII ACDP SS Ciiv .P PNONE <br /> nPCertECTORDE4GNER M�iL�DOAE55 Lrtv ZiP PHOrvE <br /> I�NL)��1'll��pl?�1. .-)'���LAHLL{ �/_.L�.�I��ItA-/ /�i<I/21P ���IJ` H�VI "�6'��.�-��E�SIC.��'ilJ-- <br /> �'ECNANiCµCpNTPACiON MAiUDOPE55 GiTv ZiP aNONE uCEHSE• <br /> yYpC 'HU �LI���.� <br /> "I � PWMOMGGONTFALTOF MAR�ODRE55 Crtv 2iP �'NONE uCENSE• <br /> aH <br /> Azx �2�U)?t. <br /> � y y CUSS OF WORY I/ <br /> N � �, NEW ADDITION y ALTERATION f7EPAIR �Eh10LITION WOODSTOYE'FRPL INSERT BUILDING RELOCATION <br /> � � � � (.� CONIrac*lnEnSoveN�/w�C�NE/NO � <br /> H � COYTRNCiPR�CEO[WORK `�'(����' J C� �l�Ir.�� `J'_1(�.�_ � � <br /> � H� DESCFi9E WORrt nrvD 50U/•AE�OOiAGE MYO�YEO . � -���-�— <br /> v,H �' " ; i� � n h�i5331 <br /> � .�� ca0eo5EDu5E0F ��Di�+G I HEREBV CERTIfY THAT I HAVE READ AND EXAh11NED THIS <br /> C'� y � � (�•�� y ����(.�Pl, .� t l APPLICATION AND KNOW 7HE SAh1E TO BE TRUE AND CORRECT.ALL <br /> O H L[:�nl CESCRiP➢OY CF vl E�' S�CIVNOCIOq'O�NmC��ova[owEs� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> �J n�y Y���1�9�� WORK WILL BE COMPLETED WITH WHETHER SPEGFIED NEFEIN OR <br /> H C+1 O �er e�oc� o� _____ J NOT. THE GRANTIN� JF A PENMIT DOES NOT PRESUM1IE TO G�VE <br /> q AU7HORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> ,3, -������_'- � � OTHER STATE OR LOCAL LAW REGULA7ING CONSTRUCTION OR THE <br /> 9 H z ' / C�� � �� PERFORMANCE OF CONS7RUCTION. THAT I AM AUTHORIZED BY THE <br /> t� <br /> H y OWNER OF THIS PROPERiV TO PERFOR�d THE WORK FOR WHICH <br /> �y y APPLICATION IS �dADE AND I COMPLV WITH THE STATE <br /> ��N CONTqACTORS LAW 18 27 RCW AND 296.2U0\VAC. <br /> � J � SiG4n*UREO�CONianC*O�CanULMCR'�$[ORGENi DA1E <br /> �y <br /> Cs7 <br /> G < x '- <br /> H O N ��; J��J , l��.`f t� ����� �l/tif'�l�t'; , �{�� " ��( � �V�. <br /> Peaecr•ooaEss <br /> APh iCnHiS rtv BUSiNE55 LiCEHSE NO nN0 BUSME55 NnuE <br /> � PLUMBING MECHANICAL <br /> N0. TVPE OF FI%TUFE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> � WATER CLOSET I7011.ET1 _ � A C-A HNDLG UNITS-H P � <br /> I _ BATHTUB ____ ___ __J_ FORCED AIR 5 TEtdS-�7 U At E A __ ' _ <br /> �� LAVATOf7V1�YASHBASINI__ _ __ UNITNEATERS-BTU M____ ' <br /> � SHOWER CLO7HES DRYERS <br /> KITCHEN SINK 8 DISP ' VENTILATION FAN <br /> - —� <br /> � DISMWASHER � RANGE�� <br /> LAUNDRYTRAV WATERHEATER � ' <br /> I �� CLOTHES WASMER __ _ WO00 STOVE <br /> URINAL MLTAL FIREPLACE S CHiMNEV � <br /> DRINKINGFOUNTAIN � ' FIREPIACEWSERT <br /> FLOOR DRAIN HEAT PUIdP <br /> �� BACKFLOW PREV[NTERS GAS PIPING <br /> ROOF DRAINS-R�INLEADERS EXHAUS7 FAN <br /> SINK�SERVICE-BAR.E7C.) <br /> �_1_' — <br /> I — _.- ' — —�— <br /> � SUB T01AL 5 ', SUB TOTAL 5 ,SZ <br /> ��I�. PERMIT 5 �— _ PERMR 5 �f� <br /> TO7ALFEE S TOTALFEE B GJ <br /> FUR OFFICE USE ONLY: <br /> cFONTSEipeCn T �EeqSFrB+C„ SpESE*P�i� ^'.4vCFEGaNuvfEn �EE PECE�,:�*�J <br /> � _3 C, 3.? �` <br /> usezorve io�naen vrcnrvrsiiE FEES VALUATION FEE <br /> � <br /> �UiLDwG <br /> hPFO�LOHiSFIlOWA9lF 1YVFOfLOH51�CiUAI OCCvnp�v NO%W.4ui;J'PS , <br /> cnoao pLUMpiNG � <br /> SP[ 0�BLW NO Of STORIES OA+[Mf.Ni ti�����qNIGAL � <br /> _Gs'- - <br /> JCCUPANL�LO<D �IR[SnqNNIERSnEOt'� HEIGMi�nAttAtipa ��DOITIONALPLANCHECN � <br /> OTHER <br /> REASON FOH SPRiNKLERS —T <br /> STATE BUILDING SURCNARGE � <br /> iNtu E BY ��ArvS AFPROVEDB� CITY OF EVERETT PUBUG 1YORK$ �' <br /> LOCAL SALES <br /> TAX CODEIS 3105 rorn� � 5— _ <br />