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APPLICATI�ii,:'i�l FOR CONSTRUC'i'�ON PERMIT <br />1'�r F�r�,rprrn <br />cirvor <br />everett <br />BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br />259-8810 <br />DEMOLITION � i COMBINATION I i BUILDING MECHANICAL <br />nwnrn- _---.—. Mni�n rni ss --- cnv im r���„��- <br />✓�'.x��y �--� M ,iJ,�, _ /y.t�_��,�AJ �� ;��_£'��� �,E � �,� �15� <br />nn��uir�.�onoesiaien Mennoon�ss cn. zir r��or+e <br />Glnrnnl C(N1IMClon M��I�I:Onfss C.IIv ]ir r�mNE I.ICFNSEr <br />IAfC���NicqCONIR�f,IOR MML�Df�RE55 C�fV 71P PI�ONE UCENSEI <br />riiienurn�,cornnncion MNlA00fiF55 CitV )IP PIHI�If IICf115F.� <br />rQ��/4.,s,.,� -�„� i��. ,�,._O S�:ac,_—�:sre sc€_-i;3�� �ZsFi-�zsnn <br />C1A550� WOItN <br />1�NEW I i ADDITION I I AL7EPATION _ I REPAIR I � DEMOLITION I i WOODSTOVE/FRPL INSERT � I BUILDING RELOCATION <br />rrzr�ua n.mnweMer+r on wrenion neuo.nfu o�irv eornnr.i rensoN nr�o ri�oNc r�o <br />cor+rnncn•mceovwonn: �X 7 I f b � ___ — <br />ocscnin� �nK nNo sa��ne roornac wvo� <br />/ � . <br />I � PLUMBING <br />cverett <br />� <br />i i SIGN <br />n usc <br />lrr,e� orscnirnoN <br />irn— — — <br />rnc)renrv is�owN neinw on a inc�� <br />niocx ^� __ <br />rnn,IFcl npnnEss /, <br />i/ Y u�1 5 f c�c� ��c. �i' <br />PLUMBING <br />I HEREBV CERTIFY THAT I HAVE READ AND E%AMINED THIS <br />APPLICATION AND HNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF L/1WS AN� CRDINANCES GOVERNINO THIS TVPE OF <br />WORK WILL DE COMPLETED WITH WHETHEF SPECIFIED HEFEIN OR <br />NOT. iHE GfiANTING O� A PERMIT DOES NOT PRESUMF TO GNE <br />AUTIIORITY TO VIOLA7E OR CANCEL THE PROVISIONS OF ANY <br />OTIIER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR 7HE <br />PERFOR�dANCE OF CONSTRUCTION. TfIAT I AM AUTHORIZEO BV THE <br />OWN[R OP TIIIS PROPERTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS h'ADE AND I COMPIV WITH THE STATE <br />CONTRAC70R5 LAW 1827 RCW AND 29G200 WAC. <br />s�r��nnirrzorcornnnerononnumon��eneaFNr oere <br />X <br />nPPI iGr1I5 Citv AUSiNE55 UCf rBE NO 4N0 flUSIN(55 N4ME <br />NO. TYPE OF FI%TURE OR ITEM FEE N0. <br />LAVATORY (WASH BASIN) <br />SHOWER <br />KITCHEN SINK 6 DISP <br />CLOTHES WASHEF <br />URINAL <br />DRINKING FOUNTAIN <br />rLOOR �RMN <br />UACKFLOW PREV[N' <br />PO 1F DRAINS—RAIN <br />SINK (SERVICE—BAR <br />� <br />fntNll Sf 10�CN <br />usF za+r <br />hrF [II fAN51 �LIOWABIF <br />s vr or m oa <br />OCr,UPMICY LOI1D <br />ni �sor� ronEvnwnicns <br />N�rliUlialnCC Pv <br />pf�It SFIp�CN <br />�oinnee <br />IYP[ Of 6�NSI �Lill�l <br />NO Oi StOqIES <br />fIf1F. SPIINNI F.RS f1EOD <br />1 I VES I� NO <br />PUNS �Pf'flnVfl) PY <br />bly <br />� � —' NC—NHNDIG UNITS—H.P. <br />.��__ _. .__ <br />a;_ ^ PORCED MFi SVST[MS--B.T.U. M[.A. <br />�j�_ __ UNITHEAiERS—B.T.U. M <br />CIOiHES DRYEIiS <br />VENTILAiION FAN <br />� RANGE HO00 _ <br />� WATER HEA1[R <br />���— WOODSTOVE <br />�_ METAL FIREPLACE 8 CNIMNEV <br />� FIPEPLACE INSERT <br />EXHAUSTFAN <br />0 <br />)TAL E _ "`t�I _ SUB TOTAL <br />f f '� PERMIT <br />PEE S z - + TOTALFEE <br />Si0ESE1flnLN �In11f,��fCKN11MPCR ff[ <br />ver,nr+tsnE FEES VALUATION <br />I I YES I I NO ounowa <br />aNr�xr xo nfwlU�xninns -- — __ - __"_ _— <br />r.nour <br />Pl 11MPING _ _ __ <br />n�51:uEN1 M[CHAIJICAL <br />I I VES 1 I NO — -- ------- <br />IIEiCIII lIM1Ut�011 OI (IE R <br />_ S1��EAUII.DIN6SUfiCH/RG[ <br />sinie er�en�v sunc unce <br />—�----- _ <br />CITY OF [VERETT runuc wonres <br />LOCAL SALES <br />TAX CO�E IS 3105 TOTAL <br />necemr <br />� <br />