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APPLICATIVN FOR CONSTRUC�� ION PERMIT �'`'�'`�" <br /> rr��E.��o�r�� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cn v or <br /> everett HEATINGSYSTEM 'f�GAS dELECTFIC G_— � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> � DEMOLITION i I COMBINATION �C BUILDING � I MECHANICAL i I PLUMBING i SIGN <br /> owr�[n �.ini�noone;s cin nr ��ror�[ <br /> n�N�-►wrou_��_uG�i w_. 51LV�R ��4,re 'R�� �U�', wh � 5as��6G — <br /> una ounrss cirv nr mioe[ <br /> �(NMII 1 <br /> nPC��RCCtOfi0E5�fNf.� M/.ILADDilE55 <br /> CIIV 11P CIION[ � <br /> JAM�S S. JeuK�us, hs�l s(os-lolsryr', 5w e�'r7; uih asa-�ae ort <br /> r.rHrnn�caanncwn rani�noonFss atv zm e��or�e ucrrvse. �_(,(�-�- <br /> � � �+ �,U COAJ 5'1T2 UGT I ON Ce.,=A1C. , Rx8 q t�•N, 5ek�r7«., s -7770��6Co <br /> y MECII�NICAILONiRRCiDR MRIL�O��E55 CI1V 21P PIIONE LICLNSE� <br /> q � H Lilv 2iP P��O��E I�CENSE� <br /> �� �/1 flUM014GCON1MCi00 MNLApOPE55 <br /> K n <br /> cuss oF wonrc <br /> y 7f1 Q NEW ! � �ODITION � � qLTEF7AT10N I � REPAIR I I DEMOIITION I I WOODSTOVFJFRPL INSERT L i BUILDING RELOCATION <br /> O�M�O �r`/ /L/ coNincrr[nsor+nHov�wr+Ervo <br /> y�., �I s�i � �g��oce,oo _ ,�1hMeS 5, •_ls'A�K!/JS����1 <br /> C r�1nnC1 rniCE r wonrc / \\ <br /> � [1ESL�i�EWOI1N�11I150U�f1[f00t�GFINV0.VC11 Q�QAn�(ip4.L,� � �' G�1/�6 O'�.'i/ <br /> o�� OFr ICE /�EMOD�,L N�U (jA LColil.__�A� P{�� `ha., �� 'lr- / <br /> ��� rnovnccouseasmioiec 1 HEREDV CERTIFY THAT I HAVE READ AND E%AMINED iHIS <br /> OF��« �PPLICATION AND KNOW TH[SAME TO BE TRUE AND CORRECT.ALL <br /> �` n iec�toescnmiro�+orrnorenivls�ownoemwonennu�rouneoriesl PROVISIONS�OFLAWSANDORDINANCESGOVERtJINGTHISTYPEOF <br /> �y� WORK WILL�E COMPLETED WITH WHETHER SPECIFIED HEFEIN OR <br /> ip� n�p�;k or tJOT. THE GRANTWG OF A PGRMIT DOES NOT PRESUME TO GNE <br /> PUTHORI�� 10 VIOLATE OR CANCEL THE PROVISIONS OF ANY <br /> M y �p ���j 1 CTHE17 STATE OR LOC�I LAW REGULA7ING CONSTRUCTIGN OR iHE <br /> g y ��-Sf1�T��N-����"�'LL"J I��S� PERFOf7MANCE OF CONSiRUCTION.THA1 I AM AUIHORIZEO�Y TI IE <br /> n Cy n ��e�l ���y p,r OWNER JF THIS PROPERTY TO PERFOf7M THE WORK FON WHICH <br /> C�.' C� �Q� �AJ���'j'�_�G��j(/lv�f[IP_�QJYV6s -Nf�w�_- APPLICAiION IS MADE AND I COMPLY WITH TNE STATF <br /> {� n� ��,r l w M �y�� �5.�:� ��yq� R�� f�0,1.1 CONiRACTORS LAW 1827 RCW AND 296.200 W�C. <br /> �r; y ��,..�1.�.e �n1 �Il � smr+niune rca+m�cwnonnun�ourzeoncer+r oaie <br /> O[�A �ule���rcer-W/,ri�CL.�-�R�ry*���+- 0 � <br /> � J�t�f� �Du�r-r�� �. �!N x ,d. , �_� �r/r.5"j�a <br /> Cou�!-mF'_�uc NoM�3 I►, !1I. <br /> �ROJCf.t�ODI1C55 QeaM� �ppL SLIIV�USIYC55 $FNOM100USMESSNI.ME <br /> 1� PWMBING ` MECHANICAL <br /> C� NO. TYPE OF FIXTURE OR ITEM FEE NO. TYPE OF EQUIPMENT FEE <br /> WNER CLOSET(TOILET) NC-NHHDLG UNITS-H.P. <br /> BATHTUB ' FOflCED AIR SYSTEMS-B.T.U. M E.�. <br /> - —�- UNIT HEATERS-B.T.U. M <br /> L'`/A70RV(WASH BASIN) <br /> . —S�.�W�� CLOTHESDRVERS --�1— <br /> � -- VENTILATION FAN � <br /> � HI'1;HEN SINK 8 DISP —� <br /> �� D'SHWASHER RANGE HOOD <br /> , �_AUNDRVtP�AY ' WATER HEATER _ <br /> � CIOTHESWASFIER —�— WOODSTOVE . _ <br /> , �� " METAL FIRFPL�ACE 8 CHIMNEY <br /> URINAL � <br /> �1 1 DRINKING FOUNTAW FIRLPLACEIhSERT <br /> I FLOOR DRAIIJ HEA7 PUMP _ <br /> BACKFLOW PfiEVENT[RS G�5 PIPING __ ___� <br /> 1_� _ (700P DRAINS-RAINLEADEFS ; E%HAUST PAN — <br /> ` SINK(SERVICE-BAR,ETC.) <br /> _ —� <br /> — i — <br /> --� i <br /> �� _ —� �— <br /> i <br /> SUB TOTAL 8 SU�TOTAI $ <br /> PERMIT S PERMIT $ <br /> - TOTALFEE 3 TOiALFEE $ �— <br /> FOR OFFICE USE ONLY: <br /> fftO1115F.10�CN � (1E�RSEI6ACN S��ES[1B�LK / / PIANCN[C NUMpEli FEF � '',.j� �EfEIPiNO <br /> �cJ co r-/-'oil _ �y S ' �- ���- i. l.3 <br /> ����T�� iot�� q vncnm sne FEES VALUATION FEE <br /> � �' AC�-�_ N d ouaoirac 2;�S3°1_ �QQ <br /> Im�OlWNIS�LLOWAPIE 1MEOfGUN9.�GIURL ��xCv xnd�LLixG�xnS <br /> ! / , / ^j ,J_S� PLUMOING <br /> \4/ V V � c. <br /> S�IFOfHIf%: 11ooF5tOn�[5 O�SEM[Nt MECHANICAL , <br /> /_�S ��.Fr, l ^/D — _� <br /> ocr.urnNcrLOAO nnESPnNKlEn5nCo0 �i[iG�aUMItnnON ��DITIONALPLANCHECK _ <br /> 9 S' oT��E� � , <br /> n�nson wn srnwK�c ns —r/'� <br /> STATE BUILOING S�ACHMGE � �S V <br /> iHinx�m � rin sr. rnovcoor CITY OF EVERETT rueucwonKs /i �.1�� <br /> `� �� LOCIIL SRLES <br /> i TAl(CODE IS 3105 To*►� <br />