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w _ _ <br /> APP�ICATIC � FOR CONSTRUC7 JN PERMIT � <br /> TO BE COMPLETED IN BLACK INK—PLEASE PRINT <br /> BUILDING DEPARTMENT r HEAl ING SYSTEM: U GAS D ELECTRIC ❑_ —� <br /> 259-f3810 <br /> DEMOLITION COMBINATION BUILDING MECHANICAI PLUMBING SIGN <br /> O.WEN EUII�D�RE55 dTV ZIP PNONE <br /> ��"t�.On�c�y�� �2G�.s 13.� s%, s� � . Ev vcr�o� � i �-� � 3 j <br /> TEN�N MML 11�ORE55 CITY 71P PNONE <br /> AHCHITECTORDESIGNER M�IL�DURE55 GITv ZIP PNONE <br /> GENERALLONTPAGTOR M�II�ODRE55 ,(� CITv zIP PHONE ST�TELICENSEI <br /> /-� <br /> ��QK, c��-�. �jb�s� q-r' p�. S. � , e�, qsyos- 337-3�s1 Ekwo�, �.osasg <br /> MECM�NICALCONiRAGTOR M�IL��ORE55 �� � QTY ZIP PNOHE ST�TEUCENSEI <br /> f <br /> PLUMBINd LONTRACTOR M�II�DDRESS CITV 71P PHONE SUTE IICENSE� <br /> CUSS OF WOPN <br /> � NEW �. ADDITION ALTERATION REPAIR DEMOLITION WOODSTOV6FRPL INSERT � BUILDING RELOCATION <br /> /� � ���.,��P-� e �/ CO T PEPSON�/ry�Q�VH/pNf NO <br /> CONTRM:T PR10E OF WORK ��L�C�c.' �` �/J'/�J) V 1/ .,� 3 37 -_5 yS/ <br /> �` _LZ— — <br /> �ESCRItlEWORK�NDSOIUflE�WUGE IVOLVED <br /> /I.t,cw• p�<<f .. lochv Sfr Fr' _l�l n�n_J <br /> PROPoSEDl�SEOFBUILDINO i HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS <br /> APPLICATION AND NNOW THE SAME TO BE TRUE 4ND CORRECT.ALL <br /> LEO�L OESCPIPTqNOF PROPERiV ISMOWN tlEIOW OR�iTACMFWR COPIES) PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br /> WORH WILL BE COMPLETED WITH WHET1IER SPECIFIED HEFEIN OR <br /> �ot �� BIOCK oF NOT. THE GRANTING OF A PERMIT DOES NOT PRESIIME TO GIVE <br /> �J AUTHORITY TO VIOLATE OP CANCEL THE PROVISIONS OF ANV <br /> Gor' �►�. Of I^D'r' �'7 C e+-d_x�s_Ad(1'PTIti� OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORMANCE OF CONSTRUCTION. THAT I AM AU7HOR12ED BV THE <br /> TU B..RV-vI' I�J�l I �S OWNER OF THIS PROPEFTV TO PERFORM THE IYORK FOR WHICH <br /> APPLICATION IS MADE AND 1 COr.�PLV WITH THE STATE <br /> CONTRACTORS LAW 1827 RCW AND 296200 WAG , <br /> �ipi l� �i.�r� �(�/ x , `.tl ,Q �0 . /�.t � � ��tr�� <br /> PpQIECTA ORE55 SqNe1Un � pe�f <br /> cilvqu5��:15s14rNSENo ,/I <br /> PLUMBINO MECHANICAL <br /> N0. TVPE OF FIXTURE OR ITEM FEE N0. TVPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) NC—a41NDLG UNITS—HP. <br /> ATNTUB FORCEDAIRSVSTEMS—B.T.U. M [.A <br /> L ATORV(WASH BASIN) � UNI EATERS—B.T.U. M ' <br /> SH ER CLOT ORYEfiS � <br /> HITC N SINK 6 DISP VENTILAT FAN <br /> DISHWA ER RANGE HOO <br /> LAUNDRY T V WATER HEATE <br /> CLOTHES WAS R � WOOD STOVE <br /> URINAL METAL FIqEPLACE 8 IMNEY <br /> DRINKING FOUN'fAIN I FIREPLACE INSERT <br /> FLOOR DRP.IN HEAT PUMP T <br /> BACKFLOW PREVENTERS ; GAS PIPING <br /> RCOF DRA�NS—RAINLEADEFS E%HAUST FAN <br /> SINK(SERVICE—BAR,ETC.) � <br /> �— <br /> "— T <br /> SUB TOTAL S SUB TOTAL E <br /> PERMIT S PERMIT $ � <br /> TOTAL FEE S TOTAL FEE S <br /> FOR OFFICE USE ONLY: � <br /> FRONTSEiBl!1GN1 REAPSETBON SI�ESEiBA� 7( Pl NCNE'N7UMBER FEE � /n J! RECFIPiNO.O�^ <br /> 2V 2 � � '� '� T�= / ,, <br /> � y � <br /> use zoe�. � lOi�RE� VAC�NT SRE FEES VALUATION FEE _ <br /> BUILDING 5!f /LS ,c�37; /in_ <br /> iYPEO�CONI5�LL0':Nblf IYVEOfLON5IAC1Wl aar�Na rwaPMwMGUNns —U <br /> ,.r}_, � "0J° � PLUMBING _ • <br /> __.IL=_Y �� •3 1- <br /> S��ZiSB�r3f t NOOFSTORIES BASEMENi MECHANICRL T <br /> zs sf 4� Z N� <br /> OCCUP�NCYLO�D FlRESPRNNLERSREOD HEIGNiLIMIL�iION AOOITIONALPLANCHECN -j— <br /> 9rRM/KkGR � � - <br /> i <br /> RE�SON F P SPPINNlERS � � <br /> STATE BUILDING SUHCHARGE %�J <br /> INT�NE BY PUNS�PPROVED BY CITY OF EVERETT PUBLIC WORKS <br /> J� LOCAL SALES �� � <br /> 4 iu Z TAX CODE IS 3105 ror�� �� ��;�C <br />