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APPLIC.4T10�.. FOR CONSTRUCT►.�N PERMIT ��P'r'� <br /> �M,�r,p,�� TO BE COMPLETED IN INK LEASE PHINT � <br /> ciTvor <br /> ev�rett HEATINGSYSTEM GAS JELECT IC U _______ -� <br /> BUILDING DEPARTMENT � <br /> 259�8d10 <br /> �y" DEMOLITION COMBINATION BUILDING M CHANICAL PLUMBIN(i SIGN <br /> � � owri[n M�a�o�ness �v z'r 'a�u <br /> �� � T'� l�s� 7`r���, �„✓�� 9�z� ����.��_��8� <br /> TEN� L M�iL�OURE55 <br /> y� Fy �RCNRECtON0E51GNEN M�ILADpRE55 ���� Z�P P�� <br /> K n <br /> � <br /> O O� GENERALCONtRALiOR M��L�OORE55 CiTv ZIP PHON[ UCENSE� <br /> �� <br /> tp ��y1 _ <br /> O� �ir ME ILLCONiiCi �M�II��� _/_�C�t���.V" /���_��� ICLY IIC����� <br /> � S /IC (% <br /> PWMBMGCONIP,1CiOR � iLAp�PE55 CIiV Zio PNON[ IiCENSk1 <br /> �� g - - - <br /> ni r n cLAS50fwoNn <br /> �y � NEW �. �� ADDITION ALTERATION tiEPAIR DEMOLITION WOODSTOVEFRPL INSERT � BUILDING PELOCATION <br /> M CONi1CT FERSON�HD PNCNiF NO p���� <br /> h� H . �,c� �U".E,.�J�rar�5 <br /> y CONTP�LT PRKE OF W011N I�� <br /> DESLNiBE WOfiM�ND SOU�PE OOtAGE iNVOLV[D <br /> �Cd, v ,t�is�,�iic„ro6�s ,�,..r��,- Fr��rr - 3 <br /> [i1 t" PPO(Po'�S DcUSEOF�BWI�MG I HEREBV CERTIFY THA1 I HAVE READ AND EICAM�NED THIS <br /> .l / /C <br /> y Vj AFPLICATION AND KNOW THE SAME TO BE TRUE AND(a RECT. 4LL <br /> 0 y iee�i oesc�uptana PnorEnn�s�ovmae�awoa�rrecewuaconiesi PFOVISIONS OF LA1YS AND ORDINANCES GOVEFiNINO THIS TYPE OF <br /> IYORK WILL BE COMPLETED WITH WHETMER SPECIFIED HEREIN OR <br /> �ot BLOCN or NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> ��+I�33 AUTHORITV TO VIOLATE OF CANCEL THE PROVISIONS OF ANV <br /> `� �'r" 5 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR TH[ <br /> PERFORMANCE OF CONSTRUCTION.THAT I AM AUTHORIZE�BV THE <br /> OWNEF OF THIS PROPERTV TO PEfiFORM THE WOFK FOF WHICH <br /> APPLICATION IS MADE AND I COMPLV WITH iHE STATE <br /> CONTRACTORS LAW 1827 RGW AND 296.200 WAC. <br /> SiGN�ipREOlCONiReCiOROR�U�iOH1Z0�GENi D�i[ <br /> X //-��J � 1' ���«a <br /> vaae��I ss FI�� / -- <br /> �PPLIC�NiSGrtv� �ItiWE55LiC.EN5EN0 �NDBI151NFSSN�ME <br /> PLUMBINO MECMANICAL <br /> (/ \ NO. TYPE OF FI%TURE OR ITF.M FEE NO. TYPE OF EOUIPMENT FEE <br /> I C�i WATER CLOSEi(TOILET) �/C—A�IINDLG UNITS—H P — <br /> BATHTUB PORCED AIR S`!STEMS -B.TU. M E.A. � <br /> 1 1 LAVATORV(WASH BASIN) UNIT HEATERS—B.T.U. � — <br /> SHOWER CLOTHES DRVERS � <br /> �-' KITCHEN SI�K 6 DISP VENTILATION FAN ' <br /> � DISHWASHER RANGEHOOD �— <br /> � LAUNDRVTRAV WATER HEATER <br /> � CLOTHESWASHER � WOODSTOVE � <br /> I ��' URINAL ' METAL FIREPLACE 8 CHIMNEV ; <br /> � DRINKING FOUNTAIN —� FIREPLACE INSERT � <br /> FLOOR OP.AIN EAT PUMP <br /> BACKFLOW PREVENTERS GAS PIPING <br /> � _ <br /> ' ROOF DRAINS—RAINIEADERS E%HAUS7 FAN <br /> � �� SINN(SERVICE—BAR,ETC.) _ <br /> � ' -- —. .. ._— <br /> � � <br /> SUB TOrAL S SUB TOTAL S 'v' <br /> � PEHMIT $ PERMIT S 1 � <br /> �'�1_� — TOTAL FFF. E _ TOTAL fEE S {� -- <br /> FOR OFFICE USE ONLY: <br /> � FRONI6FTP�CN RE�RSEIP�GK 9OFS(LP�Cfl PUNCHFCKNUMOtP ![F RFCEIPiNO <br /> useeor�e � �otee[e v�ceNrsrte FEES VALUATION FEE <br /> EIUILDING <br /> t�`fO�LONiS�LLOW�BIF LY%OfCONSI1CiWl nmo�u� nna�mr,�.r..+�< -- —� - ---"--- .. . .---" -' '— <br /> °°°�• pLUM81Nf <br /> SV[tNPL00 NOOFS10RiE5 B�SEMENt � MF.CMANIC�L - <br /> . '. � <br /> �N;NP�NCVLOAp FlRFSPPIIXLFRSNEOfI NFlGNIIIMIi�IHNi A�DI710NALPlANLMEGN <br /> '___ _'__ ._ OTHEfi <br /> fiF ASON fOR SVPINNLERS — —� <br /> SUTF.6UILOIN6 SUPCIIARGE <br /> . ____—___.. _"' __- _. _ .. . __ — —' —___ _ ' <br /> iN�e�inr rier�serrnuvron. CITYOFEVEflETT PUBLICWORNS <br /> LOCALSRLES — <br /> TAI(CODE IS 3105 ror�� � �; ' aa <br />