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APPLICATIOE� FOR CONSTRUCTI�.N PERMIT �'`�''�'" <br /> , , TO 6E COMPLETED IN INK—PLEASE PRINT �, � � � <br /> r�rvoi�'... �� <br /> everett f HEATINGSVSTEAt JGAS �1ELECiRIC J _ '_��_- __ � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION X BUILDING MECHANICAL PLUMBING SIGN <br /> �:�:t1Eli 1.'A'.LR�lp�i{_5� I:IV iP PI�'V'Jf <br /> 1G21 lv. 5tu GMce 'R� �U�n'� wh_ 5asa�G� <br /> 7�I�'_H�k�To��-�--- --� =�--- — <br /> II'.�9I I.IAiLAU�PEtiS Cl:v . r �MG:L <br /> ,Ni.���iECiGRI]tSG;:I ii 6�MLApOR65 G�v J��' '� •.f <br /> �j`� <br /> �AM�S S, JeuK�,� 14=� sGos-lo15TST� SrU, c�rT, r.uh� as3-8�?aB ofc <br /> crnu�n�cemnAc�o�+ inm�nooncss ruv n. �•���,.: �� u:v�se. �..LL��G� <br /> Se_LL�,U CoAJ STR UGT I oAJ Co.,�Al�, , aR6 R�i�'.N, 5e�r"17r.�,�wA s -»70�7�110 <br /> !•..U�ANicALCONlltnqOR r.mILAOGRl�S Ciiv lit= , n��CN@ I�CENSE• <br /> H O H --- — ---- <br /> � C�i1� �'u:�.iu�.r�,cervmncra�� r.m��nror+ess cirr n�, w�c^:c ucerise. <br /> 9H <br /> q ^�H nnssoi aonrc <br /> 9 H CA X NFW ADDITION ALTERATICN REPAIR DEh10LITION WOODSTOVE�FRPL INSERI� BUILDING RELOCATION <br /> Hi �yc+ <br /> C � � •)�` )�j`�� ILi C0�llAfTa[BSQIANDPHONENO <br /> H z.H y� <t� ��� ooa oo JItMPti 5 �J�s,VK1�/5 �T�_ <br /> k n ccr�nacirn�ceorrionn �_ _ • ! // -- <br /> Ox0 �Escn.oe�voa.nr�osounntroorn,cmvciv�n�tKw��G1�5F iv.� en2�C�5•) � $eir'a'Q�� l.�) <br /> '�� '� �j�UraLE �cMIL� �5(DE.UGE a-- — <br /> y � � vncr�osmus[or-ewioiva I HEREBY CERTIFY THAT I HAVE READ AND E%AMINED THIS <br /> � y � ?7_.�1.���_ .. _ APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL <br /> �t�� PROVISIONS OF LAWS AND OR�INANCES GOVERNING THIS TVPE OF <br /> i cw�nescriirt ior+or virorn+�r,a�c�vri ne�or:on nrmoi r ow�conic s� <br /> O H WORK WILL BE COMPLETED WITH WHETHER SPECI'rIEO HEREIN OR <br /> �1 �or r�.or.K �`� NOT. THE GRANTWG OF A PERMIT DOES NOT PRESU�dE TO GIVE <br /> �"� � V AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> M` n f��'Q�}} OTNER S7ATE OR LOCAL LAW REGULATING CONSTqUCTION OR THF. <br /> x y� ����T���-���`"""""-'�I-��- PERFORM1IANCE OF CONSTRUCTION.THAT I AM AUTHORIZED BV THE <br /> a -T ',�LL •��,.,a� OWNER OP iHIS PROPERTV TO PEFiFOFh1 TNE WORK FOR IVHICH <br /> t• H H �D_VT`GOT S�_�J_OWN�ff��I,B LYVF1Ji�.F�iV.K'E_ APPUCATION IS MADE AND I CO�dPLY WI7H THE S7ATE <br /> �y fq H ��' WM. Ly�� �-�-� ��y� �o�p plo•ia � CONTRACTORS LAW IB.27 FCW AND 296200 WAC. <br /> ��� s�,r�arune Fceurancronauun�oa�zeonceNT n��r <br /> T��/eT�R-W177'�-Z�G�I�S Si�R�1�tuM- /J <br /> �c�r J�1c,E �14'evTfl/Ki 'TH�IC�TD. 5rr'Uh'ie //.1 X y � =1} <br /> xHv�i �OU�-6�'�F}OM�Sl���S7�l�-01-U� .<!' ! � II�J�/C' <br /> rnoi�c*nuor,rs�. -- -� <br /> H O p� � nr•v�.'n� scnvnus-:res % �_c r.o nuncusucssun��i: <br /> � IfG21 tv�sr ��u�u G� <br /> PLUMBING MECHAN�CAL <br /> NO. TYPE OF FI%TURE Ofl ITEM FEE N0. TYPE OF EOl11PMENT FEE <br /> IVATER CLOSET ITOILETI A�C-A�HNDLG UNITS-H.P. __ <br /> � BATHTUd FOFCED AIR S:'SiEMS-B 7.U. 1d E.A. _ ' <br /> � �_ LAVATORV�WASHBASIN) UNITHEATEFS-B.TU Id <br /> `_' SHOW ER f•LOThiES DRVERS �— <br /> KITGHEN SINK 8 DISP VENTILATION FAN � <br /> __� <br /> DISH\4ASHER RANGE HOOD <br /> . � LAUNDRY TRAY PlATER HEATER _ ' <br /> i _ CLOTHES WASHER _ NOODSTOVE _ <br /> � URINAI. METAL FIREPLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT �� � <br /> _ �- <br /> FLOOF DRAII� HEAT PUtdP <br /> �t 1 _ BACKFLOW PFEVENTE-RS _ GAS PIPING _ <br /> � ROOf DRAINS-RAINLEADERS EXHAUST FAN _ <br /> SINK ISERVICE-BAR,ET0.) � -. <br /> � —�1u��1�,_,�—cr,��� �r� T— —— <br /> '�� _ �— <br /> SUB TOTAL 5 _ ��I I '�i SUB TOTAL 5 <br /> — 'Y PEFMIT 3 <br /> �'r'� TOTALI FEE S ') ; TOTAL PEE 5 <br /> FOR OFFICE USE ONLY: <br /> rnoarseiencrc � nennsE*nna sm,[s[in>cre , rinuurtr.tiuur.�ern r�e aeceorr+o <br /> �c:� coGf�N _� � S cj+ '�-1,)i J5'l.?o ill%l_� _ <br /> uscao� iornNCA vAcntirsrti � FEES VALUATION FEE <br /> � h AC� "- N O [3WLDING ��, � N'tC�` 1___ <br /> nrro�cnaisaumvae�.[ trp[orcousiactu� ocr���.v. �.>,.:,.�.r•.�..•n — — <br /> � �_ - / �:ou� / PLUM�INC+ ���{� � <br /> .y 4— <br /> SPEOFOLDG NOOFSiORIES �ASLME/N�L� 1�EGI/ANICPI � <br /> �� � SQ.F7• ( V <br /> OGCUPANCrtORo FlRESPRNrclEa5PE0� ��EIG��iu�uinTior� ADDITIONALPLANCMECN <br /> / � <br /> _ OiHER <br /> RFASON FOR SPRINNLERS <br /> — � <br /> STNE�UILDINGSURCH�IIGE � �ij�� <br /> �ianwr a. P�A�+ � n�`�'����ir � CITY OF EUERETT puouc woaKs <br /> 1 I LOCAL SALES <br /> � �,,1) �/� TAY.CODC IS 3105 TO1AL � � � ;�jU <br /> r <br />