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APPLICATI(' �I FOR CONSTRUCT� 1N PERMI'� �✓� <br />TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br />�_______ --- _ <br />HEATI��3 SYSTEM: J GAS J EI.ECTRIC J.____ __— __— _ <br />BUI! OING DEPARTMENT -- --- — — --- <br />2�d�881U <br />DEMOLITION COMBINATION BUII.DING MECHANICAL PLUMBING SIGN <br />u ow��[�i n,iniincnr�[tis------ �--- �,;r----:ia --- �,���.»�[ <br />�rJe�(L� _�'14lroS_ S�oz6 /3riui.�z�l ��__=�Ca_r-(j 9f'ZC��----s)J"�!?93 _ <br />nNnm Mm�aooiass cnv 7i❑ r��ove <br />APCHIIECTOH�ESIGNER AUII.ADOHFSS CiIY IiP PIIONE <br />Gtt1[RALCON�RRC�JR MAilr1DORF55 QfV ZiP PIIONE Si�TEIiCEMSE� <br />� C�K Cy-�tj" �1�Y iro�sr n.�. ST�.,.��l�.,._YfL9z ��� �c�� �ovr o�� �t6 <br />NEO�ANICAICONiRRCiOR IAAIL AppRE55 GtY 11P 1'HONE SiATE LICENSE � <br />PWMBMGGONTFRCTOF 61AILRDDHESS CILV ZIP PNONE STATELICENSE� <br />CONiRACT PNICE OF <br />Y IlESCRiflE WORNANO <br />� <br />PNOPWED USE OF BUIIDING <br />I <br />RIVOWED <br />X IEGGI �ESGRIPTtON OF PPOPERIV ISNOWN DE�OW O�R AytiACM iW0 COPiES� <br />� � �I �"'-t - `'13 <br />Lor BIOCn oF <br />� PARCFIiA%ID NUM9ER <br />CONStiUCTiON LGAN lEIlOER ADDFESS. iELEVHONE Ni iM113ER <br />�7:' ' <br />�; NO. TYPE OF FIXTURE OR ITEM <br />WATER CLOSET (TOILET� <br />BATiiTUB <br />LAVATORY IWASH BASIN) <br />SHOWER <br />KITCHEN SINK R DISP <br />DISHWASHEfl <br />LAUNDRYTRAY <br />CLOTHES WASHEH <br />URINAL <br />DRINKI'JG FOUNTAIN <br />FLOOR �RAIN <br />BACKFL06V PREVENTEfiS <br />ROOF DRAINS-RAINLEADERS <br />TOTAL 4 <br />411T S <br />\L FEE 5 <br />FOR OFFICE USE ONLY: <br />FROtlTSET�AGN �EAfiS�[i9ACK <br />USEZONE � I/OiARF.A <br />�-� b�� <br />Of LOH51 ��O O� STOHIFS <br />rvr[ <br />� �-- �--- <br />9ZL OF pL�G FlRL SPRINNLGRS qCOfl <br />j ��o Sf f0 v <br />pi:CIIPANGY114D FliVEAIAPIdfiEO❑ <br />..)I A10 <br />HfF50N <br />it1IDKLBv lI�NS��'��uOtlF�EIv <br />GAtL �/'� /C�� <br />RNOPHONC <br />♦t�i <br />'J Z <br />i FiEREBV CEPTIFV THAT I HAVE READ AND EXAMIN'_D THIS <br />APPLICATIC�N AND KNOW TNE SA�"E TO BE TRUE AND CORaECT. ALL <br />PROVISIONS OF LAWS AND ORDINANCE i GOVERNING THIS TVPE OF <br />WORK WILL BE COMPLETED WITH WHE��HER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUML TO GIVE <br />AUTHORITV TO VIOLATE OR CANCEL THE PROVISIOHS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORAIANCE OF CONSTRUCTION. THAT I AM AUTHORIZEG BV THt <br />OWNER OF THI$ PROPERTV TO PEFiFO(;M THE WORK FOR WHICH <br />APPLICATION IS ��ADE AND I COMPLV WITN THE STATE <br />CONTFACTORS LAW 1827 RCW AND 296200 WAC. <br />r.�f i�0 <br />m <br />A C-A�HNDLG UNITS- <br />FJRCED AIR SYSTEM: <br />UNIT HEATERS-B.T.U. <br />CLOTHES DfiVERS <br />VENI ILAT'O^J °AN <br />RANGE HOOU <br />WATf R FEATLR <br />WOOD STOVE <br />METPL FIREFLA:C (WI <br />FIREP,.ACE IN: ERT <br />HEAT PUMP <br />GAS PIPI�lG <br />EXHAUSTFAN <br />SIDESEtAALN PLAIlLN[G ni.�u/I'// <br />5 d���� i � � �/ <br />vrcnNr srtE FEES <br />�VES NO BUILOING <br />,�«,�,,.�, „� �.,.,� �.�,.;�,�,< ---- <br />10" PLUIJRING <br />" --�—. — <br />OnSEIAENt �,�ECHANICAL <br />vES �O <br />NEIGI�T lnd tavON — A�DITIONAI PLAN CHECN <br />Z� � __ OTHER <br />STA'F. BI�ILDING SURCHARGE <br />CITY OF EVERETT Pueuc woaKs <br />LOCALSALES — <br />rev cnnc is a�n5 rorn� <br />�MENT Ftt <br />P. <br />B.T.U. M E.A. �_ <br />N <br />-T <br />D 9UPNING) <br />i <br />T <br />SUBTOTAL S <br />PERh11T $ <br />TOTALFEE 5 <br />/ �� - <br />e ZU �+e <br />7 N <br />iu,�o <br />Pjf�NO ('/_ <br />`' � 7((� / <br />FEET_ <br />� ) (,l In�cl <br />