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APPL,ICATIOR FOR CONSTRUCTI( Y PERMIT �°�«'" <br /> ^�E,�,n��,� TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cc r or <br /> everett HEATING SYSTEM: �GAS 0 ELECTRIC J_ � <br /> BUILDING DEPAHTMENT <br /> 259-8810 <br /> � DEMOLITION COMBINATION BUILDING ;(MECHANICAL PLUMBING SIGN <br /> pWN[fi MpiLPp�i1E55 CIiV S'P FNOYf <br /> C 'rt�+i., /1 o,cn;s `A�� '1 I S aF GG.1<,t Tl ".� s 2 - �) 5 � <br /> 1EN�Ni M�'LPOl1FL55 CILY bV PHONE <br /> �PCNIiECiOflUE51GNEP MAiLA��PE55 GiY ZiP FMONE <br /> GENERRWNIP�CIC� M�R�DOFESS LItY ZiP ^MONE ULENSE� <br /> M6HI.NIULCANiP�CiOR MAlll.0�PE55 GITY 2�P PNON4 UCENSE• <br /> /��/�//•A: NCaJ/"�S rCa..I.u� /YS �2 N2!? t� 5� GL�OfiOi/Jv� II� /-�LP(UH� 11�7l� (, <br /> PIVMBiNGCONiRACIOq MN:�D�AE55 CIiY IIP FNIXIE LGEHSE� <br /> C1A550[W011K <br /> NEW . PD�ITION �ALTERATION � REPAIR DEMOLITION WOODSTOVE�FPPLWSERT Bl11LDINGPELOCAT10N <br /> conrAc�rFl150ti R�0 FMofiE r�0 <br /> o • ncEor�wnK�� `5� O �O � _ <br /> oescnme wonx a�o sowne roornc[�evaveo <br /> ,�U,�i.}a N�w U.,-5 r�,�,��� �N„ ti���t>, <br /> veoro;eou.coFeunowc I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS <br /> APPUCATION AND NNOW TFE SAME TO BE TRUE AND COqRECT ALL <br /> i[c+�ocscairiwrvo�=ecv[arv�viowNoeiowoneruc�rtaecoa2si PftOVISION50FLAWSAIJDOR0INANCESGOVEflNINGiHiSTVPEOF <br /> WORN WILL BE COMPLETED WITN WHETMER SPECIFlED HEREIN OR <br /> io� Biacx 0� NOT.THE GFlANTING OF A PERMIT DpES NOT PRESUME TO GIVE <br /> AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> OTHER STATE OR LOCAL LAW REGULATING CONSiRUCiiON OR THE <br /> — PERFGRMAKCE OF CONSTRUCTION.THAT I PM AUTHOPIZED BV THE <br /> OWNER OP THIS PROPEFiV TO PERFOHIA THE WORK FOR WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH iHE SiATE <br /> CONTFACLORSLAWIB2IRCWAND29fi200WAG � <br /> :icunr�acovco�rtnnronoaauu�omieonccr�. on�c y�/S�'I <br /> ,��.�.. � . (5 z_ <br /> X <br /> -pnaccreooa�ss _)�4.RS�l /�L_/�/NL� /.fa.c%r"..f 1� �oo�i�•i <br /> � �S� nrvucr.Nrscirvouarv�ssucr�servonuoous�vessr+nve <br /> PLUM6INC MECHANICAL <br /> ND. 7YPEOFFI%TUflEORITEM FEE N0. TYPEOFEQUIPMENT FEE <br /> VJATER CLOSET�TOILET) A'C—laHNGLG 11NITS—H.P <br /> B�THTUB iORCEDAIRS`!STEMS—BT.U. 1 E.A. <br /> LAVP.TORV(WASHBASIN) UNITH[AiERS—B.T.U. M <br /> SHOWER GLOTHESDRYEFS <br /> KITCHEY SINK 8 DISP VENTILATION PAN ' <br /> ��T <br /> OISHK'ASHER RANGE HOOD <br /> LAU�DFY TPAV WATER HEAI'ER <br /> CLOTHES WA3NER W000 STOVE <br /> UP�NAL IdETAI FIREPLACE 8 CHIMNEV <br /> DRINKING FOUNTAIN F'IREPLACE INSERT <br /> FLOOR DRAIN HEAT PUTAP <br /> BAC6FLOW PREVENTLRS GAS PIPIN6 <br /> ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR,ETC.� <br /> SU�TOTAL B SUB TOTAL S ,JU ;�J <br /> PERMIT 4 PEFIdI� 5 /S �Up <br /> TOTALFEE 5 TO�ALFEE 5 � � <br /> FOR OFFICE USE ONLY: <br /> !N(]IIISCIIIACN flERi15Ei8ALN SIpE$Ci9ACN GUNI:MECNIIUM�f(1 iFC RCCfIPiNO <br /> uz[rouc �o*nNen vnur+*s*E FEES YALUA�ION FEE <br /> BUILDiNG <br /> �Y�`(u4fAN15�LLOWA8IF 1W[Of[ON9�CiUAI CUunK� xaa�nlum.uv/f <br /> °B°'° PLUMBING <br /> 5R[O���OG NOAF Si0BiE5 BASE4[Ni µE���p����p� /hT 'L'1� <br /> _ C1/ <br /> C4(�1PAYL/LWD FlflEGPflIMLEFSR[OD NFGNiUMIiAilql A��ITIOiJALFLANGHECK <br /> OTMEN <br /> RE450YLb115PpMGlEFS —�— <br /> STATE BUIIDING SURGMRRGE <br /> �run�c m vv�vs.vraoveouv CITY OF EVEflETT POBLIC WORKS <br /> LOCALSpLES ",�� <br /> TAX COOE IS 3105 roTn� v,�j ;W <br />