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I <br /> �_. <br /> APPLICATIO� FOR CONSTRUCT�vN PERMIT <br /> �„�,r„�,�,,,,"� <br /> � rve•r�tt <br /> ��,��� e <br /> everett <br /> BUILD�NG DEPARTMENT <br /> 259 8810 TO BE COMPLETED IN INK—PLEASE PRINT <br /> DEMOLITION COMBINATION y: BUILDING MECHANICAL PLUMBING SIGN <br /> ---- --- — ------- -- - -- ------ — — ---- <br /> OWNOI MNjAOOHfSl Ci1V I��' PH�INI � <br /> .v��Iw1 .� �� � ....� �v -� 1 � /� .� .,1. . �1. � t..._ . : v � � l ._ . .�. <br /> ivsC ,i��h Av�t. nlc . .�.1� P.� 1ZC B� ilca4� w.9 92�r.,.1 4s� oo44 <br /> iEfANI M�iI��ORESS �CITV IIP PHONE <br /> �RCMRECIORDESIGNER MMI�DORE55 G1Y 7'P PNONF <br /> ,J' CIt.IC 7oltnss � 1`Ilfl '11_1K. /�vca.i��_'t_ '_B�J��_y�z-� -Wti4�•�_�.g��0�'_ _-9511' )1.3�] <br /> GfNEF�LCCNTR�QOR M�iL�ODRE55 GLV 7iP PHONE IiCENSE� <br /> �+,�r�xy_a,a�••r.=n� . 5l� �2 lr Was�. 8t�cl. N 'o. K�i�lar.d.. wr� 9Et93 417-75oy S�N�2S13111M2. <br /> MFCdAN�CMCONTR�CLOP MMI�[J�HE55 CIfV IIP PHONE IICEN$E• I <br /> P IiMBM6CONTRACTOR M4il�OORf55 fliv I�P PHONF UCENSE/ � <br /> CI�4;O!WONN �. <br /> �C NEW ADDITION ALTERATION REPAIR DEMOL1710N WOODSTOVEFqPL INSERT BUILDING RELOCATION � <br /> �I N�NI IMPROVEM[H7 UR INTENiO�/R R/EMO�EI O�LLV CONI T/PERSON�NO PNONE D T // ' � <br /> r�'.Nl�. ,i pRICE OF WOPN: {� T�i CC O Q Q � l�/j ��/� /l r �f�/'(J. v✓ S 1 7 ,I <br /> i,rrcnieewoNKnr�osauaeroot�cEiNvaveo /�(�(� �aJ' ]SrS <br /> ./)ak.�l-n+.i l.�]���' /�7.Coci G�bit Ff . \_ I <br /> ��+����.aeoi,sEoraunoiNc I HEREBV CERTIFV THAT I HAVE READ AND EXAMINED THIS .+ <br /> APPUCA710N AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> �n.a ocscnivnor�ovvRoreerv iSHowNeE�owon�rucNrounroriEs� PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br /> WORK WILL BE f.OMPLETED WITH WHEiNER SPECIFIEO HEREIN OR <br /> ���� a1OCK �� — NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ' n � AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANV <br /> Sai_al+{wah..c� ��� Dtvc,r�(l�in -� OiHER STAiE OF LOCAL LAW REGULATING CONSiRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION THAT I AM AUTHOftIZED BV THE <br /> OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> __. — APPLICATION IS MAOE AND I COMPLV WITH THE STATE <br /> CONTRACTORS lAW 19 27 RCW AND 295 200 WAC <br /> S�GNPfIIHF F�CON1fUCfpqOF�iI1Hp�UjFOAGFNt pPiE <br /> X ����� �j�'.�-., �,,. i/s�/r� <br /> - - — -- — - - , � . . {� �„�� S�u�'�PJia/�ia <br /> � ��,�������tis �, �.� ) � j ��. L� ��`�;��' �'s . � _ _ _��-- <br /> t� 1 v�UltiiHl SS i 1 N�f 4�� nNl q 1SOIf SS 4�M! <br /> PLUMBINO MECHANICAL <br /> N0. TVPE OF FI%TUHE OR I1EM FEE N0. TVPE OF EOUIPMENT FFE <br /> WATEF CLOSET�TOILET) A C--A HNDLG UNITS—H P. � . <br /> BATHTUB FORCED AIR SVSiEMS-0.T U M E A <br /> LAVATORV�WASH BASIN� —r UNIT HEATERS—B1.0 M � � <br /> ___ _ —_ -- <br /> SHOWER _1 ._ _ CLOTHCSDRVERS � �� <br /> KITCHEN SINK 8 DISP ' VENTILATION F4N � , <br /> DISHWASHER RANGE HOOD � <br /> IPUNDRVTRAV WATER HEATER <br /> CLOTHES WASHER � WOOD STOVE I <br /> _ URINAL METAL FIREPLACE 6 CHIMNEV __ _ �I <br /> Dn'NKING FOUNTAW FIREPLACE INSERi ' I <br /> FLO�)R DRAIN HEAT PUMP —� <br /> BACKFLOW PREVENTERS GAS PIPING i <br /> ROOF DRAINS—RAINLEADERS � E%HAUST FAN I <br /> SINK(SERVICE—BAR,ETC� ' ' <br /> _._i_ _ . . _ _.—.— _ — <br /> � <br /> SUB TOTAL S SUB 707AL E <br /> PERMIT 3 � PERMIT S <br /> _ — _ '__— . _ _ _. _ -_____—_--__ _.___.. _—�_ <br /> TOTAL FEE S TOTAL FEF E <br /> i i���4i SF�9A!K RE�R SElB�GK SiOE SEiBACM Pi aH��4 i.r iinA�H!i� �I f Ah.l iVi NO <br /> ���a r���F ioTenee vec�wrsre FEES VALUATION FEE <br /> T <br /> VES NO BUILDING ����� �� <br /> i.ri rn LONSt�IlOW�BIE n'PFOfCON51 ACN�I OCCunMr rin pirxtc so�.�r'� --- ---- . .._. _ . __— �� ••� � <br /> cnwr PLUMf3WG <br /> �.�n iK BL00 NO P S10RIE5 B�9EMSNt MFCHANICAI <br /> VES NO -- -- y��,/��,�,, n - —'-- <br /> , nrANqVLO�O FIRE9PRNNLEHSREO'D HFifHrliNiuhtiN O7M[�� .��i <br /> �/1 <br /> VES NO _ 51alEA IOINGSURCHAR(11 � �� �/��� ! <br /> �n o-��q FOR SPR�NMLEPS ------ '--�- -- ----�- ' <br /> SInIFFNERGVSURCNARGE <br /> _.. _ _.._. .. .. . _ —__ _. .__._ .. __ . . <br /> .- �.ii/iIfX1�CC9V vuNs•PPaoveon� � CITYOFEVERETT runiicwoAKs �II <br /> LOCAL SALES <br /> TA)( CODE IS 3105 Tot�i <br /> 4 %,� � <br /> �� <br />