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CITY APPLICATIOEd FOR CONSTRUCTION PERMIT <br />E•YPIPLI <br />COf e <br />rtY of <br />everett <br />BUILDING DEPARTMENT <br />259-8810 TO BE COMPLETED IN INK —PLEASE PRINT <br />DEMOLITION COMBINATION iL BUILDING MECHANICAL PLUMBING SIGN <br />gR Wa 55 — 7r NKY <br />r ' � S It fit. _ L. � �_s' l,� a .. Jzr.,em 7•, rr •: i Y rr vi s t <br />I.— LIAR urnrss 7 Cnr 7ro RYYIE <br />I•MIATECICAM8U1Rn <br />�� <br />MAI MORES$ <br />�/f 6feo• /& ILfifi & <br />CRY <br />IAAo <br />�iC,AVLs 9�YL2 �1S $SS 3 •9S7L <br />wWAAt CRwrR.CTM1 <br />GcL;�j�yy�ip_�/dt/'�.VB <br />A. MORE69 <br />Cm <br />amr�vve <br />lr NgNE ECENME <br />9�ep��Ps3ai� tY.Dr.l,��u/ <br />--� <br />a c4XIIIIACTM <br />wAa ACPn[Rs I <br />Cm <br />Er NONE icuiu <br />NUMx IRM" <br />wa ABRREFA <br />CRY <br />n• NONE ICFMRE. <br />Y. NEW ADDITION ' ' ALTERATION REPAIR 1 . DEMOLITION WOODSTOVEIFRPL INSERT BUILDING RELOC..TK)N <br />EEWNr AINOVILIFNI an mrrmo/n R�EwaFME—a�wr�ff <br />CdRRACiNIK:EdMGN: ZiF'{ <br />^'• <br />cmncE aEnsox um rNONE Q <br />/{ e+ <br />M9 MOda/— W6 REICUT�E.ryIXYE666 <br />Swo .v <br />iY <br />.&f+QP L %Pp <br />DMwjAtDM <br />' aG C <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br />NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANCE OF CONSTRUCTION. THAI I AM AUTHORIZED BY THE <br />OWNER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br />APPLICATION IS MADE AND I COMPLY WITH THE STATE <br />CONTRACTORS LAW 18 27 ACIN AND 296 200 WAC. <br />SKINAruE[d HHN.CIURMAw1.KORilFDAMNr wATE <br />X / /(5���/j <br />EIRAEMRcar ONd PHgrtRrvisrvm.Enow RRArtACNrwncoons <br />EM socK d <br />NIpIECI SOME <br />�(���� _ <br />Q <br />— <br />AM CSRiscnr M)WIIB crNx Nu Wlft�R <br />PLUMBBNG <br />MECHANICAL <br />AKI. <br />TYPE OF FIXTURE OR ITEM <br />F'i <br />NO. <br />IY EOF EQUIPMENT <br />FfiE <br />WATER CLOSET (TOILET) <br />AC—AMNDLG UNITS—H P <br />BATHTUB <br />FORCED AIR SYSTEMS—B.T U. M E.A. <br />LAVATORY (WASH BASIN) <br />UNITHEATERS—EIT.U. M <br />SHOWER <br />CLOTHES DRYERS <br />KITCHEN SINK A DISP <br />VENTILATION FAN <br />DISHWASHER <br />RANGE HOOD <br />�— <br />LAUNDRY TRAY <br />WATER. HEATER <br />CLOTHES WASHER <br />WOOD STOVE <br />URINAL <br />METAL FIREPLACE A CHIMNEY <br />DRINKING FOUNTAIN <br />FIREPLACE INSERT <br />_ <br />FLOOR DRAIN <br />HEAT PUMP <br />BACKFLOW PREVENTERS <br />GAS PIPING <br />ROOF DRAINS—RAINLEADERS <br />EXHAUST FAN <br />SINK ISERVICE—GAR, ETC.) <br />SUB TOTAL <br />f <br />SUB TOTAL f <br />PERMIT <br />f <br />PERMIT f <br />TOTALFEE <br />f <br />TOTAL FEE f <br />RW 1tMNSFR FEE A( wart MAI <br />90 sYfz o 'r :gs, 333s1 <br />IIICI11 tEI4d1 A <br />Zo <br />RFM RENTAL)! <br />/ <br />WE KIlALA <br />I <br />M 7431I! <br />M•M <br />Un AREA 'E <br />so. <br />YACAMTMR <br />✓ YES I NO <br />FEES <br />VALUATION <br />FEE <br />WALIPW <br />GY <br />CPNI ))IMAM <br />2 N <br />ONO` tw1w <br />Ill - <br />EmNsr <br />Q`" <br />NPlN1 s.NN <br />awelNG <br />E17LOM00 <br />s lii S4,FT. <br />WMArd1AS <br />"WHY <br />'..YES NO <br />MECHANICAI <br />T'— <br />O arWCYLM SIR/ FNMYEREREI I) <br />/ 0 YES NO <br />KAWIIf0A7MNA[q <br />AR[q IAk FC�SE <br />HFI*IIL E7AT0I <br />! S S I <br />O1NERov <br />BTATE SUIDIA SURCHARGE <br />!� <br />STATE FNERRY SURCHARGE <br />T <br />ARNCATONACC BY <br />NAN#%4AA o�rEon <br />r A/ M <br />CITY OF EVERETT <br />�TAXGCODE S 3-105 <br />MRIC KS <br />WGR <br />MTAL <br />1 <br />