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APPLICATIiL.� FOR CONSTRUCT.JP1 PERMIT �•��'«'" <br />TO BF COMPLETED IN INK—PLEASE PRINT � <br />„�,,,�,��,,.,,.,.,, - �� <br />�:�,� ��� <br />evr�rett _ _ _ _ _ -- <br />3UILDING DEPARTMENT I HEATING SYSTEM: GPS J ELECTRIG J . . <br />_. ---------� ------- ---- <br />-- ----- -.._._--I <br />2ti9-8810 <br />DEMOLITION COMBINATION �C BUILDING XMECHANICAL �PLUMBING SI�N <br />-- � - --- <br />ow6rn ---. _ _ . . - uc:�,nn�n ;s ----- - � - cnv 'I �m r��ow <br />�� �' � �, � .�3U�' 2lctl J'd06 �}'_?'/__i'Gif <br />� ��� �...- �v _c:,_lUn�— <br />1l1�ANi MAI��DDR[ti: CITV 71P pHONF <br />nfIC111iECiORU:SGtlC4 E�MI��OfiE55 <br />!�fCH�HR;AICONiMCTOR MN�..UDRE55 <br />i'111MBiNGCONiRICtOft MAii.nDpRE..r <br />f.USS OF WORh <br />xNEW ADDITION ALTERATION <br />rnic� ov wovvK ,�„ <br />vo�aK +�+n sou�ae rmuec <br />���( �� <br />i r cnt. oescnki WN Or rauri <br />ior� o�cx:K <br />or <br />• . <br />urr tiP rf�oNF. <br />Gllv j11' PIIqN[ L�G NSEI � <br />��e -� y����� � y�s�.� ���-��� � <br />clir rlr v��oNE IICENs . '. <br />Ci�Y — – <br />REPAIF _ DEMOLIT�ON <br />PFQIEC L AODRC 5'. — <br />in� -75''' StSw <br />PLUMBING <br />N0. TVPE OF FI%TURE OR ITEM FEE <br />WATER CLOSETITOILETI <br />� BATHTUB _ � <br />� <br />. LAVATORY (1YASH OASINI I f <br />_ � KITCHEN SINK 8 DISP <br />/ DISHWASHER <br />LAU��DRV TflAV <br />,_f CLOTHES WASHER <br />UFINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />� OACKFLOW PREVENTEqS <br />RUOf- DRAINS—RAINLEAD[RS <br />SINK �SERVICE—BAR, ETC.1 <br />� <br />—J <br />SUB TOTAL $ <br />_ __— —_ ----__ _ ____ <br />PERMIT $ <br />__ ___- . ______. _._— ___... ___ <br />TOTAt.FEE 5 <br />FOR OFFICE USE ONLY: <br />��nr:a s� �Imr.. � � �n nn �,� �nncn _ _ _— _ sinF scronck _ _ � . <br />w z-U s <br />iiSl]r)qC �� "��� I���nfUn�– � V�C�NiS��E <br />�'� ��� — � <br />i���i�����.nrus�iiow.wii in��orcnqsier.w.v .� � ,.��»�n�..�..�s- <br />---•—��--- t -�—`a ----- —�t� ---- <br />'�dlL Of ftlflG I �I�� Of SLOP155 OASFMFNI <br />Y,fGUP4NGYl0I•U + <br />N � -- <br />n�esor�vo ,nnu�eitns <br />qinKE Bv <br />1 IRL <br />�l nV,nn� ic ��I PHv <br />9� <br />Nf.11illT lll.11lpllpll <br />ZB' <br />CITY OF EVERETT <br />LOCALSALES <br />TAX CODE IS 3105 <br />PHONE UCENSE� <br />WOODSTOVEiFRPL INSERT BVILDING REIOCATION <br />�i P[FSON ANII PNONF NO � ��� � �� <br />1� _�G�J�£�i �PC,{J M'ny �� �L <br />� J <br />I HEREBV CERTIFV THA7 I HAVE READ AND EXAMIIJED ThIS <br />APPLICATION AND HNOW THE SAME TO PE TRUF AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WONK WILL BE COMPLETED WITN WHETHER SPECIFIED HE�EIN OR <br />NOT THE GRANTING OF A PERMIT �GES NOT PqESUME � U GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTH[R STATE OR LOCAL LAW REGLLATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAT I Ald AUTHORIZED BV THE <br />OWNER OF THIS PROPEFTV TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLV WITH THE STATE <br />CONTRACTORS LAW 18.27 FCW AND 296 200 WAC. <br />SiGN�iUIIC ' ONiR�LiOl10N�UTH0�1)c^AGENT O�f[ <br />� 1?—�N-d� � .<�' <br />A�AI�(LvP1151NE64K[NS�O D USM[SSH�6������ <br />N0. <br />A�C—A'HNDLG UNITS—H.F. <br />FORCED AIR SYSTEMS—B.T.U. M E.A. <br />UNIT HEATERS—B.T.U. M <br />CLOTHES DfiVERS <br />VENI ILATION FAN <br />RANGEHOOD <br />WATER HEATER <br />WOOC STOVF .L G <br />METAL FIREPLACE 8 CHIMNEV <br />FIR[PLACE INSERT <br />HEAT PUMP <br />GAS PIPING _ <br />SUBTOTAL $� <br />PERMIT ' <br />TJT�LFEE $ <br />� ,, -f- zG�- 3 <br />� �11_ RECIiniNp <br />1�.,, c <br />BUiLDING _ _5_Z�5_��. _ <br />PlUlA9ING _ __ _ _ <br />MECHANIChL <br />ADORIONALPLANCFECN <br />onirn _ <br />tiiA7f: [lUILDING SURCNtfiGf <br />PUOLIC WORNS <br />iOTAL <br />_�+a_b-;�10 <br />�5 :� <br />J�!UV <br />__ �. <br />--4�— <br />Z(1 U(1 <br />�ril ;SC'/ <br />