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APPLICATIO= . FOR CONSTRIia.T. JN PERMIT ''"'""' <br /> . TO BE COMPLETED IN INK—PLEASE PRINT � <br /> everett �I HEATING SYSTEM: J GAS ..I ELECTRIC J __ _J <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING _�MECHANICAL PLUMBING SIGN <br /> �,�.•n�tn �- - - —e•n:if.ix�,:,i . — �J cn;- :�;� w�or�c <br /> —L� �l- '>> � � y'�����-� ���l - y��� <br /> �IhANI IAAILPDDFf15 f,i1V ZIP PHpNE <br /> f�� � ,-�( 3��l yi„�AvE �u�.vi ;K2v l __ <br /> 1dICN�iECtO DE9GNCR MPILN�DP[55 CIiY 21P PMONE <br /> ���IUEfiA�CfMiR 10R MniLA�DR[SS ❑�Y 21P PHONE ��CENSCa <br /> � i=/ I <br /> UC' � ^'� <br /> 4fG��ANIGLCONIFALION UNLI.�L1FfF5 GIiY IIP PNONE ��CENSEf <br /> �r� ��� -iv/ _3�'i:� .'�'_�3/,�ZW.f�L� -�it/�`% �Zd �4�'S�1'� I�-�,C��?.�/� <br /> CsI FIIilItl�bGCOMIlAGi09 AIqILA��RE55 CIiY 2iP PiIONC IiCENSE� <br /> p�x <br /> y t "OFWORK <br /> H <br /> C S y �NEW ADDITION ALiE3AT10N REPAIR DEMOL�TION WOODSTOVEFRPL INSERT 6UILDING RELOCATION <br /> Ht9 cor+,uc�Penso��nao e��oye ua <br /> Z i-�i ���.�z� � � � 1�, '�j �f <br /> � y .�ny cor�innctaaicEOFwoan 111���✓I o---2'E�Z� c(--C.J? /��//J�-jF� ��f?> �%/ /- <br /> O x O yo-sc��mcwonnn�msow�erwrn -invavi / �Rc <br /> '9 N '� /�! L�, <br /> V1 H � � !N /��/-�i '��� � > <br /> � � � vnorosc�usea omtoiHc ` 1 HEREBV CERTIFV THAT I HAVE READ AND E%AtdWEO THIS <br /> �� � �� APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> OHd i�..r.oEsteivronaFrnnrcervisowr+oe�cwoennncH�ouqmwrs� PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLEiED\YI7H WHE7HER SPECIFIED HEREiN OR <br /> H � g ,.�i a�och _ a� tJOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GNE <br /> 4�� O �+' - AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> ! � � :'Ll� � � . b ' � OTHER S7ATE OR LOCAL LAW REGULATMG CONSTRUCTION OR THE <br /> .�-j���`U�`y-�� PERFORMANCE OF CONSTRUCTION.THA71 AM AUTHORIZED BV'HE <br /> C'� y� i OWNER OF THIS PROPERTV TO PEPFORM THE \NORK fOR WHICH <br /> �.y ~ y �.('�� •�1L_ _ ��� .L�-�5 APPLICA710N IS MADE AND I COMPLY WITH THE STATE <br /> yVy H � CONTRACT �iS LAW 1827 RCW AND 296200 WAC. <br /> (")rf�/J ����—L` r�1\ 6i,NAlpli �C011LRACTORONNUi6JRIZEOAGENi pAiE <br /> �� � ,C- C'C"'C L C c.�- 7 _ <br /> I ' <br /> � -� <br /> H O t�'i� ���I���L'G—_� _L�,�c�f—._1�y�G X ���_� /^ �<?-f�'Z— <br /> ��,,,_<<:��.�,�o��« � <br /> Aoo,���.,,s��,r 5,� s���<<,,, ,.�� A„�a�z��E55�A,AE <br /> � PLUMBING MECHANICAL <br /> NO. TVPE OF FI%TURE OR ITEM FEE NO. TVPE OF E�UIPMENT FEE <br /> � _ IYATEF CLOSET�TOILET� _ _ A C—A�NNDLG UNITS—H P <br /> � _ �ATHNB _ FORCEDAIRSYSTEMS—B.TU. M E.A. <br /> ��� LAVATORV(WASHBASIN) UNITNEATERS—BS.U. M <br /> 1 SHOW[R CLOIHES DRVERS <br /> KITCHEN SINK 8 DISP �'ENTILATION FAN <br /> � DISHWASHER �_ RANGEHOOD <br /> LAUNDRV TfiAV WAIER HEATER <br /> � �� � CLOTHESWASHER WOODSTOVE <br /> I -- <br /> URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN F�REPLACEINSERT _ <br /> � FLOOR DRAIN HEAT PUMP <br /> � �1� BACKFLOWPREVENTERS GASPIPING � __ <br /> ROOFDRAINS—RAINLEAOERS E%HAUSTFAN _ <br /> SINK�SERVICE—BAR.ETC.) -- <br /> '=t�1 /�i � ��� — -- <br /> i _�—' <br /> i <br /> �e� _ — SUBWTAL 5 — SUBTOTAL 5 _ O; � <br /> '�' PEfiMli <. PERMIT S /�T� <br /> TOTAL FEE 5 TOTAL V EE 5 �OS ; � <br /> FOR OFFICE USE ONLY: <br /> �i� !:i:[IUACN �[ARSEiBRGN SiU[SNpACN �'LANCHWzR/H�UIflIER t[f NEC[i�TNO <br /> J / ��<� <br /> ,... ;�:�;� iornaen vncnrvrsite FEES VALUA710N _ FEE <br /> BUIIDING <br /> �.'..�ILOHISALLOWFBtE fYC[/fLONS1AtWRL ��[mwNrr NOMCwlu�Y3'.v5 -��--� --- - -----�- —�--- <br /> " "'" PLUMBING <br /> �'�;i ui�lIX'i NO OF SiORi[5 845LMENT MECHANIGAL _/OS ^ <br /> i+U.uP�dlCYIO�D FlRESoRNKLERSPW'� ME�GN1liMITATION �DOITIONALPLANCHECK �D i � <br /> -�..htL.i —_ — �L <br /> �4 n�,nv�OR SY4iINKLERS , <br /> STATE OUILDING SURCHARGL <br /> F.v.,iu•� r�inr�snvrncvmt3v CITYOFEVERETT rut�uCwonks ' <br /> LOCAL SIlLES <br /> ���3 c�✓ J�, TAX COOE IS 3105 rora� - — �; � <br /> /G•S - <br />