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�- �1 11'�� <br /> pppLlCATiOI `FOR CONSTRUG'TI"'�l�I PERMIT �' <br /> TO BE COMPLETED IN INK—PLEASE PRINT � <br /> rrml��armorn ._— � <br /> arv oF ----- J _ I <br /> everett HEATING SYSTEM: J GAS �ELECTRIC ------- <br /> BUILDING DEPARTMENT SIGN <br /> 259-B810 BUILDING MECHANICAL PLUMBING <br /> DEMOLITION ' COMBINRTION Z�P ProNE <br /> �----�— UTY �v //�-I <br /> P N.AIL�DDRE55 1\ •�/17(.11�ll�'� l 1.��• ����I —� <br /> p� � �E ��E\� V Cr •��=.�1�,�SSSY1�•���I CiTv 21P PHONE <br /> �9 —�—�— M�R 10DRE55 <br /> y ic�++NT <br /> � ZIp FHONE <br /> � � y �ITV <br /> �� qqCHREf,TOR_0€5� �ER MRILADORESS <br /> Y 1 ZIV PNONE IICENSE� <br /> � � � ��r <br /> �] GENERALCMITRAL OR M��.ADDRESS <br /> � PHONE /J IniCENSE��f ,.r� <br /> � N M 1 �TM IP J I � /(�✓Ti�l.l��'1IO3L✓' <br /> � K � U.ECHANIGPLGUN T���o��� �����er_ 311� i-11� ll Vc �Ur �j��c I a�9 53 <br /> . � - r��or+e ucEr+se� <br /> i y 1���J T �_--- C l l v IiP <br /> v <br /> �tUMUiNGGONINPGN� M�R�DDf1E55 <br /> .S !1 � -' <br /> N n� 11 �l`1 . <br /> H ' c a oFwonK , ,-i p DEMOLITION . WO�DSTOVE/FRPL INSERT I BUILDING RELOCATION <br /> � ALTERATION . R_PAIR <br /> Z t+ Eyy '� ADDITION �� �=---- �ONiA ASC� AND PHONE NJ <br /> H � �, y�0�n (3�aY1 fIC� <br /> � � y a�� � <br /> N M CC� 'fFOFWOAK <br /> � y DESCR�6E WOFR�N�SOU�AE FOOi�GE INVOLV�J �.J9 —�„�?J � --- <br /> � � r Y ro ti , �t`.���e'— --_— <br /> [e � 1 HEREBV CER71FV THAT I HAVE READ AND E%AMINED TNIS <br /> 0 y anopos[ous�or�euao�y� - qppLICATION AND KNOW THE SAME TO BE TRUE AND COFiREGT.ALL <br /> - ' -�-L� A PROVISIONS OF LAY:S AND ORDINANCES GOVERNING THIS TYPE OF <br /> �ewtoescair ROFPHOPEATY�+NOWNBELO oan+T�'HFo�Rcoviesi yypRK WILL 8E CCIdPLETED WITH WFIETHER SPECIFIED HEREIN OR <br /> NOT. THE 3nn'�TII�G OF A PERMIT DOES NOT ('RESUME TO GIVE <br /> �ot 01OCK �F -'- AUTHORITV i0 !'�OLATE OR CANCEL THE PFiOVISIONS OF AN� <br /> OTHF.R STAtE 0� '_OCAL LA�4' REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE C'r CONSTPUCTION.THAT I AM AUTHOPIZED BV THE <br /> OWNER OF TH{d PFiOPERTY TO PERFORM THE WORK `OR WHICH <br /> APPLICATION IS MADE ANO I COMPIV WITH iHE STATE <br /> _--------- CON?RACTORS LAW 1027 FCW AND 296200 WAC.�'��I p� <br /> $iGN�TUAEOFCONTR�CTORORPUiMOHRE�AGENT DATE � / <br /> V /' '.�1� ��ULt��O��[ryF�,L5G' _ <br /> A <br /> PPOJE 'v�RjS' --_ "�I'I�L1GANi5G1TVOlIS,•.LSU�.11iGI:NO�i lUUll:s AME <br /> /�w � �y �' _�� LX-���� MECHANICAL <br /> I ���. _ FEE - <br /> PLUMBING ,�-----�(-' FEe NO. TYPE OF EOUIPMENT <br /> � 'fYPl:O� i=1%TURE OR ITf:M � _�.�,.._ <br /> . . ��0. __"' '_' . /VC-A-HNDLG UNITS-H.P <br /> � - N,qTE�,��_��E' �'�II.ET) ___._. -' - . ---- __ FORCED AIR SYSTEMS-B.T.U. M E A. � — <br /> i ___ BATHTUB_ _-_. __ UNII HEATERS-B.T.U. N1 _.__ --f- <br /> f��vn <br /> Lt,VATORv'�WASH BASINI CLOTNES DRYEFS <br /> I _� S40V�ER ��__— — �/ENT4ATIONPAN --�*-- <br /> � � KITCF�<N SiNK 8 DISP - qqNGE HOOD <br /> '� � OISHIVASHC� WFTER HEATEA � , <br /> � �' LAUNJfiYiRAY - yy�ODSTOVE '�— <br /> � � ��� CLOTHES WASHEP ME7AL FIREPLACE 8 GHIMNBY - <br /> � URII�AI ---- — FIREPLACE I4SERT r— <br /> DRINhING FO'�J�TnIPJ __ -- --- <br /> HEAT PUh1P <br /> � FLOOR�RAiN - —I- �p�pIPING � <br /> ��I� BACKFLOVJ PREV --� ' . •' ''"li�' . <br /> FXHAUST FAN . � <br /> I qOOF DRAINS-RAINLEADERS _ — . ;;{F�;�� <br /> SINK I�C-RVICE-BAR,ETC.1 � ' . . ���"� .. <br /> i <br /> � ��1 _ <br /> � <br /> � _ ----T� <br /> II ! � _' �- —_ SUBTOTAI. � __' �5� <br /> � _ _- SUBTOTAL '.i ,T_ 'J --- PE�1Af1T 5 /S�_ <br /> _� PEHMI' S 7�_�rALFEE 5 .i <br /> .. I TOTALFEE g t <br /> FOR OFFICE USE OtdLY: _ �EE Receirrrvo <br /> FPONTSETB AE�FSETB<CK <br /> SIDESELBPCN P.dNCMEGNNU��eER <br /> �,,S��S"--- VALUATION FE�� <br /> - —"' vncnHt site FEES — - <br /> USEZONF ���ApE� <br /> auaoiNc ____ <br /> iYMOfCONiSAItOflA3lE 1VPfOf^.ONSLAGIDAI OCCua�.;r xoo�ontu�x4u4��s PLUTABING 1 "— <br /> caab <br /> �—.—'___ � ! _' <br /> MECN�NiC�I u <br /> � NO OF StORIES BASEM'ENT ___.__ _ � <br /> SRE OF 81D0. ; <br /> AODITIONAL PLAN CHECK _,�--.--- <br /> FlpESPRAKLERSWEOC HEiGMTIIMrt�PDN � <br /> OG6UPR4LvlOA� OfHER <br /> REASON FOR SPaiNNLERS STATE BUIL�ING SURCHAPGE - <br /> INTAKEBY PlANSAPPROVEDBY CILOCALSA ES PUBLICWOFKS — <br /> TAX COOE IS 3105 TOT^� `1a <br /> � . <br />