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.,.. � <br /> APPLICATIG. J FOR CONSTRUC7�_JN PERMIT ��► <br /> �,,e?R��3 TO BE COMPLETED IN BLACK INK—PLC'ASE PHINT w✓Es'encrr <br /> ��'C BUILDING DEPARTMENT HEATING SVSTrM.. J GAS J ELECTRIC J _ ______ _'^__ i <br /> yS 259 8810 � I <br /> C '� . � DEMOLITION COMBINATION BUILDING MECHANICAL ✓PLUMdIN., SIGN <br /> >Hrn - ---- - -- - ----- — _ -- - -_ <br /> nw��tn ue�leUDa(55 tnr n� � ��� <br /> r'�OiU_ <br /> ���, i��s� �Sa'�Fii�nti..__ i�,.an�tt _S�1 �.s_9:�i�{___ I <br /> iF ii�1�i M�IL A GFf55 LIIY liP P�+p1E <br /> 'V�'9 ARLN1IELTORpE51GNER M�IIAppRE55 LIiV ZIP Pr�JNE � <br /> N <br /> � X G[NERALCONiP�CiOR MMlA�I1RE55 . CITY 2�P VHONF SLRCtIC(NSF• � <br /> o � r 1¢e�.('vn'st 514 S(tt L�✓�����1_�15�� `�fl]�--IiS.�".11l--QC-._$IG1�,L�be� --- <br /> ��� MEGN 1iGLLONiR�G�011 4�iL�DOHE55 Gllv ]�o PHOVE Sf�IFIICFNSL• <br /> ni r n . -__-__ <br /> � � PlOM01NG00NiRAGlOi1 MML�ODRE55 ❑�V ZIP Y11pNE St�lCu(ENS(• <br /> y tir�,l(s�Lu, � � i sg�.�������—Y.�.s s��s-- .M_9�SC���� �'I <br /> �„� cuss �r wonn � �� (?3 8_ <br /> t7 N NEW ADOITION �AL7ERATION REPAIR DEMOLITION WOODSTOVEFRPL INSERT _BUILCING REIACATION I <br /> nd y cor�uo nt nsnr�nr�o r��oac No � <br /> ��� CpNip�CT PqiCE OF WOFK yp Q�I,� �3S SSs� _ <br /> � DESCPIBE WORe AN�SOU�RF f W le,E INVOlVEO <br /> N Ivnorosrouscovewio�nc i HEREBV CERTIFV fHAT I HAVE READ AND E%AMINED THIS <br /> GifIS ��• �PP�ICATION ANII KNOW THE SAME TO BE TP.UE ANC CORRECT.ALL <br /> iEo��oescnivrpr1orrnovEnrv,sNowar.eiowonetucNvouacon�es PROVISIONSOFlOWSANDORDINANCE5GOV6RNINGTHISTVPEOF <br /> WORN WILL BE COMPLETED WITH WHETNER SPEUFIED HEREIN OA <br /> tor eiocn �F — NOT. THE GRANTMG OF A PERMIT �OES NOT PRESUME TO GIVE <br /> AUTHOiiITV 10 VIOLATE OR CANCEL 7HE PROVISIONS OF AIJY <br /> OTHER STATE GR IOCAL LAW HEGULAiING CONSiRUCTION OR THF <br /> PEFFORMANCE OF CONSTRUCTION THAT I AM AUTHORIZED PV TNE � <br /> OWNER OF THIS PqOPERTV Tp PERfORHi THE WORK FON N'NIOH <br /> � APPLICATION IS MADE AND I COMPLV WITH THE STATF <br /> CONTN4CT S LAW 1B 2%RCW AND 29G200 WAC <br /> « ,(� �- _".�,�� /�ly� <br /> � <br /> - -- -- <br /> „A�,«,.,��.,,�,s . .,, <br /> a�r�y �dv�� �Ve. _ _— _ _---- --- --- <br /> " PLUMBING MEf,HANICAL _ <br /> NO. TYPE OF FI%TURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> 1�I WATER CLOSET�TOILET� - A C n i'^IDl G UNIiS� H P. <br /> — ___._ ._____._—__— _ <br /> BATHTUB FOfiCEnAIR5V5TEM5--BT.U. M E.A. <br /> ' ' � LAVATORV IWASH BASIN) I � UNIT HEAiCRS—B.TL. M _ __ <br /> 1 ' SHOWEfi _ _CLOTNE;DRVEFS <br /> � KITCHEN SINK 8 DISP VENTiI ATION FA4 <br /> �ISHWASHGR RANGE HOOD —r <br /> ' 1 LAUNDFVTRAV WATER HEATER � . <br /> ' ' CIOTHES WASHER __ WOvU STOVE _ _ <br /> � URINAL METAL FIAEPLACE 8 CNIMNEV <br /> '� DRINKING FOUNTAIN —� FIREPLACE INSERT _ ; <br /> FLOOR ORAIN HF.AT Pl1MP —T <br /> �' —___— __---.._ ._—.�__._ <br /> BACKFLOW PREVENTERS GAS PIPING <br /> � ROOF DRAINS—PAINLEADERS E%HAUST FAN --r� � <br /> �� SINN�SERVICE—BAR,ETQ� _ _ _ ___ _______ ~ <br /> _� —_i <br /> � ' _--______— <br /> � i— _ — <br /> _ _ —___— _--�_. <br /> � — <br /> !' SUBTOTAL 5 ' SUBTOTAL 5 ___ <br /> .._ .--_ — _—_ _. <br /> � PERMIT S T PERMIT S ___ : <br /> .. _—__ —.._._._._ — TOTALFEE __.5 _ __ <br /> — --— ��---- - TOTAI.FEE E <br /> FOR OFFICE USE ONLY: <br /> rPONi SEiBACr��_ rrt nn•.�nmi r_._� $iDE SErP�cK vi eq Cn�(n uM5H1 �I t r�trl in�Nn <br /> � 1 .� � <br /> usi ror�[ �oreaee v�ceNTsne EES VALUAiION fEE <br /> Aw�owc <br /> -- — � <br /> r�r�mcnniteuaweei[ rvnorcvrsr�cruei am..ra. wan.r..".�.��. .—____ -____-.__. .__. ._._-_.__ __ . __--�— <br /> c.av PLWAPiNO <br /> ---_ _ _""____ .. __-__T_ <br /> SiTE Of BL00 NO p i�ORiES BASEMENi MECMANICAL <br /> (e;NPeNCYlO�D FiPLSPRNKLERSREQ� NBGNLUM�In➢OH AOOITIONALPIANCHECN � � � <br /> SPRINKLER <br /> rllPtiONfORSPRMx�E�S — -----� "" � ' - '" ---�— <br /> SUTE BUILDMG SUPC11A�iUE <br /> _.._ —..._. . _._- - _— ___ .._. ._____ __. ._. . . . ._. . <br /> M�er! Hr � I Pl�NS�PPROVEDOY —' CITY OF EVERETT PIIBLIG WORKS <br /> I LOCAL SALES <br /> TA%COUE IS 3105 rore� <br />