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APPLICATIO.. FOR CONS'TRUCTC �N PERMIT °`� `"" <br /> „s,�- <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> cm c�� --- <br /> everett CHEATINGSYSTEId' JGAS �ELECTRIC J � <br /> BUILDING DEPARTMENT <br /> 259-881U <br /> DEMOL:T.!011 COMBINATION BUILOING MECHANICAL _ PLUMBING SIGN <br /> ciTv zm [� jG 'vHor � 7�— `/fY <br /> pNNER MA:IADDRESS / _ ..� <br /> ��p .U��"oSE ;S3o /��ouN���� V�c.3 !Co f�OK�fl:�re wa � � <br /> iCN/.NT MAILI�DDRE55 951�' <br /> oS£ A-Na f����Gst22o0 flL�r� RU� E✓H!E?t.r} �SP•35�76 <br /> /�GRT�f SMN e � <br /> t.r+CHiTELTOADESiGNER /M�I�DDfiE55 CrtY 2�P ��E <br /> .ENERALCONTMCTOIi "�LMDRE55 Cltt 2IP VHONE UClNSE• ' <br /> � ,!r'«���. C'r-� �iPir.vE s�r��` ���..� s�°r3 <br /> � �� MECNAWCALGONTR�GTOR MMLRDDRE55 <br /> Cltt Z�P 6L D� 1 ff H�ON1E LIGENSE�S-E_nT TQ�. <br /> 310.E r <br /> p �� PWMB!NGCO��iR�GTOR MMIADDRE55 LITY ZIP PNONE 4CENSEI <br /> C N <br /> .�y y y CLASSOFM'IXIK . � <br /> y �M NEW � ADDIiION x ALTERATION � REPAIR . DEMOUTION �� WOODSTOYE/FRPL INSEFT BUILDING RELOCATION <br /> � CONiACT PERSON NIO VMG'IE NO. <br /> O r�C O CONTRRCT PA�CE OF WORK � /S��! <br /> � �"� � �ESCRiBc WORK GNp SOUARE FOOi�GE MVOLVEO <br /> tA H <br /> ��� �ii-� T v u�� <br /> PHJPOSEDUiEOFBWID�NG � HEREBV CERTIFV THAT I HAVE REM1D AND EXAMINED THIS <br /> _JC APPLICATION AND KNOW THE SAME TO BE TPUE AND CORFECT.ALL <br /> C M d PROVISIONS OF LAWS AND ORDINANC�S GOVEPNMG THIS TVPE OF <br /> H � �y iecuoEscaiPtior+oFVAa'Enrv�seowneE�owonnirecHFaiR�rts1 yyORK WILL BE COMPLETED WITH WHcTHER SPEGFlED HEREIN OR <br /> �p e�ocK � NOT. THE uRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> x M 3 LOT AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AIJY <br /> � y Z OTHEP STATE OR LOCAL LAW RFGULATING CONSTRUCTION OR THE <br /> PERFG9MANi:E OF CONSTRUCTION.THAT I AM PUTHORIZED BY THE <br /> H H OWNER OF THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> � y _ APPLICATION IS MADE AND I COMPLY WITH TNE STATE <br /> n b y CONTRACTORS LAW 1827 RCW AND 296200 WAC. <br /> � L+ � — S�GNAIUR[OFCONiRPCiORORFUTI'JRIZE�AGE.T �AiE <br /> [Z� <br /> H O [y/� X1 _�.G�sca— - /1/G�L�Ct�NO /�.l SS_ <br /> l—,.-�.c� <br /> �-�.#, P�OJ¢iR��R(55 qp �IGnN15GivF1uS��E55UG[NSENO�YOBUSC165NAUC * F'/1T�/�GS <br /> �� 3si� F�r�,�E :,=r- �— <br /> PLUMBING MECHANICAL <br /> NO. ?YPE OF FI%TURE OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> � WATFR CLOSET ITOILET) A'C-P;HNDLG UNITS-f:.P. <br /> ' '_� BATHTUO _ FORCED AIR S`.'STEIdS-D.T.U. M �.A. ; <br /> ��I LAVATORV IWASH�ASIN) UNIT HEATERS�-B.T.U. b1 T <br /> SHOWE"r' CLOTHESDRYERS <br /> KITCHEN SINK 8 DISP VENTIIATION FAN <br /> � .�� DISHWASHER RANGE HOOD _ <br /> j ���� LAUND��V iRAV WhTER HEATER _. <br /> CLOTHES WASHER WOOD STOVE - <br /> URINAL MEIAL FlREPLACE 8 CHIMNEV _ <br /> � DRINKING FOUN'AIN FIREPLAC[INSERT <br /> �� 1 FLOOR DRAIN HEAT PUMP _ <br /> � GAS PIPING <br /> BACKFLOW PHEVENTERS <br /> ROOF DHPINS-RAINLEADERS EXHAUSTFAN _ <br /> I SINK(SERVICE-BAR.ETC.) <br /> �.��1 — <br /> �� ' ' SUBTOTAL $ pERMOTAL 5 _ <br /> � PERMIT $ <br /> TOTAL FEE 5 TOTAL PEE 5 �— <br /> FOR OFFICE USE ONLY: <br /> fRO4i5[ifinC�. PfRRSEiBACN SICESETBACR PIPVCNLCkNUMBER fEC ,y ncCCiaiNO <br /> X� ST�T y� aG r3s� ios. so �f�a s� <br /> use za+e �ot naen vnar+t srte FEES VALUATION FE_T <br /> �'— Z �� BUILOiNG �] J 3 �.. __��i�'CLJ <br /> i_. <br /> tVPF 0(CONiS RIlOWR01 E iVC[Oi CON51 RLipAL ��p;�o� ����������s pLUMBING �— <br /> lIl - .�/ J/i-n/ _1 <br /> SIZEOFBLDG ND.OFSiORIES 815EUENT MECHANICAL <br /> 6 yU SQ Pf.OFTIL( jr�[y I ADDITIONAL PIAN CHECK <br /> ��'LU�'/•NGVIORD FlRESPRNNI[BSFEO'D HEIGHTLIMITRt10N _ - <br /> G _ OTMEF � <br /> :.;�.�:,rvionsr�HwKicns -- --r <br /> � STA1F.BUILVIIJG SURCNAfiGF. _ _��O <br /> �:¢✓EPY PLNNS 'CnOvlOOv — � CITYOFEVERETT PU�LICWORNS � <br /> � y—y, LOCALSFLES — <br /> � �h }' TAX CODE IS 3105 rorn� _1 (� � Sd <br />