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��. , <br /> APPLICATIG .! FOR CONSTR�IJCT .JN PERIVIIT �'`'''�'" <br /> m�•E�-�•.��<,,, TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cirv or <br /> everett �HEATING SYSTEM i,GAS ❑ELECTRIC ❑ _ _—_ � <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION �C BUILDING MECHANICAL PLUMBING SIGN � <br /> cv�r:c�� ranancosess cirv zm allor�e <br /> � ( \r I . �,h �=�r< -' 3 f���. � 1-.,_ � --G i 7� r-- ^�(�/ <br /> 7 � <br /> iRJANi MAILPODfVE55 CITv :IP PMOtiE <br /> ARGIIrtECTORpE51GNEF GAILApDflE55 C�TV 21P PH06E � <br /> H ! <br /> ���� GENER/LCONTFACTOfl ldAILA00RE55 GITY LF PMONS LICEHSE� � , <br /> D � 2�/O <br /> A�x ��I .,l !� �� �-r ko :7 � f�:.�%� ��/ ' C r' � >;c: i �<[ �_ '��S% /) Na C G <br /> 4+ �..� M[CHANiCALCONii1AGTOR �ANLA��FE55 QLY ZiP PHUN[ LICEflSEe <br /> L-�i �� __.1 i i' � +� ,lc c <br /> H r� P.UMBINGCONiP.l.CTOR M41L/O�FE55 Cltv ZIP PHONE LICENSE� <br /> y H <br /> �C C] <br /> y� C1A550F WGPN <br /> "�� H'i1 � NEW . ADDITION ALTERATION Y REPAIR DEMOLITION . WOODSTOV6FRP:INSERT � BUILDING RELOCATION <br /> �H CO'I)iACT PERSGB AN�PHO�jE HO ' <br /> � x/S1� CO�iPACTPFICEOFWORK�A.(,l(/( .� n(l �`r {` ; . � ���:'�., n� . ^ �'/ I <br /> �']C� OESCiiIBEWORHAN�50UAREFOOTAGERJVOI'EO � ���� <br /> � �g ,� : ,... ���-_;[�;:11- r, ,.._ , l _ <br /> �� � PROPOS[DUSEOFBUi DRIG i I HERE�Y CERTIFY THAT I HAVE READ AND EXAMINED THIS I <br /> �„� � ` ` . ` r ( � ��c . APPLICATION AND KNOW THE SAtdE TO BE TRUE AND COFiRECT.ALL I <br /> y� y� — PROVISIONS OF LAVJS AND ORDINANCES GOVERtJING THIS TYPE OF � <br /> l[GALO�..CRiPtIOtlO�PRO�'ER ISHOWNBELOWORATTACNfOUACOPiE51 <br /> WORK WILL BE COMPLETED N'ITH WHETHEP SPECIFIED HEFiEIN OR � <br /> a H y ior p� - � Z eiocK cT'� ���or �„� y,y-_c� I�L. / NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AU7HGRITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> � y H � OTHER STATE OR LOCAL LAW FEGULATING CONSTRUCTION OR THE <br /> d�+,y �- � �'� r � � � � {�� F � - PERFOR�dANCE OF CONSTRUCTION.THAT I AM AUTHOAI2ED BY THE <br /> [iJ OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> 7- �, „E APPLICATION IS MADE AIJD I COMPLY WITH THE STATE <br /> �„7",� p y CONTRACTOR$LAN!1827 RCW AND 296200 WAC. � <br /> S:G::niI8+EO4C0��*i�aCtORORnirtNCRiZEDNGENT �niE <br /> // � � <br /> X ,%� !: (= //'� ,/ , <br /> PPOJF.G�AOOPE55 -----"—'—��-'- � r ) '�-�"'�� � � �n•� /%F,-L-1 � � <br /> t <br /> I <br /> q{1 L l A 1*+p i V EIUSI JES$LIC �u'E NO A110 BUSMf$S NAI.IE , <br /> �� l . 2' _ I O .e. / (-- .e I• y �� , � <br /> : '�.-: PLUMBING MECHANICAL � . <br /> � �� '� NO. TYPE OF FI%TURE OR ITEM FEE NO. TYPE OF EOUIPMENT FEE <br /> ..��� _ WATERCLOSET�TOILET) _ __ __ A�C-AHN�LGUNITS-N.P. , <br /> �ATHTUB FORCED AtF S`.'STEMS-B.TU. M E.A. <br /> � LAVATORY(WASH BASItJ) UNIT HEATERS-B T.U. M _� �, <br /> �� _ SHOWER __ CL07HE5 DRYERS Y <br /> � KITCHEN SINK 8 DISP _T� VENTILATION FAN Y <br /> DISHWASHER _� RANGE HOOD V <br /> LAUNDRY TRAY ' VJATEF HEATER <br /> �rj CLCTHES WASHER �— _ WOOO STOVE <br /> �P URINAL �dETAL FIREPLACE 8 CHIMNEV <br /> DRINKIIJG FOUNTAIN FIPEPLACE INSERT _ �_ � 'i-� . <br /> '� _ FLOOR DRAIN HEAT PUld? - [: <br /> �_ _ BACKFLOWPREVENTERS _ GASPIPING _ <br /> ROOFDRAINS-RAWLEADERS EXHAUSTFAN i 'i�� <br /> SINK�SERVICE-BAR,ETQ� � � <br /> �� I --- � <br /> ' '� SUB TOTAL S —�?— _ SUB TOTAL S __ �� � <br /> PERMIT S --T- _ PERMIT 5 <br /> - � TOIALFEE S TOTALFEE S � <br /> ' FOR OFFICE USE ONLY: <br /> fR01115[iPACH REAFSF.TpACY SIOESETDACK �tAf�G1�FCKGu�.1:1ER FE[ RECEIPTNO <br /> usezor�e �ornnen vae�nrsrt[ FEES VALUATION FEE � <br /> BUILDING <br /> tYPEOiL01115AtI.OWABLC IVPEOfCOtl51Aq11N —'"_ �cm.�5c �mmnv,uu•:;c,�is --'- <br /> caoor pLUA7f3�NG <br /> SIZEO�BIOG NOOFSTOOIES ��SBd[M �pECHqry�CAL I � <br /> I <br /> -- ADUITIOKAL PLAN CHECK � <br /> OCCUPANGYLOAD FIR[SPRNNL[RSREO'0 HEIGI1ILIMP4TION _ _ . <br /> OTHF.R <br /> RE/•SJN FOF SPFINKLERS � 1 <br /> STATE�UILDING SURCHARGE . <br /> inrnKr.uv a�nNsnrrnovrour � CITYOFEVERETT PUBLICW�RKS ! <br /> LOCAL SALES <br /> I � TAX CODEIS 3105 TOTAL " - ` <br />