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�� <br />� _� <br />APR�LICA.T10��1 FOR CONSTRUCT.JN PERMIT `'`"`"" <br />TO BE COMPIETED IN INK—PLEASE PRINT � <br />�rvor <br />everett - -- - - --- - - - <br />HEATING SYSTEM: GAS J ELECTRIC J __ _. � <br />BUILDING DEPARTMENT � - <br />259-6810 <br />DEMOLITION COMBINATION BUILDING <br />.. �r.� _" �_— 6�alnDLRkSs __� �nv <br />li2�V-� l�ur� .?�FoS .StC�- S� �'✓e <br />'�U.A}I �IAiIADDiiF]5 � <br />..._�mt.r,ionors•.a<u� �nni�noone,s � u�v <br />i��l1�CRALCONTRFGIOH R��rt ApOBE55 CRv <br />Y� �C.(�lLr'Ct���GLS_—�S _ 't `�o1�a.(.� <br />�'f OIAqI Oq1H�ROq If.A'1 l.ULRI55 C <br />rwv.a�nc.cor,rn.+cio�� om�noun�ss urv <br />Ci 455OF WURN <br />NEW ADDITION � <br />�.-ovrnncrr��cto��voi�n 7F�� <br />rn scraee woi�K nnn soua��c voorna <br />C7QS��lY_l�SLOtl,— <br />cHOrpsEo u5[ o� �m�OiNc <br />.(GAl OESCRiP1iGry�JFEFiY15N0 <br />irn- --- e�a:n--. — <br />„�r <br />`IJ <br />or <br />NO. TYPE OF FI%TURE OR I7EM <br />WATER CLOSET �701LET� <br />BATHTUB <br />LAVATORV[WASH �ASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DIS'iWASH[R <br />LAUNDRVT�RAV <br />CLOTHES WASHER <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS—RAINLEADERS <br />SINK ISERVIC[—BAR. ETC.1 <br />PEPI+IIT <br />TO7ALF <br />FOR OFFICE USE ONLY: <br />rl:�,raSUNncn rLnNSEmnCrc <br />�,.�.r7ovc inranEa <br />�;'! p�LONtS AIIOWABI[ 1tPF Of[OHSt ACIURI <br />:�CLOFBIDG. NO.OFSTORIES <br />'CUPANG�LOAD FlRESPPHNlER5FE0'D <br />�.i n�� ;n rna aoi�wKi eioy <br />..;..I .^ I PLANSA�PROVE�BV <br />REPAIR DEMOLITION <br />MECHANICAL <br />: ir� v��Orve <br />9'P�! ,� <br />,., �,�oi�E <br />rr r��orve <br />i'H7'JE <br />v�rorrt <br />PLUMBING <br />-i. _�i o <br />WOODSTOV6FRPLINSERT <br />ANp P�IONE NO <br />i�.hlY�h� _� trq- <br />SIGN <br />LiGP:SE • <br />i u/it-l.EN�ii53�—� <br />��«Ns�. -- <br />I�CENS[ • <br />BUI:DING RELOCATION <br />I HEREBV CERTIFV THAT 1 HA'✓E READ AND E%AMINEO THIS <br />APPUCATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />F'ROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WORK WILL �E COIdPLETE� WI7H WHE7HER SPECIRED HEREIN OR <br />NOT. THE GRANTMG OP A PERIdIT DOES NOT PRESUIdE TO GIVE <br />AUTHORI7V TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER ;.TATE OR LOCAL LAW REGULATING CONS7RUCTION OR TH[ <br />PERFOR�dANCE OF CONSTRUCTION. THAi I AM AU7HORIZED BY THE <br />OWNER Of THIS PROPERTV 70 PERFOFiId THE VlOHK FOR VJHICH <br />APPLICATION IS MADE AND I COAIPLV WI7H THL STAiE <br />CONTRACTORS LAW 18 27 RCW AND 29G2001NAC <br />J�G1ntU4Lo� ro�nqn9toliOnnUtNou2LDar,fni :'n'[ <br />X- - = �— - - -- <br />4�PI�C�� �' CI11'Pu9 .Stii 'f 'SF D AVDPI'S���n;Le,ql <br />MECHANICAL <br />10. TYPE OF EOUIPMENT FEE <br />A�C—A HNDLG UNITS—H.P <br />�_ FOfiCED AIR SYSTEMS—B.T.U. 7�-fjs - A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DRVERS <br />VENTILATION FAN <br />RANGE HOOU �— <br />� WATER HEATER <br />WOOD STOVE <br />METAL FlREPLACE 8 CHIMNEV <br />FIREPLACEINSERT <br />HEAT PUMP <br />GAS PIPING <br />EXNPUSTFAN , <br />5 <br />sorsetEanc•. vin��ceecknu�neea <br />_-- J`l,:)�1� <br />vncnNrsrtE FEES <br />(3 W L�ING <br />ocrc..c.-, xn w uni�o•.. ^. <br />r,a�.;r pLU1dpING <br />BPSEMtNi MEGHANICFL <br />IIEIGNI uMItATiD4 ADDIIIONAI PLAN CHEGK <br />OTNER <br />STATE DUIIDING SURGHAHGf <br />CITY OP EVERETT �uouc wo�Ks <br />LOCAL SALES <br />TAX CODE IS 3105 TOTAL <br />SUB TOTl�L <br />PERMIT <br />iOTAL FEE <br />nEC'_mt NO <br />