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APPLICATIOe� FOR CONSTRUCTI�IN PERMIT ''`'''�''" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />nv, F, u,g„v" <br />CI7 V OF <br />everett - -- - -_ - - _ -- <br />_ -- - <br />I HEATING SYSTEM: � S J ELEi;TRIC J ___ <br />BUILDING DEPARTMFNT -- -- <br />259 8810 <br />DEMOLITION COMBINATION BUILDING <br />�iwr�in — �.�niin�i� -ti. ._.__ .. _. �rv -- <br />_�,C�NA r Sl��-7/-s� �-�i-!/�-r�..�����> <br />iFt�ANi M4iL�L�D��CS� / CifY--- <br />. �Ar3� � <br />N1Cw1ECtORDE51GNF11 MMIPpDRG55 Ci1V <br />M4Il <br />M�il. �DDRE55 <br />viIIM01NGCONTR�CiOli MNLADOPE55 <br />(.i /.550� WO�N <br />NEW ADDITION ALTFRATION REf'AIR <br />CONiR�CT PRICF Of WORe /./� / � <br />Df5CRi9EWORN�NDGOUA�C500iAff.INVO�vFfl , <br />PP )POSED 11iE OF BIIRDING , � <br />_S %- � <br />i�.cei oescamrior+ov vnovrniv <br />tOi flIUCK _ <br />-- ��7�i <br />oF <br />PRJJFC.i 2�E S —J ���<_ — <br />�/��__ / �� _A ��� <br />�T1�CH FOU� COPiFSi <br />OR ITEM <br />SHOWER <br />� KITCHEN SINK 8 UISP <br />DI�HWASHEFt <br />LAUNDRV TRP.V <br />CLOTHES WASHER <br />URINAL <br />ORINKING FOUNTAIN <br />FLOOR ORAIN <br />BACKFLOW PREVENTERS <br />ROOF DRAINS-RAINLEADERS <br />SINK ISERVICE-BAF, ETC.1 <br />S <br />FOR OFFICE USE ONLY: <br />i11nNiSf10RLF� ❑lAHS61BnLK �SIpE <br />i�•:I l�n�f <br />IH�f 01 CONIS �LLOW�BIf <br />",Gf Of BLDfi <br />n�.fuP�NLY 10�0 <br />III �SON fOR SPRiNMI! qS <br />V��A�I I�r <br />lUl n111A <br />IrPF Of CON51 �CIUAI <br />NO OF STORIES <br />FIRE SPBNKL[RSP[00 <br />P� nNs nr�nl�pvl D Ilr <br />MECHANICAL PLUMBING SIGN <br />..�,.-- — �„o„E <br />��5.5 _�,�� <br />Ziv rHONe <br />Iir r��oniF <br />cilr n� _ vHoqE <br />cirv L • `�C�t-'7t? �i�tj (c�GLJS ��/JJ7'1iA'�N/7ZJ�(J4, <br />)iP PHON[ IiCENSE• <br />CrtV DP PNONE lIC[NSE• <br />DEMOLITION WOODSTOVEiFRPL INSERT BUILDING REIOCATION <br />CONiaC/ PEASJN pND PNONE NO / � <br />• L/l'% (GC�J_J <br />I HEREBV CEfiTIFV THAT I HAVE R' 4D AND E%AMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND OFDINANCES GOVERNING THIS iYPE OF <br />WORK WILL BE CUMPLETED WITH WHETHER SPEC�FIED HEREIN OR <br />NOT THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORI7V TO VIOLATE OR CANCEL THE PRO\�'SIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULAiWG CONSTHUCTION OR THE <br />PERFORMA�JCE OP CONSTRUCTION. THAT I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 1827 RCW AND 296,200 WAC. J <br />sicNar�iq�orcpr+raactononnun�onizconre�+t ontE %� - �'�/� <br />X <br />,� I <br />. � <br />j «t,I ' li lni�...e,�� -- — <br />�VV�I(.4�1Sf_I1VB SINESSUCINfif bO A11pflUS11F55NM1E <br />FEE N0. TVPE OF EOUIPMCNT FEE <br />AC-A'HNDLGUNITS-HP S(� <br />' �� °ORCED AIR S'.'STEMS -8. . l M E.A. <br />—T UNIT HEATERS-B.T.U. M <br />CLOTHES ORVERS <br />—_—�___ _ <br />VENTILATION FAN <br />-- --� <br />RANGE HOOD <br />' � WATER HEATER <br />—r WOODSTOVE <br />METAL FIR[PLACE A CHIMNEY <br />, FIREPLACC- INSERT ; <br />BUILDING <br />O[4iaM�r NndqHUN�,i�A�s ---- <br />t4aiv PIUMBWG <br />B�SEAIENL MEQIANICAI <br />��[icrn uMnavoh �DDIiIONAL PLAN CHECK <br />' __. . _._. _ UIIIER <br />S7nTE BUIL�ING SURCHAianf <br />� CITY OF EVERETT rw ��r, wonKs <br />LOCAL SAL[S <br />TAX CODE ;S 3105 TOTAL <br />0 <br />_ SUB TOTAL $ �/� J <br />PFRMIT $ i � � <br />TOTAL FEE $ ,_ �1 ; <br />�It � �FCEiPTNC <br />�' <br />