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A4�PLiCAT10��� �OR CONSTRUGiL�lN PERMIT everett <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />Ihe Evwgreen <br />CITY OF <br />everetfi --- - -- -- - <br />-- <br />I HE411NG SYSTEM: !J GAS F,Z�ELECTRIC U______— _. -__. _..--- <br />BUILDING DEPARTMENT L---------- — - <br />259-A810 <br />I I DEMOLITION I i COMBINATION _ _' BUILDING ' MECHANICAL � i PLUM'>ING I I SIU'N <br />OWNER A1NlADUf1[55 � GI1V ]�P —"-- PIIONE <br />�1adPtiL.d Q�_f�}_N�v �- ��5_��✓C/l��Zv%_YF�oB 3 � 5- / S�� <br />TEN4N7 Idnlln0[1fiG55 f.11Y 21P P110NF <br />ORUESIGNEB MAILAOORE55 CIIV 21P PIIONE <br />MAIL��Df1E55 CIIY [u' ������� `•�`••�` <br />�lIECMANIC�LCONTRACIOR IAAI�AOD(iE55 CIIV ZIP PHONE LICENSFa <br />C. � _,v���� �5or _-_H��'4�Pf � 4 S- �'s��t9 <br />s��.-��C,� �-v�--� d N -,---- <br />PLl1MOWGCOttlit�C1U�1 IA�II.AUI)f1FSF f.ilY lil` PIIOflf UCFNSEtl <br />_'__.__"_'___ ._._"__._"__ _ . _ ._- . __. . . _ <br />CLASS Of WOf1K <br />I I NEW ' I ADDI110N �' AIiER�I ION �� �� Rf.PAlfl �� Uf-MOLITIOIJ x WOODSTOVF/PRPL INSERT I I BUILDI:JG RELOCATION <br />..__—___—__.__.__._____ _ .. <br />_. .. . _ _ . .. __ .... .__.—__---_ <br />. _ .. .. � i�nninr.i rt nsnn nnu runur rin <br />coninnc�rnic�orwoi�k _------_--.._-----....._.. <br />oescnior- wonn nNu sounne roo�nce u+vo� vrn s <br />�. , `1=,.��f—�e�—/-w��L`--�='�' x— C�-+—=-- <br />rnor•oscn usr or nuanwr, <br />.S� L�._---.______--_—__— _.. .__. <br />iecn� oescnirnor+or rn�reniv �snowri nei.ow un ni inr.n raun corirs� <br />LOT ��OCN OF <br />rnaecr nnui�ess <br />/Oln�9- `%/,/IJ✓_ SE <br />PLUMBING <br />NO. TYPE OF FIXTURE OR ITEM <br />� WATER CLOSET (TOILEi) <br />BATHTUB <br />LAVATORY�W��SH BASIN) <br />SIIOWER <br />KITCHEIJ SINK 8 DISP <br />DISHW�SHER <br />CIOTIIES WASIiGR <br />URINAL <br />DRINI(ING �OUNTAIN <br />FLOOR DfIAIN <br />BACI<FLOW PflEVENTERS <br />ROOF DRAINS—RAWLEAC <br />SINK ISERVICE—BAR, ET( <br />SUB TOT�L $ <br />PERMIT $ <br />IOIALf-EE S <br />I HFfiFDV CFRTIFY lllA� I H�VE READ AND EXAMINED THIS <br />MPIJC�I ION �ND I(NOW TI IE SAMF 10 DE T(iU[ AND CORR[CT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL 8E COMPLETED WITH WHETFIER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PER�dIT DOES NOT PRESUME TO GIVE <br />�UTfiORITY TO VIOLATE OR CAN�EL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAI LAW REGULATING CONS�fRUCTION CR THE <br />PERFOR1dANCE OF CONSTRUCTION. THAT I AM AUTHORIZED dY THE <br />OWIJER OF THIS PROPEFlTY TO P[RFORM THE WORK FOR WHICH <br />�PPLICATION IS MADE AND 1 COMPLY WITH Tl1E STATE <br />CONTRACTORS LAW 18.27 RCW �ND 296.200 WAC. <br />SIGNNUflE0PC01liR�C10fi0RAU7HORIZED�GENT OATE <br />X.�i�/'-���=�e�-�� 4��,S�Y � <br />nrrv.ir.nnu;cuvnusi�+tssu�'.rNscr�o nnunusv��ssunn+r: <br />FEE NO. TYPE OF EOUIPMENT <br />� A.�C-- NIiNDLG UNITS—H.P. <br />� � FOFiCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HE�iERS—B.T.U. M <br />CLOTIIES DRYERS <br />VENTIL�TION F�N _ <br />-�— RANGEHOOD <br />-- � — --- -WAT[R hi[ATER __ _ <br />.--_�__ __ _—. _ <br />� � WOOU SiOVF _ <br />____—'—_. _ ____.__-.'_— <br />� M[IAL fIRLf'L�CE 8 CFIIMNEY <br />___....--�. ____ ----------�---_ — <br />� FlfIEPLACE INSFRf <br />_____--+— Ilf_A�PUMP_ ._._ .__— — <br />.__..__..._ .. ___._— —_ <br />- � GAS PIPING <br />---� --r----�--�--[XHAUSfFAN�----- <br />— ,� _ —__ __--___---_ <br />---i-- --- -------- <br />�------�— ---- -- -- �---- <br />�_ ..--------------- <br />� SUB iOi�L <br />---'--i-- -' --- -- -� --'—'------ <br />, PEf7MIT <br />_—._'.__ — _._..—__._— _. ____._.____—_— <br />� TOTAL FEf3 <br />FOR OFFICE USE ONLY: <br />_ _.__ "_' ._ .'_"__...__..._— <br />FPONTSE713�CK I IIGANSFIOACK I SII1F5[Iphf,K PIAIlf,IIFCK11l11dBtq <br />_ ._—____ ___ ________'—_ . __...._ <br />usezor+r {o�nnrn � v�rm�itinr <br />rvre or cor+ts nu <br />::VfO�fllU6 .... � <br />OCCIIPAM.^,Y 1.0�11 <br />f1EASUN FOfI SPOINKL[�iS <br />_'_—____..._ _ ___'. <br />f71qLUWt: <br />11PF 0{ G01151 �CIIIN �� i i'n �: � qo m i iu i i ims — �— --- -�- -� . <br />" ' PIUWPMG <br />un ol f:lnml .^, nma 6n ni f.1fCII�NICA1 <br />'----"- --- --"— ----�-- A�DIIIONN. PI.AN CIIECK <br />�IfiF.SPII�lNL[RSfI[O�0 ��Bf,llllll.III�IION <br />INi�NEDY rinNsnrrnoveonv CITYUFtVERETT <br />�ocn� sn�Es <br />� TAX CODE IS 3105 <br />OIIIEfI <br />S7NE BUILDWG SUfiCIlARC7f: <br />PU01 IC WOf1KS <br />Torni. <br />FEE <br />q <br />S .-Sa "' I <br />� I$ � <br />qf:C.[Irl rID '� <br />FEE <br />--r— <br />I <br />i <br />� <br />_ r— <br />ir1 �__ <br />i <br />� <br />i <br />i <br />—T <br />— ' <br />i <br />--r' <br />?c �— <br />