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•. • ' 1� <br /> G <br /> � APPLICATION FOR CONSTRUCTIG.'� �ERMIT ���''�" ' '� <br /> � � e <br /> � TO 8E COMPLETED IN INK—PLEASE PHINT <br /> - u�ere,o,ea� <br /> LITV OF <br /> everett HEATING SYSTEM: ❑GAS O ELECTRIC ❑ _:� <br /> BUILDING DEPARTMENT <br /> 259-8810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAL PLUMBING SIGN <br /> �� OW11ER M�iL��DPE55 dtY ZiP PIqNE �. <br /> ���Ns1 5�32• � Ivagev �+/t 7-52-12.a l <br /> (� TENANT M�iLApDRE55 CIiY ZiP PNONE <br /> �C� A1ICNIIECTOROESqNf:R M�IL�ODRE55 CrtV ZIP P11011E <br /> G <br /> w <br /> GFNEH�LLCONTR�GIOR MML�ODRESS CITv ZIP PHONE IICENSE/ � <br /> �� MEGM�NICN G TR�CTON Mn:� �OORE55 dTV ZiP PHONE LICENSE• � <br /> ��� r.1��N. Na��r�tu't+fh� 31i0 � �II AV� �vt �i`��I ZS�I• S33 � Nw�Guh IU3 (1L <br /> PLUMBING CONiR�CTON M�tt�ODRE55 CITY 21P PIqNE UGENSE 1 <br /> � ��� �NEW�RN ADDITION ALTERATION REPAIR OEMOLITION �. WOODSTOVEiFPPL INSERT ' �. BUILDING FELOCATION '. <br /> ��1 'JN`'.L CONT�CT PERSON�ND PIqNE NO . <br /> � GONiP�LT PR�CE Of WORK I�!'• � _ ' <br /> �� OESCPIBE WORN�ND SIXIARE i00T�GE INVOLVEO -- � <br /> �, �hsl.�l c,� F�,�.0 e Aw�4 <br /> vRo SEDlI5E0F0 �ionm 1 HEREBV CERTIFV THAT 1 HAVE READ AND EXAMINED THIS <br /> '�'F � � APPLICATION AND KNOW THE SAME TO BE TRUE AND CORPECT ALL � <br /> � ieaaoes iPTqNOFPHOOE ISHOWN6ELOWON�TTACNfWRCOPiES1 PROVISIONSOFLAWSANDORDINANCESGOVERNINOTHISTVPEOP � � <br /> WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEHEIN OR <br /> iot e�ncK ov NOT. THE CaPANTING OF A PERMIT �OES NOt PRESUME TO 61VE <br /> � �� AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS QF ANV _� <br /> OTHER STAiE OF LOCAL LAW REGULATINC CONSTRUCTION OR 1HE <br /> PEPFORIAANCE OF CONSTFUCTION.THAT I AM AUiHOR12E0 BV THE , <br /> " ""'^' OWNER OF THIS PpOPERTV TO PERFORM THE WORK FOR WHICH . <br /> APPLICATION IS MADE AND I COMPLY WIiH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 298200 WAC. � <br /> SIGNQUREOiGONiR�GTORORAUTNOBREO�GENT D�TE <br /> � PROJEqCT�ppRlSS — <br /> � ' )L ' �U�Y ON ^�"'��SGI�YBUSiNE SLIC SENOANGB�ISMESSNAME <br /> � PLUMlINO MECMANICAL � <br /> r��, NO. TYPE OF FIIITURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> I WATER CIOSET(TOILET) A/C—lUHNDLO UNITS—H.P. i <br /> , � I BATHTUB FORCEDAIRSYSTEMS--B.LU. M E.A. � <br /> �) � LAVAIOHV�WASHBASW) _ UNITHEATERS—B.TU-M ; <br /> ��, SHOWER CI.OTHES DRVERS --- y <br /> HITCHEN SINK d DISP VENTILATIUN FAN <br /> � �ISHWASHER RANGE H(�D r <br /> � � LAUNOHY TRAV WATER HEA?EF _ <br /> I �. CLOTHES WASHER WOOD S'fOVE <br /> I <br /> ' ��� UFINhL _ METAL FIREPLACE 8 CHIMNEV <br /> DRINNING FOUNTAIN FIREPiACE INSEFT <br /> � FIOOFI DRAIN HEA1 PUMP <br /> � BACKFLOW PREVENTERS 7i GAS PIPING � <br /> ,I 1�- �1� ROOF DRAINS—RAINLEADERS _ ExHAUST FAN <br /> �� SINH(SEFVICE—BAR,ETC.) <br /> i — � — _ — — <br /> L.�� � <br /> I SUB TOTAL E SUB TOTAL E O' 0 O <br /> `� PERMIT E PERMIT f <br /> I ,_'� TOTAI FEE f TOTAL FEE f <br /> �� FOR OFFICE USE ONLY: <br /> � � fRONTSEiBACN RE�HSEIBACN SiDESETB�CK PI�N0IELKNW.IOEN FLb RECEIPTNO <br /> USEZONE ioreae� veeenrsne FEES VALUATION FEE <br /> OUIIDING <br /> 11Pf Of CONIS�IIOW�BI[ IVYf 01 CONSt AC1U�l rci.a���r r�n pnwwiqr,u,�x -- — <br /> �x�,�v P�UMBING <br /> SRE Of BlDO NO OF STORiES PASEMENt MECNANILAL �S �O D <br /> OCCUPANCVLO�� LIBESPRNNlERSHW'� HEiGNiL�Mrt11iq1 ADDITIONALPUNCHECN <br /> OTHER ' I <br /> RE�5011fOR5YR�VrclENS - - —T— <br /> STATE BUILOING SURCHARGE I <br /> IN1�NE BY Pl�llS�PPROPEDOV CITY OF EVERETT VUOLIC WORN$ <br /> LOCALSALES <br /> TAii CODE IS 3105 70TAL � �� , • <br />