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APPLICATIO�R FOR CONSTRUCTAN PERMIT everett <br /> �EN,o,�„� TO BE COMPLETED IN INK--PLEASE PRINT � <br /> CItV OF <br /> everett HEATINGSVSTEM: ❑GAS ❑ELECTRIC ❑ <br /> BUILDING DEPARTMENT <br /> 259�8810 <br /> . DEMOLITION � COMBINATION . � BUILDINfi . MECMANICAL G PLUMBING . : $1(iN <br /> ��A .,.�.�E:: ��.. yai z� ���� a <br /> x �E•v E,qoS��y 33/� SN��f'/ £�c�e�t�T/ 5f�n� -- <br /> reH�Mr �s�nmcss cm z�> rrn� <br /> rA�,aNE- �o.y�. r-,c �as,—�a�,c�� 3Y�- f��r <br /> •RCMIIEClOqO[$qNFN M�R�0011055 LIiY $IP VKYIE <br /> GfH(q.4CONIq�CIOR M�i�OM1E55 CILY I�P VMME IILEH$EI <br /> 4[CNANC�lCp1I11.�ClOq Y�F��p1E5$ LIiY ZIP PIq11E IICEN$fI <br /> ttwB�qCpIln�LlOa Mn4�DDPE55 Cliv iiv Prpxf IiCENSE• <br /> Cl/550f WC11R —_ <br /> . � NEW � . ADDITION �TEflATION � FEPAIR DEMOLITION . WOODSTOVE/FRPLINSEPT ..I BWIDINGPELOC�TION <br /> S � wxrrcteEnwr��xovvov[w <br /> CpIIP�LI PRCE CE NpM <br /> �ESCNIBE WpM N10501LPE fOp1�GE MVOIVED <br /> Q • JAO ^ Wl$T w �DO. �.�-/T <br /> nuorouousEorauti T WRK 1 HEREBV CERiIFY THAT I HAVE REAO AND EXAMINED TNIS <br /> X �lE ,Q/}L�S APPLICATION AND KNOW iNE SAME TO BE TFUE�ND CORRECT.ALl <br /> �[cuocscniptpr�pononennivawr�Be�owon�nec�rwnca�i[si PROVISIONSOFUWSANOOP�INANCESGOVERNINGTHISTVPEOF <br /> WORK WILL BE COMPLETEO WIiH WHETHER SPECIFIED HEREIN OR <br /> ior &ac. a NOT iNE GRqNTING OF A PERMIT DOES NOT PRESUME TO OIVE <br /> AUTHORITY 70 VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STAiE OR LOCAL LAW REGl1LATING CONSTRUCTION OR THE <br /> PERFORMRNCE OF CONSTRUCTION.THAT 1 AM AUTNORRED BV TNE <br /> OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICN <br /> APPLICATION IS MADE AND I COMPLV WITH THE STATE <br /> CONTRACTORS UW IB27 RCW AND 2%.800 W�C. G <br /> sRin�tunEo�conrnui0aon�utron�S[obEM o+i[ �2�j///r/ <br /> rnw[cr�owev �k'E'N QO�t�1t1� <br /> 3/� SM��/�� �fT �rsiiuxrsurva�s�vtssiccxsE �voauswEssM•4c <br /> PLUMBINO MECNINIC��. <br /> NO. TYVE OF FlI(TUPE OR ITEM FEE NO. TYPE OF EOUIPMEM FEE <br /> WRTER CLOSET�TOIL[T) NC /NINDLG UNIT^�H P <br /> BATMTUB FORCED AIR SYSTEMS—B.TA. M E.�. <br /> LAVr1iORY�WA5HBR51N) UNITHEATERS—B.TU. M <br /> SHOWER CIOTNESDRVEPS <br /> KITCHEN SINK 8 DISP VENTIUTION FAN <br /> DISHWpSNER RANGE MOOD <br /> LAUN�RVTR,IV WATERHEATEP <br /> CLOTMES WASNEP WOOD STOVE <br /> URiNAL METAL FIREPUCE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPUCE INSERT <br /> FLOOR DRAIN NEAT PIIMP <br /> BACNFLOW PREVENTERS GAS PIPING <br /> ROOf DRAINS—RAINLEADERS E%HAUST FAN <br /> SINK�SERVICE—BAR ETLJ <br /> SUBTOTFL 5 SUBTOTAL S <br /> PERM17 E PENMIT S <br /> TOTALFEE f TOTRIFEE f <br /> FOR OFFICE USE ONLV: <br /> inCMi50PKn IIF�NSCiBACtl SDESEiB�[x VILNCeELxMVMBER !fE PKFWLM <br /> .`JfJ3`/ <br /> u=�enrt iotr.n[e wcuasrts FEE9 v�LU�iION FEE <br /> OUitDiNG r U ��;�„ <br /> ���'1�i CO415 41OW�6.1 Ml p CONSI�L1114 Ctt+Y�M1[r v�w � <br /> Y '� h.µ PLU4BIHG <br /> tiilf.of� Np p[SiOfliES B�s[uEv MELNANIC�I <br /> � <br /> (¢cvvqWvlOeO fiRESFRNxlfn5nE0� n[K.MWn�LOn �OUIiIONAIPUNCNECN <br /> ND OT��ER <br /> n1�SCN Iq15Vq�N�tl[q5 <br /> STATE BNLDMG SURCNARGE �ST/ <br /> m��.Ear —m�nawvvnrncoer CITYOFEVEflETT vuel�cwonrcs <br /> �-�'^ LOCILL S�LES ' <br /> I ' T�I(COOE IS J705 7oT�i �9 �'7/ <br />