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411 <br /> APPLICATI( V FOR CONSTRUCT- 7N PERMIT �,� <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT „ <br /> • HEAT WGSYSTEM J GAS J, . , '..„ J <br /> NG DEPARTMENT L_____ _._ <br /> 61310 <br /> DENOUIflON COMBINATION BUILDING MECHANICAL Ng/PLUMUINGPAU <br /> SIGN <br /> PgoviCeNti Hospr�a/ 916 r°k lfs L. f✓ fit} ,?.r 2f 7/2 y <br /> )Ne-oloGY <br /> Fere*i vas r 441 42424 iiati Fte-4 ' f7.o3 25 odc8 <br /> - ,•.,.tiuwa. <br /> D e,(b a R-66 Pb 06i 66 larib al4aA4 9s-a7 b cava <br /> 734 A,cA ;dcbilaw <br /> DE a**SOON NO SOWN FOOTAGE AAOLVEO co qcT/EA'lpYA--PHONE NO <br /> Fwp.OEEp tAE Of"ALONG I HEREBY C:RTIFY THAT I HAVE READ AND EXAMINED THIS <br /> APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL <br /> LEGAL DE Wain lDwoF.wp.EAT•, PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> SPCA%SILO*/Ow ATTACH TWO COHIS wORK WILL BE COMPLETED WITH WHETHCR SPECIFIED HEREN OR <br /> LOT _ DUX* OF 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 THAT I AM AUTHORIZED BY THE <br /> (MINER OF THIS PROPERTY TO PERFORM THE WORK FOR WHICH <br /> PARCEL FAA ro MAMAAPPLICATION IS MADE AND I COMPLY WITH THE STATE <br /> CONTRACTORS LAW ie 27 RCW AND 2%200 WAC <br /> CpINTAUCTpiI LOAN IEACfw ADDIE(EE TELEhIOIiMAAEM A/'� _ . �. �/ <br /> Y (fir/^'I� / ly�/��/L/����/'��� ,.,, 7r <br /> i3¢.1X _ 4.2s4 i/T <br /> PLUNIMICI <br /> MECHANICAL <br /> NO. TYPE OF PB1TMBE OR ITtflM HEM? NO. I TYPE OF E OUIPNE NT PW <br /> WATER CLOSET(TOILETI _ A'F-AM'ILG UN,t ..; <br /> BATHTUB FORCED AN SYSTEMS-4T.U_ M E A <br /> LAVATORY i WASH BASIN) (MT HEATERS-6 T U M <br /> SNORER CLOTHES oRYERS <br /> KITCHEN SINK I DISP VENTILATION FAN <br /> Ob► EI RMA RANGE HOOD <br /> LAUNDRY TRAY WATER HEATER <br /> CLOTHES WASHER WOOD STOVE <br /> URINAL <br /> METAL FIREPLACE MOOD BURRING) <br /> ORMII Ni FOUNTAIN _ FIREPLACE INSERT <br /> FLOOR GRAN MEAT PIMP <br /> BACKFLOW PREVENTERB - GAS PIPING <br /> ROOF DRANS--RAMEEADERS EXHAUST FAN <br /> SINK(SERVICE-BAR.ETC) .load <br /> r- . <br /> - <br /> SUB TOTAL S V - SUB TOTAL $ <br /> PERMIT $. coPERMIT :' <br /> TOTAL FEE S de,W Ny TOTAL FEE S <br /> FOR OFFICE USE ONLY. <br /> Woe Se'Lk.. we ltm*c. .IAMLNCi FAA r PR IIECO VT AO <br /> L 5/ I _ <br /> LIM IOW LOT Awe. - ? VAfIWT'VE PUS VMLUAT1ON FM <br /> YES NO <br /> ?HI C•CEO - r0 OF STORMS + mmHg". T r.•...- v. .•. �U- - - - _._ <br /> PLUMING <br /> en OF ROO .wf f MbRERE REDO • "...u.•. <br /> YES NO E-ECH LAICAL <br /> OODI/MNC•LOAD FOP NAR/AFRO .s.-wT...•.•.w ADpTIONAI PLAN Ct4CJI - _. .� <br /> AMON <br /> STATE RAIDING SURCHARGE <br /> .nAlaw --T rEAFwA.•- CITY OF EVERETT . <br /> PUILIC moAKS <br /> LOCAL SALES <br /> TAX CODE IS 3105 TOTAL <br />