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� <br /> APPLICATI�OrI FOR CONSTRUCT�.�t�! PERMIT ''`�''�'" <br /> � ,,, ,_ TO BE COMPLETED IN INK—PLEASE PRINT � � <br /> n,vr� � <br /> everett � HEATINGSVSTE�d. : �GAS rJELECTRIC ` J�_ <br /> BUILDING DEPARTMENT � --�—r, I <br /> 259-8810 <br /> DEMOLITION COMBINATION %BUILDING MECHANICAL PLUMBING SIGN <br /> �.:.•zo� - __—_ nrri.nooness �� - _ ;in n�.oyf: <br /> cV�t GcsFcz.�r+,fs.c� /�G. i_�,�_yL 3 Eue.r�1 u�a ��ZoC� <br /> ��•:nNT MAILADOHE55 OItY .:��' PNONE <br /> � .�iCGiC:�Cf:.,.::C� IdFRADU�1E55 GIiV ZiP PNONE <br /> �%J��'�,cLroi�l��c�rzc-c�S /Ct�o2 /dhditi �4� CvE/1o77 9��� �5� 3�6/ <br /> l��lmiCBNiViI.CiUR Id�i����� ^aNs� CIiY � 21P PNONE IIGENSE• <br /> �/ti�i�4L',��.nICONiR�CiCP N.AILAODRESS `' CIiY ZIP PMONE UCENSE� <br /> � �� �IUMPMGCONTBACtOf1 MAI�ApDRE55 L�IV 21P PNONE UCENSE� <br /> �p �x ns orwoaK <br /> 9 y � �EW ADDITION ALTERATION REPAIR DEMOLITION WOODSTOVFJFRPL INSEFT . BUILDING RELOCATION <br /> C .Y.' - cor�Rnci nERSON AND n��pN[Noy/) <br /> y � � ;-;,��iH.1CTPRICEO�WOFN `V SeL/ a5f 3i�/ <br /> � y � I'f5Cq10[WOANRNDSOUAi�F100IDGEiN�OLV[❑ /� <br /> �✓Ls� c��i s� �� a sbfy W GfP,.,�� <br /> `rJ N �1 — <br /> !nH inu��oseouseo�nu�owr, I HEREBY CERTIFV THAT I HAVE READ AND E%AMMED THIS <br /> ;y z� _ �OS/hZ yL{�S,q rOR S� J [L^/�� APPLICATION AND KNOW THE SAME TO BE TFiUE AND CORRECT.Al L <br /> �'�Qy � irr,n�oesenmria�o��ijovee*v�sr�ovmeuowonnruc��Founcoaics PROVISIONSOPLAWSANDORDINANCESGOVERNINGTHISTYPEOF <br /> WORK WILL BE COMPLETED WITH WHEiHER SPECIFIED HEREIN OR <br /> H <br /> �y ;or otcx.n nF NOT. THE GRANTING OP A PERMIT DOES NOT PRESUAIE TO GNL <br /> H [�*I O AUTNORITV TO VIOLATE OR CANCEL 7HE PROVISIONS OF ANV <br /> �` n SCb /�IY�JCI�L�O OTHER STATE OR LOCAL LAW REGULATIIJG CONSTRUCTION OR THE <br /> ~ PERFOR1dANCE OF CONSTRUCTION.THAT I AM AUTHOR�ZED BV THL <br /> zH <br /> y OWNER OF THIS PROPEFiTY TO PERFORM TH[ WORK FOR WHICH <br /> L� N ''Z� APPLICATION IS MADE AIJD I COMPLV 1NITH THE STATE <br /> y CON7RA�S LAW 1827 RCW�ND 296200 WAC. <br /> EIGNAiUR F( NTRNGTORO( ❑i110RIZWA4ENi OAIC <br /> n b� � <br /> �� r r -- X ��(jy!^� '�+�-�_ <br /> x H f�i� rr�o,ecraooness ; i� . — . --- <br /> H O V1 nbi•iicnwsarvnusu:cesi�ru�s�_r.e nr,�itusa�rssr.rvr <br /> �Sn� i r y A d t. <br /> � PLUMBING MECHANICAL <br /> NO. TYPE OF FIXTURE OR ITEM FEE NO. TVf'E OF EOUIP�7ENT FEE <br /> WA7CR CLOSET ROILET� A�C—A HNDLG UNITS—H.P <br /> � BATHTUB FORCED AIR SYSTEIdS—B.T.U. M E.A. <br /> � �� __ IAVATORYI�NASHBASUJ) UNITHEATEFiS—B.TU. M <br /> SHOWER CLOTHES DRVERS <br /> KITCHEN SINK 8 DISP VENTILATION FAN <br /> DISHWASHER RANGE HOOD <br /> � LAUNDHY TRAY N'�TER HEATER <br /> � CLOTHES WASHER �— WOOD STOVE <br /> � �_ —_ <br /> i URINAL METAL FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN FIREPIACE INSERT <br /> FLOOH DRAIN HEAT PUMP <br /> ' _ BACKFLOW PREVENTERS GAS PIPING _ <br /> �1� ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK�SEHv,�E—BAR,ETC.� . <br /> ���� - - — <br /> � SU�TOTAL 5 SUBTOTAL S <br /> ���' � _ PEPMIT 5 PERMIT 5 <br /> �I�. TOTAL FEE 5 TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: > � <br /> ii�-.rnsnoncK r+rnnse*encn sioesErenca ainHc�¢n.a�rnnr� �e� nece�PrHo <br /> —�� .�-� .� �y s� , a��:3c��= � <br /> S-,i o��� i������ � �'�cnr�yF FEES VALUATION FEE <br /> eui�oiNcn�.; ('l�. I [7� i �;i7 .`�'%�3l 'o� <br /> �,n--�rnasn{u�m�vcn.i �vr� orcnr,stnnint ��.-. �.��.-�.� ---' � 1 -- <br /> �/ ,� �1�' � �� � �_ ����_yl '-�' PWMdIHG _ <br /> 'v' <br /> ���ifoFBLOG NOOFS10Ri[5 � �'������ MECHANICAL <br /> I f�, L�D `� 2 � ye�� <br /> c�uinrn•u'cvLonD ciHES�P/ra��lEtsnf.nn ��tra/*uurtnt��� ADDITIONALPLANCHECK � <br /> _.�"[�f_ y[Ji ��p�_ __ OTHEA � <br /> ��rnsoH ron Srqn�.�[ns -�- <br /> /�/)yy/li�i� SiATE DUIIDMGSUHCHARGE _ <br /> ('K/il/U L: _ <br /> van..i.ov r�arisnrniv;vii�m� CITYOFEVERETT aUlaucwoivKs <br /> \� � LOCAL SALES � <br /> � I' i7 �/ TA%CODE IS 3105 rorni. 3yy_� � ��l <br />