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APPLICATIOrI FOR CONSTRUCT�ON PERMIT �'��'�°" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />�,�,� i „�•u,�•,.,� <br />r.nvrn <br />everett f HEATING SYSTEM: J GAS J[L[CTRIC J <br />BUILDiNG DEPARTMENT -------- ---- ---- — <br />259�0810 � <br />DEMOLITION COMBINATION BUILDING yMECHANICAL PLUMBING <br />uywlrn unitnun�vt.s _ ��rv.— ]i�' r��oqt. <br />� / _ �. <br />��.i���-'� /�'�rD����- � i �/ � i� ., /�. �[' �� / _ � /�( �i_ <br />� ifNANi M�IIAppq[ti5 CIIY � Z�� / PIION[' <br />I /�Y��' ' � _ <br />�nCI1RLCTOPpE51GNER MAii.A0URE55 CItY 2iP P��ONE <br />rINER�ICONiR�GIDR MAiI�D�RE55 LitY Iln r+��oNP. LIGENSE� <br />AIF'CN�HIGL CONLR�CIORl' MRII �DDRF55� r � <br />.�`i' S%- �(. �i,? �%� � ). ,�I.l� <br />PIIIMNNGCONIRACIOR M�I��Df)R(55 <br />CtA550f WORe �'� <br />NEW ADDITION � �AITERATION REPAIR <br />� . / i'1(' /,..-',, <br />coNrn�crra¢eor wonn <br />SIGN <br />/ � � / tiv .� _ ��ruqrt . �v- uc[nst • / . . <br />< <br />L�.. � � . <. — . ) i. <br />_ /.tl i�'i "'�� -._' i ,1. i���-; �r%/�i`Cq� /,. <br />r � Zi� P��U�i� " '' �i�ENSE. � <br />DEMOLITION WOODSTOVEiFFPI IN FRT BWLDING RELOCATION <br />CONI�LT PERSON �ND PHONE NO � <br />%��i�''l � il/�%.,r : � <br />Dl.SCt1iPEWORK�ND5p11Af1E LAOEINVOLVEO r- � � <br />>� 'c �� �' �� "��Y7 � e%').: w•_.r l-='.I� �,> ; �.� �i�ni _� i , % � . <br />rnovosEouseorominrt�c I HEREBY CERTIFV THAi I HAVE FEAD AND E%AMINED THIS <br />APPLICAiION ANO KNOW THE SAME TO BE TRUE AND CORPECT. ALL <br />irc.�i.o[scRirrioHovnnorenrvis��owNneiowon�*tea�rouReoriEsi PROVISIONSOFLAWSANDORDINANCESGOVERNINGTHISTVPEOF <br />WOHK WILI BE COMPLETED WITH WHETHEF SPECIFIED HEREIN OR <br />ior eiocK or ___. NOT. THE GRANTING OF A PERMIT DOES NOT PRESl1ME TO GIVE <br />�1 �A / r.-...� . AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />"�/-1�; Y i; ,���(�^% �i !/ Y;,�f'�/ i' ��� �� �/ O'H[R STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />� RpJEp <br />. Y' r <br />NO. TYPE OF FIXTURE <br />WATER CLOSET �TOILETI <br />BATHTUB <br />LAVATORV (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAV <br />CLOTHES WASHER <br />PERFORMANCE OF CONSTRUCTION. THAT I AM AUTHORIZED BV THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WOFK FOR WHICVi <br />--- APPLICATION IS MADE AND I COMPLV WITN THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296200 WAC <br />9GNnru��[OrcUhiPnCiuFONnupionilFDAGENI DRi[ <br />X � � �, I ,. <br />—_.—"__.. - _ .___-__._.— .. � .y���.+ _-• f -� <br />�� L.Q!lSL.N1 _—_--.�—lif�--__ <br />APv� ¢�i1lly � rt V PIIS bL SS 1�ff NSF NO Ab[ HIGitIF55 NAIAE <br />MECHANICAL <br />fEM FEE N0. TYPE OF EOUIPMENT FEE <br />� A C-A HNDLG UNITS-HP .-�� ! r <br />--- �� -- --� .. .___ _ `, i FORC[D MR SYSTEMS-B.i.UJ M E.A ~ <br />UNIT HEAiEFS-BS.U. TJf-� <br />CLOTHES DRVERS <br />� VENTILATION FAN <br />� � <br />___. _ .. _ .. .__� __ �_ <br />RANGE HOOD <br />T� rVP.T[R H[ATER <br />—� � �J� WOOD STOVE <br />M[7AL FIREPIACE 8 CHIMNEY <br />DRINKING FOUNTAIN FIR[PLACE INSERT <br />- ___ --r- <br />FLOOF DR�IN fi[AT P�1M1' <br />BACKFLOW PREVENT[RS GAS PIPWG �.�'r- ' <br />_ -. .. _ ' ---�- <br />ROOF DRAINS--RAMI.EADERS EXHAUST FAN <br />_ <br />—_ <br />SINK ISERVICE-�AR, E1C.) ' _i__ <br />- __-- - _ . _�— — _ <br />_ <br />SUU TOTAL 5 ; <br />- __-_____. __ _. . __�__ '_ <br />____________PEHMIT� 5 � <br />__� TOTAI __-_ -.-.___ �_ _ <br />FOR OFFICE USE ONLY: <br />! 41pNL 5�tp�f v 11GR 6E18ACh <br />4_ <br />usr ror+r iot n�e. <br />��r� OfLONtS ILIOW�RIf Iv�l 01 LUH51 �Cip�l <br />'�VC0:0lUG NOOFSiORI[5 <br />in.Cl1P�NCVl0�0 fiRESPRNrclFf15RE0D <br />��� nsor+voa svniNxiens <br />�4invCPr��� �� �9ny,nrrPnvfl�nv <br />smc serenc• m nr� ���� i. riu�.rtn y i i i <br />��( � � <br />v�c�Hrsne FEES <br />_ ivit��u� � <br />nii:�.�ntir. x��i.rn�. . , . - ___ <br />c°�"„ PI Uh113iNG <br />P�SEMCNi MECHANICAL <br />��FifNruMneuor� �D[11110NALPLANCNLC� <br />on{[n <br />s1n11: PURDING SU(1GIIANtd <br />i CITY OF EVERETT runi ic woitKs <br />i LOCALSALES <br />i TAY f.011F �S 3105 Torn� <br />SUB TOTAL <br />PERMIT <br />TOTAL FEE <br />�FCFIPINO <br />UATION FEE <br />i <br />� ---- ----�— <br />