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APPLICATOJ►_� FOR� CONSTRUCTI,�N PERMIT °�°"'" <br />TO BE COMPLETED IN INK—PLEASE PRINT � <br />,n,. , ,.,�,n�„ ,� <br />c�t�or <br />everett - --- _ _ -- <br />HEATING SVSTFM: �j GAS J ELECTFiIC ,J ___ .__ __ <br />BUILDING DEPARTMENT �— — -- (— ---- ------ — — — — --- <br />259-8810 <br />DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING <br />o�Yuf n Rnq nnnnGss c�tr lu, r�uroiE --- -- -- <br />D�,���._�0�.� i�._�,�o<��os �%, _ ���v_G __�.f��'�� � �'" — <br />iFrynNr 6�nRnonN55 cnr l�r rqoNr <br />nnOUTFCiOR0E5iGNE ti�� ������'�S <br />� � �C�f_—t <br />���� s....,1,.,.. zJ_ �.—. < <br />GLNCMICONTRACtO� ��Mi.�DORE55 <br />MfC��4NiC�1 CG:IfR�GTOq MML R0f1BE55 <br />�1UM01NGCONiR�C10� MAiIADORE55 <br />C1�55 Of WOliK <br />NEW ADDITION ALTERATION REPAIR <br />f,itv `/ P� <br />�j(2: [ N � <br />p1V 76� <br />CITY 2iP <br />clir 71r <br />vnouE <br />, <br />�, y_s.�/� <br />PNONE l iCCNSE • <br />DEMOLITION WOODSTOVEiFRPL INSERT <br />CONTaCi PF RSON AND 1'110NE NO <br />GONiR�CT PRiLE O� WORK ���� '�O U <br />��E RIP[ 1YOqK �N SpU�f1E fOOtAGE INVy-V� <br />_s,,,�/ � n '� c��' r, �0 9 <br />PRQPOS[D USE Of OUiI�ING ( /� J J��( <br />ir,niDE/ 7�nivno�+ovnaon�ntvis�oa�ttnc�nOunC oiEsi <br />I(11 p/� CLOCN OF �\ t1(� t � Q�\'�� <br />— -- �—_—_ _ <br />PnUJ[CT�pOn[55 <br />TYPE OF FI%TURE OF �Tf:h1 <br />WATER CLOSET (TCIILET) <br />BATHTUB _ <br />LAVATORVIWASH B451N) <br />SHOWEF <br />KITCH[N SINK 8 DISP <br />DISHWASHER <br />LAUNDRVTRAY <br />CLOTNES WASIiER <br />URINAI <br />DRINKING FOIJNTAIN <br />FLOOii DRAIN <br />�ACKFLOW PREVENTERS <br />ROOF ORAINS-RAINLEADERS <br />SINKISEFlVICE--BAR.ETC.1 <br />sue�oTn� <br />PERMIT <br />TOTAL FEE <br />FOFi OFFICE USE ONLY: <br />IPlPIIiCIpMN liFAq6[IB46M �� � <br />— Z-�'i � `'�'` � --- <br />i✓.11UHf IU��IRP <br />�'� - ( ', s -P- <br />'�' I 0� CON�S UI OW�BL( 1VPF 01 CON51 ACIpAI <br />_ V -N v -� <br />'.dF UF OLDC: NO OF STOBIES <br />n�.CU��Nf,v�OAD <br />�+� nr;o�+ron;rnrtrvitns <br />��.��� �,. <br />—T— <br />--'--- <br />� ---`�S.Efi <br />f <br />—g — —_— — <br />Sil>! ifrnnL• <br />�� � <br />V�CIINT S�IE <br />' raq.. Mn M fINP.'.�r,<i. i. <br />Nill <br />l.xoar , <br />fIRESPPNNtffiSRf?D � NfI,NTUMil411(Na <br />"'•''� ""'"'°" ° "` ' � � CITY OF EVERETT <br />�/� -� j LOCAL SALES <br />�-( ¢�L '� TAX COOE IS 3105 <br />� <br />SIGN <br />b�il0 <br />BUILDING RELOCATION <br />I HER. BV CERTIFY THAT I HAVE READ AND EXAMINED ?HIS <br />APPLICATION AN� KNOW THE SAME TO BE TRUE AND COHRECT. ALL <br />PiiOVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TVPE OF <br />WOPK WILI BE COMPLETED WlTli WHETHEFi SPECIFIED HEREIN OR <br />NOT THF GRANTING OF A PERMIT DOGS NOT PFESUME TO GIVE <br />AUTfiORITV TO VIOLATE OR CANCEL TH[ PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OH THE <br />PERFORMANCE OF CONSTRUCTION. fHAT I AM AUTHORIZ[D BY THE <br />OWNER OF iH15 PROPERTV TO PERFOfiM THF. WORK FOR WNICIi <br />APPLIC�TION IS MADE AND I COMPIV WITH THE STATE <br />CONTFACTORS LAW iB27 RCW AND 296200 WAC. <br />5�4NR1Uf1E(X(;0l�iRqGLOR09�1O111Z��iCN�i DAIE ���� �'I� <br />� 1 <br />�V �1��' _--1/ Q..�L----._—_—. _— <br />AI`PUCPNifi CII v piltiiNl.Sti I�Cf qfif ND �ND OUSMC55 NP61C <br />JO. TYPE OF EOUIPMENT FEE <br />A C-A HPJDLG UNITS-H.P. <br />� FORCED AIR SYSTEIdS-P.T.U. M E.A. <br />U�JITHEATERS-BS.U. M <br />��. CLOTHES DRVERS --� <br />3 VENTILATION FAN ' <br />T <br />/ RANGEHOOD <br />� WATER Hf-ATER <br />�_ WOOD STOVE ,�. / .c 3n.TGD <br />METAL FIREPLACE & CHIMNEV <br />FIREPLACEINSERT <br />_ _ . —�— <br />HEAT PUMP <br />( GAS PIPING <br />EXHAUSTFAN � <br />a <br />✓h�a... /('.�� L_ <br />n�nu i iq �. r�c����� n <br />���/ ��l P ti L <br />FEES <br />nuu.o�nc _ <br />PILMHING <br />MEf.HANI�AL <br />ADDITIONAL PLAN CHLCk <br />OiMER <br />STATE B111�DING SUNCVIA11n1 <br />PUBIJC WORKS <br />TOTAL <br />sua Torn� <br />PERMIT <br />TOTALFEE <br />ff! I��ICl�lt'INO <br /><ssCl <br />VALUATION <br /><:l, � � .i <br />0 <br />5s� ;s <br />