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APPLICATI� FOR CONSTRUCI-��N PERMIT <br /> everett <br /> �E�,�� � <br /> cm oF <br /> everett <br /> BUILDING DEPARTMENT TO BE COMPLETED IN INK—PLEASE PRINT <br /> 259-BB10 <br /> I I DEMOLITION � � COMBINATION i i BUILDING i �MECHANICAL 4-PLUMBING i I 31(iN <br /> O�Eq M�RRDDIIF.$5 CIIY 21P PIIONE <br /> l 4. _n i +��ass�.�i►.7rrs c�z� k �,�ra[�,s.u_�i�3c,q_�- ,w.e��.-;r � 59 LY8-2 <br /> tEN�Ni M�tt�ODRG55 CIt ]�P 73— PIIONE <br /> � :.a-►-►wen...-, 6,eo,—��,e on �z� ,�...��2,s�� o�s-,��.w-�% — — <br /> �R�MITELTOR�ES�ONER M��UDpRF55 CIIY ZII' ��E <br /> OENER�LCONiMCTOR M�R�D�RES$ CIIY 21P PNOIIE UCENSE� <br /> MECMIINIC0.COMt��C10R M�R4DDRE55 f.IIY 71P PI!ONf LICENSE� <br /> vWUBmaconTn�cion ������I)O��ESS Cllv ZIP PNONf LICENSE� (t�[�V S I�'� <br /> [-7�Q,.�S? /�� c.rN[-3��„�•�7_rs BnG ac�s?. �!_�s�„salt�F-z7� "K6'�Ss'77 //�Li <br /> CL�SSOF WORN <br /> I.I NEW '��DDIT�ON I 1 ALTERATION '� qEPAIR I I DEMOUTION I I yy00DSTOVE/FRPLINSERT I � BUILDINGRELOCATION <br /> TEN�NI IMFt10VEMENi OR INIERIOR REMOpEL OHLY CONtACT PEfI50N�Np P��ONE NO <br /> GONTP�Ct PR�Cf W WORk: __— <br /> pE$CRRE W011K AN�SOU��E�OOi�6E�NVOIVED <br /> pnovOseouseaeunomc I HEREBY CERTIFV iHAT 1 HAVE READ AND EXAMINED THIS <br /> ���7 L�. APPLICATION AND HNOW THE SAME TO BE TAI,E AND COFiREC2 ALL <br /> �Qp�l DESCqIPTqNOf PRO�'EHTY ISNOWII BEIOW 011ATtllCNfpURCIX9E5) PROVISIONS OF LAWS AND ORDINANCES(30VEflNINQ THI$TYPE OF <br /> WORK WILL BE COMPIETED WITH WHETHER SPECIFIED HEREIN OR <br /> iot eipcK or NOT. THE GRANTING OF A PERMIT DOES NOT PIIESUME TO QIVE <br /> AUTIIORITY TO VIOLATE OR CANCEL THE PROVI310N3 OF ANY <br /> O7HER STATE OR LOCAL LAW HEGULATINQ CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHOiiIZEO BV THE <br /> OWNER 6f THIS PROPERTV TO PERFORM THE WORK FOR WHICH <br /> APPLICATIGN IS MADE AND I COMPLV WITH THE S?ATE <br /> CONTRACTORS LAW 18.27 RCW AND 296.200 WAC. <br /> SI�NALUREOfCONiMC70ROR�Ut110P12ED�0ENT O�TE <br /> 3a2U vQ..��K C-�/a2rr= ��� �G 2.�`S,S-� <br /> PIqJECT1IDORE55 <br /> APf'IiC�NTS C V mESS lkLN5�0.�NO BU ��S�NAN� �A� <br /> ( L. <br /> ��e� MECMANIC�L <br /> Np, TYPE OF FlI(TURE OR ITEM F�ET_�. ti�• TYPE OP EUUIPI+IENT FEE <br /> WATER CLOSET(TOILET) !_I A/C—A/HNDLG UNITS—H.P. —T— <br /> BATHTUB ' FORCED AIR SYSTEMS—B.T.U. M E.A. ; <br /> UVATORY(WASH BASIN) UNIT HEATERS—B.T.U. M � <br /> SHOWER _ CLOTHES DFYERS � <br /> KITCHEN SINK 6 DISP VENTILATION FAN i <br /> DISHWASHER RANGE HOOD _ ' _ <br /> LAUNDRYTRAY � WATERHEA7ER � <br /> CIOTHES WASHER � WDOD STOVE _;_ <br /> URINAL _ METAL RREFLACE 8 CHIMNEY <br /> DRINKING FOUNTAIN FIREPLACE INSERT <br /> FLOOR DFAIN IiEAT PUMP <br /> BACKFLOW PHEVENTERS i GAS PIPING <br /> RC�F DRAINS--RAINLEADERS � EXHAUST FAN ' <br /> _ , <br /> SINK(SERVICE—BAR,ETC.) � — <br /> _ , <br /> � <br /> _ i <br /> — , <br /> SUBTOTAL $ �._ pERMOTAL E i <br /> PERMIT $ ' <br /> — TOTAL FI=E $ ' TOTAL FEE $ <br /> FMXI75ETB/GN �EARSETBRCN SiDESETA�CK PUNCNECNNUMOER f[E <br /> PECEIPi.JO. <br /> USE 20NE ioi naen V�C�NL SItE FEES VALUATION FEE <br /> I I YES � I NO OWLDING � <br /> fYVEOfLON51�llOWABI[ �YP[�f��11$1.��1�IR� DLCII��NSy HOpI�M[�1'Nf.U4i15 —" I <br /> r.nmm PLUMBING � <br /> �� <br /> � <br /> SREOFBLD1i. ND.OFSTORIES B�SEMENf MECHANICAI. � <br /> I I YES I I NO � <br /> O7nEf7 <br /> OCCUPANCYLO�O (IRF.SPPNNLEBSBEffD ��EIGIIIIIMIIAIION _ <br /> i i ves i i Nu sini�ouauiNc suncunnce ; <br /> --� <br /> nensor+ron srnir�HiEns ' <br /> STATE ENERGV SURCHAI7GE � <br /> pPPItL��ION nCC.BY 1'LANSRPPROVEO AY CITY OF EVERETT runuc wo�Ks I <br /> LOCAL SALES � <br /> TAK CUOEIS 3105 �oTp� ' <br />